diff --git a/src/test/java/ca/uhn/fhir/jpa/starter/ExampleServerDstu3IT.java b/src/test/java/ca/uhn/fhir/jpa/starter/ExampleServerDstu3IT.java index 972abc2..fafcb56 100644 --- a/src/test/java/ca/uhn/fhir/jpa/starter/ExampleServerDstu3IT.java +++ b/src/test/java/ca/uhn/fhir/jpa/starter/ExampleServerDstu3IT.java @@ -2,28 +2,38 @@ package ca.uhn.fhir.jpa.starter; import ca.uhn.fhir.context.FhirContext; import ca.uhn.fhir.cql.provider.CqlProviderLoader; +import ca.uhn.fhir.model.primitive.IdDt; import ca.uhn.fhir.rest.api.CacheControlDirective; import ca.uhn.fhir.rest.api.EncodingEnum; import ca.uhn.fhir.rest.api.MethodOutcome; import ca.uhn.fhir.rest.client.api.IGenericClient; import ca.uhn.fhir.rest.client.api.ServerValidationModeEnum; import ca.uhn.fhir.rest.client.interceptor.LoggingInterceptor; +import com.google.common.base.Charsets; +import org.apache.commons.io.IOUtils; import org.eclipse.jetty.websocket.api.Session; import org.eclipse.jetty.websocket.client.ClientUpgradeRequest; import org.eclipse.jetty.websocket.client.WebSocketClient; -import org.hl7.fhir.dstu3.model.Bundle; -import org.hl7.fhir.dstu3.model.Observation; -import org.hl7.fhir.dstu3.model.Patient; -import org.hl7.fhir.dstu3.model.Subscription; +import org.hl7.fhir.dstu3.model.*; +import org.hl7.fhir.instance.model.api.IBaseResource; import org.hl7.fhir.instance.model.api.IIdType; +import org.junit.Assert; import org.junit.jupiter.api.BeforeEach; import org.junit.jupiter.api.Test; import org.junit.jupiter.api.extension.ExtendWith; import org.springframework.boot.test.context.SpringBootTest; import org.springframework.boot.web.server.LocalServerPort; +import org.springframework.core.io.DefaultResourceLoader; +import org.springframework.core.io.Resource; import org.springframework.test.context.junit.jupiter.SpringExtension; +import java.io.File; +import java.io.FileInputStream; +import java.io.IOException; +import java.io.InputStream; import java.net.URI; +import java.util.List; +import java.util.Scanner; import java.util.concurrent.Future; import java.util.concurrent.TimeUnit; @@ -66,14 +76,78 @@ public class ExampleServerDstu3IT { } @Test - public void testCQLAvailable() { + public void testCQLEvaluateMeasure() throws IOException { CqlProviderLoader cqlProviderLoader = null; + // FIXME KBD Remove this and put some Unit Test code here - for (String resourceType : ourCtx.getResourceTypes()) { - System.out.println("resourceType = '" + resourceType + "'"); + loadBundle("dstu3/EXM104/EXM104_FHIR3-8.1.000-bundle.json"); + + Parameters inParams = new Parameters(); + inParams.addParameter().setName("patientId").setValue(new StringType("Patient/numer-EXM104-FHIR3")); + inParams.addParameter().setName("periodStart").setValue(new DateType("2019-01-01")); + inParams.addParameter().setName("periodEnd").setValue(new DateType("2019-12-31")); + + Parameters outParams = ourClient + .operation() + .onInstance(new IdDt("Measure", "measure-EXM104-FHIR3-8.1.000")) + .named("$evaluate-measure") + .withParameters(inParams) + .useHttpGet() + .execute(); + + List response = outParams.getParameter(); + + Assert.assertTrue(!response.isEmpty()); + + Parameters.ParametersParameterComponent component = response.get(0); + + Assert.assertTrue(component.getResource() instanceof MeasureReport); + + MeasureReport report = (MeasureReport) component.getResource(); + + for (MeasureReport.MeasureReportGroupComponent group : report.getGroup()) { + for (MeasureReport.MeasureReportGroupPopulationComponent population : group.getPopulation()) { + Assert.assertTrue(population.getCount() > 0); + } } } + private void putResource(String resourceFileName, String id) { + InputStream is = ExampleServerDstu3IT.class.getResourceAsStream(resourceFileName); + Scanner scanner = new Scanner(is).useDelimiter("\\A"); + String json = scanner.hasNext() ? scanner.next() : ""; + + boolean isJson = resourceFileName.endsWith("json"); + + IBaseResource resource = isJson ? ourCtx.newJsonParser().parseResource(json) : ourCtx.newXmlParser().parseResource(json); + + if (resource instanceof Bundle) { + ourClient.transaction().withBundle((Bundle) resource).execute(); + } + else { + ourClient.update().resource(resource).withId(id).execute(); + } + } + + private Bundle loadBundle(String theLocation) throws IOException { + String json = stringFromResource(theLocation); + Bundle bundle = (Bundle) ourCtx.newJsonParser().parseResource(json); + Bundle result = (Bundle) ourClient.transaction().withBundle(bundle).execute(); + return result; + } + + private String stringFromResource(String theLocation) throws IOException { + InputStream is = null; + if (theLocation.startsWith(File.separator)) { + is = new FileInputStream(theLocation); + } else { + DefaultResourceLoader resourceLoader = new DefaultResourceLoader(); + Resource resource = resourceLoader.getResource(theLocation); + is = resource.getInputStream(); + } + return IOUtils.toString(is, Charsets.UTF_8); + } + @Test public void testWebsocketSubscription() throws Exception { /* diff --git a/src/test/resources/dstu3/EXM104/EXM104_FHIR3-8.1.000-bundle.json b/src/test/resources/dstu3/EXM104/EXM104_FHIR3-8.1.000-bundle.json new file mode 100644 index 0000000..a661362 --- /dev/null +++ b/src/test/resources/dstu3/EXM104/EXM104_FHIR3-8.1.000-bundle.json @@ -0,0 +1,4409 @@ +{ + "resourceType": "Bundle", + "id": "EXM104-FHIR3-8.1.000-bundle", + "type": "transaction", + "entry": [ + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.114222.4.11.836", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "2.16.840.1.114222.4.11.836" + } + ], + "version": "20121025", + "name": "Race", + "title": "Race", + "status": "active", + "publisher": "NLM", + "compose": { + "include": [ + { + "system": "http://www.cdc.gov/phin/resources/vocabulary/index.html", + "version": "1.2", + "concept": [ + { + "code": "1002-5", + "display": "American Indian or Alaska Native" + }, + { + "code": "2028-9", + "display": "Asian" + }, + { + "code": "2054-5", + "display": "Black or African American" + }, + { + "code": "2076-8", + "display": "Native Hawaiian or Other Pacific Islander" + }, + { + "code": "2106-3", + "display": "White" + }, + { + "code": "2131-1", + "display": "Other Race" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.114222.4.11.836" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.114222.4.11.837", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "2.16.840.1.114222.4.11.837" + } + ], + "version": "20121025", + "name": "Ethnicity", + "title": "Ethnicity", + "status": "active", + "publisher": "NLM", + "compose": { + "include": [ + { + "system": "http://www.cdc.gov/phin/resources/vocabulary/index.html", + "version": "1.2", + "concept": [ + { + "code": "2135-2", + "display": "Hispanic or Latino" + }, + { + "code": "2186-5", + "display": "Not Hispanic or Latino" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.114222.4.11.837" + } + }, + { + "resource": { + "resourceType": "Patient", + "id": "numer-EXM104-FHIR3", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" + ] + }, + "extension": [ + { + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race", + "extension": [ + { + "url": "ombCategory", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "2106-3", + "display": "White" + } + } + ] + }, + { + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity", + "extension": [ + { + "url": "ombCategory", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "2186-5", + "display": "Not Hispanic or Latino" + } + } + ] + } + ], + "identifier": [ + { + "use": "usual", + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "MR", + "display": "Medical Record Number" + } + ] + }, + "system": "http://hospital.smarthealthit.org", + "value": "9999999911" + } + ], + "name": [ + { + "family": "Jones", + "given": [ + "Louise" + ] + } + ], + "gender": "female", + "birthDate": "1971-11-21" + }, + "request": { + "method": "PUT", + "url": "Patient/numer-EXM104-FHIR3" + } + }, + { + "resource": { + "resourceType": "Library", + "id": "library-MATGlobalCommonFunctions-FHIR3-4.0.000", + "text": { + "status": "generated", + "div": "
\n \n \n
Id: library-MATGlobalCommonFunctions-FHIR3-4.0.000
Type: Logic Library
Version: 4.0.000
Status: active
Related:

type: depends-on

Resource:
reference: Library/library-FHIRHelpers-3.0.0

Data Requirements:

type: Encounter

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

type: Encounter

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292

type: Encounter

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143

type: Encounter

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292

type: Condition

type: Condition

type: Location

type: Provenance

code filter:
path: target

type: Medication

code filter:
path: id

Content: type: text/cql
library MATGlobalCommonFunctions_FHIR3 version '4.0.000'\n\n/*\nThis example is a work in progress and should not be considered a final specification\nor recommendation for guidance. This example will help guide and direct the process\nof finding conventions and usage patterns that meet the needs of the various stakeholders\nin the measure development community.\n*/\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\n\ncodesystem "LOINC": 'http://loinc.org'\ncodesystem "SNOMEDCT": 'http://snomed.info/sct/731000124108'\ncodesystem "RoleCode": 'http://hl7.org/fhir/v3/RoleCode'\ncodesystem "Diagnosis Role": 'http://hl7.org/fhir/diagnosis-role'\n\nvalueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\n\ncode "Birthdate": '21112-8' from "LOINC" display 'Birth date'\ncode "Dead": '419099009' from "SNOMEDCT" display 'Dead'\ncode "ER": 'ER' from "RoleCode" display 'Emergency room'\ncode "ICU": 'ICU' from "RoleCode" display 'Intensive care unit'\ncode "Billing": 'billing' from "Diagnosis Role" display 'Billing'\n\nparameter "Measurement Period" Interval<DateTime>\n\ncontext Patient\n\ndefine "Inpatient Encounter":\n\t[Encounter: "Encounter Inpatient"] EncounterInpatient\n\t\twhere EncounterInpatient.status = 'finished'\n\t\t  and "LengthInDays"(EncounterInpatient.period) <= 120\n\t\t\tand EncounterInpatient.period ends during "Measurement Period"\n\ndefine function "ToDate"(Value DateTime):\n\tDateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)\n\ndefine function "CalendarAgeInDaysAt"(BirthDateTime DateTime, AsOf DateTime):\n\tdays between ToDate(BirthDateTime)and ToDate(AsOf)\n\ndefine function "CalendarAgeInDays"(BirthDateTime DateTime):\n\tCalendarAgeInDaysAt(BirthDateTime, Today())\n\ndefine function "CalendarAgeInMonthsAt"(BirthDateTime DateTime, AsOf DateTime):\n\tmonths between ToDate(BirthDateTime)and ToDate(AsOf)\n\ndefine function "CalendarAgeInMonths"(BirthDateTime DateTime):\n\tCalendarAgeInMonthsAt(BirthDateTime, Today())\n\ndefine function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime):\n\tyears between ToDate(BirthDateTime)and ToDate(AsOf)\n\ndefine function "CalendarAgeInYears"(BirthDateTime DateTime):\n\tCalendarAgeInYearsAt(BirthDateTime, Today())\n\ndefine function "LengthInDays"(Value Interval<DateTime>):\n\tdifference in days between start of Value and end of Value\n\ndefine function "ED Visit"(TheEncounter FHIR.Encounter):\n    singleton from (\n        [Encounter: "Emergency Department Visit"] EDVisit\n            where EDVisit.status = 'finished'\n                and EDVisit.period ends 1 hour or less on or before start of FHIRHelpers.ToInterval(TheEncounter.period)\n    )\n\ndefine function "Hospitalization"(TheEncounter FHIR.Encounter):\n\t( "ED Visit"(TheEncounter) ) X\n    return\n        if X is null then TheEncounter.period\n        else Interval[start of FHIRHelpers.ToInterval(X.period), end of FHIRHelpers.ToInterval(TheEncounter.period)]\n\ndefine function "Hospitalization Locations"(TheEncounter FHIR.Encounter):\n\t( "ED Visit"(TheEncounter) ) EDEncounter\n    return\n        if EDEncounter is null then TheEncounter.location\n        else flatten { EDEncounter.location, TheEncounter.location }\n\ndefine function "Hospitalization Length of Stay"(TheEncounter FHIR.Encounter):\n\tLengthInDays("Hospitalization"(TheEncounter))\n\ndefine function "Hospital Admission Time"(TheEncounter FHIR.Encounter):\n\tstart of "Hospitalization"(TheEncounter)\n\ndefine function "Hospital Discharge Time"(TheEncounter FHIR.Encounter):\n\tend of FHIRHelpers.ToInterval(TheEncounter.period)\n\ndefine function "Hospital Arrival Time"(TheEncounter FHIR.Encounter):\n\tstart of FHIRHelpers.ToInterval(First(\n\t    ( "Hospitalization Locations"(TheEncounter) ) HospitalLocation\n\t\t\tsort by start of FHIRHelpers.ToInterval(period)\n\t).period)\n\ndefine function "HospitalizationWithObservation"(TheEncounter FHIR.Encounter):\n\tTheEncounter Visit\n\t\tlet ObsVisit: Last([Encounter: "Observation Services"] LastObs\n\t\t\t\twhere LastObs.period ends 1 hour or less on or before start of Visit.period\n\t\t\t\tsort by end of period\n\t\t\t),\n\t\t\tVisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n\t\t\tEDVisit: Last([Encounter: "Emergency Department Visit"] LastED\n\t\t\t\twhere LastED.period ends 1 hour or less on or before VisitStart\n\t\t\t\tsort by end of period\n\t\t\t)\n\t\treturn Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]\n\ndefine function "HospitalizationWithObservationLengthofStay"(Encounter FHIR.Encounter):\n\t"LengthInDays"("HospitalizationWithObservation"(Encounter))\n\n// TODO - fix these (must fetch Location resources and compare id to reference)\n/*define function "Hospital Departure Time"(TheEncounter FHIR.Encounter):\n\tend of FHIRHelpers.ToInterval(Last(\n\t    ( "Hospitalization Locations"(TheEncounter) ) HospitalLocation\n\t\t\tsort by start of FHIRHelpers.ToInterval(period)\n\t).period)\n\ndefine function "Emergency Department Arrival Time"(TheEncounter FHIR.Encounter):\n\tstart of FHIRHelpers.ToInterval((\n\t    singleton from (\n\t        ( "Hospitalization Locations"(TheEncounter) ) HospitalLocation\n\t\t\t\twhere HospitalLocation.type ~ "ER"\n\t\t)\n\t).period)\n\ndefine function "First Inpatient Intensive Care Unit"(TheEncounter FHIR.Encounter):\n\tFirst(\n\t    ( TheEncounter.location ) HospitalLocation\n\t\t\twhere HospitalLocation.type ~ "ICU"\n\t\t\t\tand HospitalLocation.period during TheEncounter.period\n\t\t\tsort by start of FHIRHelpers.ToInterval(period)\n\t)*/\n\n/*\n*\n*    CQFMeasures Common Logic\n*\n*/\n\ndefine function "Normalize Onset"(onset Choice<FHIR.dateTime, FHIR.Age, FHIR.Period, FHIR.Range, FHIR.string>):\n  if onset is FHIR.dateTime then\n\t  Interval[FHIRHelpers.ToDateTime(onset as FHIR.dateTime), FHIRHelpers.ToDateTime(onset as FHIR.dateTime)]\n\telse if onset is FHIR.Period then\n\t  FHIRHelpers.ToInterval(onset as FHIR.Period)\n\telse if onset is FHIR.Age then\n\t  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(onset as FHIR.Age),\n\t\t  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(onset as FHIR.Age) + 1 year)\n\telse null\n\ndefine function "Normalize Abatement"(condition Condition):\n\tif condition.abatement is FHIR.dateTime then\n\t  Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n\telse if condition.abatement is FHIR.Period then\n\t  FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n\telse if condition.abatement is FHIR.Age then\n\t\tInterval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n\t\t\tFHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n\telse if condition.abatement is FHIR.boolean then\n\t  Interval[end of "Normalize Onset"(condition.onset), condition.assertedDate)\n\telse null\n\ndefine function "GetPrevalencePeriod"(condition Condition):\n  Interval[start of "Normalize Onset"(condition.onset), end of "Normalize Abatement"(condition))\n\ndefine function "Normalize Interval"(choice Choice<FHIR.dateTime, FHIR.Period>):\n  if choice is FHIR.dateTime then\n\t  Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n\telse\n\t  FHIRHelpers.ToInterval(choice as FHIR.Period)\n\ndefine function "GetId"(uri String):\n\tLast(Split(uri, '/'))\n\ndefine function "EncounterDiagnosis"(Encounter Encounter):\n  Encounter.diagnosis D\n    return singleton from ([Condition] Condition where Condition.id.value = "GetId"(D.condition.reference))\n\n// Returns the condition that is specified as the principal diagnosis for the encounter\ndefine function "PrincipalDiagnosis"(Encounter Encounter):\n\t(singleton from (Encounter.diagnosis D where D.role ~ ToConcept("Billing") and D.rank = 1)) PD\n\t//"GetId"(uri String): returns the last String of a Split by / List therefor cannot use in\n\t\treturn singleton from ([Condition] Condition where Condition.id.value = "GetId"(PD.condition.reference))\n\n// Returns the location for the given location reference\ndefine function GetLocation(reference Reference):\n  singleton from (\n    [Location] Location where Location.id.value = GetId(reference.reference)\n  )\n\n/*\nNOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function "GetExtensions"(domainResource DomainResource, url String):\n  domainResource.extension E\n\t  where E.url = ('http://hl7.org/fhir/us/qicore/StructureDefinition/' + url)\n\t\treturn E\n\ndefine function "GetExtension"(domainResource DomainResource, url String):\n  singleton from "GetExtensions"(domainResource, url)\n\n/*\nNOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function "GetBaseExtensions"(domainResource DomainResource, url String):\n  domainResource.extension E\n\t  where E.url = ('http://hl7.org/fhir/StructureDefinition/' + url)\n\t\treturn E\n\ndefine function "GetBaseExtension"(domainResource DomainResource, url String):\n  singleton from "GetBaseExtensions"(domainResource, url)\n\n/*\nNOTE: Provenance is not the preferred approach, this is provided only as an illustration\nfor what using Provenance could look like, and is not a tested pattern\n*/\ndefine function "GetProvenance"(resource Resource):\n  singleton from ([Provenance: target in resource.id])\n\ndefine function "GetMedicationCode"(request MedicationRequest):\n  if request.medication is CodeableConcept then\n\t  request.medication as CodeableConcept\n\telse\n\t  (singleton from ([Medication: id in GetId((request.medication as Reference).reference)])).code\n
\n \n \n
\n
" + }, + "version": "4.0.000", + "name": "MATGlobalCommonFunctions_FHIR3", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://hl7.org/fhir/codesystem-library-type.html", + "code": "logic-library" + } + ] + }, + "relatedArtifact": [ + { + "type": "depends-on", + "resource": { + "reference": "Library/library-FHIRHelpers-3.0.0" + } + } + ], + "dataRequirement": [ + { + "type": "Encounter", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" + } + ] + }, + { + "type": "Encounter", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" + } + ] + }, + { + "type": "Encounter", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143" + } + ] + }, + { + "type": "Encounter", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" + } + ] + }, + { + "type": "Condition" + }, + { + "type": "Condition" + }, + { + "type": "Location" + }, + { + "type": "Provenance", + "codeFilter": [ + { + "path": "target" + } + ] + }, + { + "type": "Medication", + "codeFilter": [ + { + "path": "id" + } + ] + } + ], + "content": [ + { + "contentType": "application/elm+xml", + "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <annotation startLine="223" startChar="19" endLine="223" endChar="53" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <identifier id="MATGlobalCommonFunctions_FHIR3" version="4.0.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <codeSystems>
      <def name="LOINC" id="http://loinc.org" accessLevel="Public"/>
      <def name="SNOMEDCT" id="http://snomed.info/sct/731000124108" accessLevel="Public"/>
      <def name="RoleCode" id="http://hl7.org/fhir/v3/RoleCode" accessLevel="Public"/>
      <def name="Diagnosis Role" id="http://hl7.org/fhir/diagnosis-role" accessLevel="Public"/>
   </codeSystems>
   <valueSets>
      <def name="Encounter Inpatient" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" accessLevel="Public"/>
      <def name="Emergency Department Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" accessLevel="Public"/>
      <def name="Observation Services" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143" accessLevel="Public"/>
   </valueSets>
   <codes>
      <def name="Birthdate" id="21112-8" display="Birth date" accessLevel="Public">
         <codeSystem name="LOINC"/>
      </def>
      <def name="Dead" id="419099009" display="Dead" accessLevel="Public">
         <codeSystem name="SNOMEDCT"/>
      </def>
      <def name="ER" id="ER" display="Emergency room" accessLevel="Public">
         <codeSystem name="RoleCode"/>
      </def>
      <def name="ICU" id="ICU" display="Intensive care unit" accessLevel="Public">
         <codeSystem name="RoleCode"/>
      </def>
      <def name="Billing" id="billing" display="Billing" accessLevel="Public">
         <codeSystem name="Diagnosis Role"/>
      </def>
   </codes>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="LengthInDays" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression precision="Day" xsi:type="DifferenceBetween">
            <operand xsi:type="Start">
               <operand name="Value" xsi:type="OperandRef"/>
            </operand>
            <operand xsi:type="End">
               <operand name="Value" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="Value">
            <operandTypeSpecifier xsi:type="IntervalTypeSpecifier">
               <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
            </operandTypeSpecifier>
         </operand>
      </def>
      <def name="Inpatient Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="EncounterInpatient">
               <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                  <codes name="Encounter Inpatient" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="And">
                  <operand xsi:type="Equal">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="EncounterInpatient" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:String" value="finished" xsi:type="Literal"/>
                  </operand>
                  <operand xsi:type="LessOrEqual">
                     <operand name="LengthInDays" xsi:type="FunctionRef">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="period" scope="EncounterInpatient" xsi:type="Property"/>
                        </operand>
                     </operand>
                     <operand valueType="t:Integer" value="120" xsi:type="Literal"/>
                  </operand>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="EncounterInpatient" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="ToDate" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="DateTime">
            <year precision="Year" xsi:type="DateTimeComponentFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </year>
            <month precision="Month" xsi:type="DateTimeComponentFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </month>
            <day precision="Day" xsi:type="DateTimeComponentFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </day>
            <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
            <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
            <second valueType="t:Integer" value="0" xsi:type="Literal"/>
            <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            <timezoneOffset xsi:type="TimezoneFrom">
               <operand name="Value" xsi:type="OperandRef"/>
            </timezoneOffset>
         </expression>
         <operand name="Value">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarAgeInDaysAt" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression precision="Day" xsi:type="DurationBetween">
            <operand name="ToDate" xsi:type="FunctionRef">
               <operand name="BirthDateTime" xsi:type="OperandRef"/>
            </operand>
            <operand name="ToDate" xsi:type="FunctionRef">
               <operand name="AsOf" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="BirthDateTime">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="AsOf">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarAgeInDays" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression name="CalendarAgeInDaysAt" xsi:type="FunctionRef">
            <operand name="BirthDateTime" xsi:type="OperandRef"/>
            <operand xsi:type="ToDateTime">
               <operand xsi:type="Today"/>
            </operand>
         </expression>
         <operand name="BirthDateTime">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarAgeInMonthsAt" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression precision="Month" xsi:type="DurationBetween">
            <operand name="ToDate" xsi:type="FunctionRef">
               <operand name="BirthDateTime" xsi:type="OperandRef"/>
            </operand>
            <operand name="ToDate" xsi:type="FunctionRef">
               <operand name="AsOf" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="BirthDateTime">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="AsOf">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarAgeInMonths" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression name="CalendarAgeInMonthsAt" xsi:type="FunctionRef">
            <operand name="BirthDateTime" xsi:type="OperandRef"/>
            <operand xsi:type="ToDateTime">
               <operand xsi:type="Today"/>
            </operand>
         </expression>
         <operand name="BirthDateTime">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarAgeInYearsAt" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression precision="Year" xsi:type="DurationBetween">
            <operand name="ToDate" xsi:type="FunctionRef">
               <operand name="BirthDateTime" xsi:type="OperandRef"/>
            </operand>
            <operand name="ToDate" xsi:type="FunctionRef">
               <operand name="AsOf" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="BirthDateTime">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="AsOf">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="CalendarAgeInYears" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression name="CalendarAgeInYearsAt" xsi:type="FunctionRef">
            <operand name="BirthDateTime" xsi:type="OperandRef"/>
            <operand xsi:type="ToDateTime">
               <operand xsi:type="Today"/>
            </operand>
         </expression>
         <operand name="BirthDateTime">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ED Visit" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="SingletonFrom">
            <operand xsi:type="Query">
               <source alias="EDVisit">
                  <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                     <codes name="Emergency Department Visit" xsi:type="ValueSetRef"/>
                  </expression>
               </source>
               <where xsi:type="And">
                  <operand xsi:type="Equal">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="EDVisit" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:String" value="finished" xsi:type="Literal"/>
                  </operand>
                  <operand xsi:type="In">
                     <operand xsi:type="End">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="period" scope="EDVisit" xsi:type="Property"/>
                        </operand>
                     </operand>
                     <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                        <low xsi:type="Subtract">
                           <operand xsi:type="Start">
                              <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="period" xsi:type="Property">
                                    <source name="TheEncounter" xsi:type="OperandRef"/>
                                 </operand>
                              </operand>
                           </operand>
                           <operand value="1" unit="hour" xsi:type="Quantity"/>
                        </low>
                        <high xsi:type="Start">
                           <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="period" xsi:type="Property">
                                 <source name="TheEncounter" xsi:type="OperandRef"/>
                              </operand>
                           </operand>
                        </high>
                     </operand>
                  </operand>
               </where>
            </operand>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Hospitalization" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="X">
               <expression name="ED Visit" xsi:type="FunctionRef">
                  <operand name="TheEncounter" xsi:type="OperandRef"/>
               </expression>
            </source>
            <return>
               <expression xsi:type="If">
                  <condition asType="t:Boolean" xsi:type="As">
                     <operand xsi:type="IsNull">
                        <operand name="X" xsi:type="AliasRef"/>
                     </operand>
                  </condition>
                  <then name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="period" xsi:type="Property">
                        <source name="TheEncounter" xsi:type="OperandRef"/>
                     </operand>
                  </then>
                  <else lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Start">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="period" scope="X" xsi:type="Property"/>
                        </operand>
                     </low>
                     <high xsi:type="End">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="period" xsi:type="Property">
                              <source name="TheEncounter" xsi:type="OperandRef"/>
                           </operand>
                        </operand>
                     </high>
                  </else>
               </expression>
            </return>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Hospitalization Locations" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="EDEncounter">
               <expression name="ED Visit" xsi:type="FunctionRef">
                  <operand name="TheEncounter" xsi:type="OperandRef"/>
               </expression>
            </source>
            <return>
               <expression xsi:type="If">
                  <condition asType="t:Boolean" xsi:type="As">
                     <operand xsi:type="IsNull">
                        <operand name="EDEncounter" xsi:type="AliasRef"/>
                     </operand>
                  </condition>
                  <then path="location" xsi:type="Property">
                     <source name="TheEncounter" xsi:type="OperandRef"/>
                  </then>
                  <else xsi:type="Flatten">
                     <operand xsi:type="List">
                        <element path="location" scope="EDEncounter" xsi:type="Property"/>
                        <element path="location" xsi:type="Property">
                           <source name="TheEncounter" xsi:type="OperandRef"/>
                        </element>
                     </operand>
                  </else>
               </expression>
            </return>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Hospitalization Length of Stay" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression name="LengthInDays" xsi:type="FunctionRef">
            <operand name="Hospitalization" xsi:type="FunctionRef">
               <operand name="TheEncounter" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Hospital Admission Time" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Start">
            <operand name="Hospitalization" xsi:type="FunctionRef">
               <operand name="TheEncounter" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Hospital Discharge Time" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="End">
            <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
               <operand path="period" xsi:type="Property">
                  <source name="TheEncounter" xsi:type="OperandRef"/>
               </operand>
            </operand>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Hospital Arrival Time" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Start">
            <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
               <operand path="period" xsi:type="Property">
                  <source xsi:type="First">
                     <source xsi:type="Query">
                        <source alias="HospitalLocation">
                           <expression name="Hospitalization Locations" xsi:type="FunctionRef">
                              <operand name="TheEncounter" xsi:type="OperandRef"/>
                           </expression>
                        </source>
                        <sort>
                           <by direction="asc" xsi:type="ByExpression">
                              <expression xsi:type="Start">
                                 <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand name="period" xsi:type="IdentifierRef"/>
                                 </operand>
                              </expression>
                           </by>
                        </sort>
                     </source>
                  </source>
               </operand>
            </operand>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="HospitalizationWithObservation" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="Visit">
               <expression name="TheEncounter" xsi:type="OperandRef"/>
            </source>
            <let identifier="ObsVisit">
               <expression xsi:type="Last">
                  <source xsi:type="Query">
                     <source alias="LastObs">
                        <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Observation Services" xsi:type="ValueSetRef"/>
                        </expression>
                     </source>
                     <where xsi:type="In">
                        <operand xsi:type="End">
                           <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="period" scope="LastObs" xsi:type="Property"/>
                           </operand>
                        </operand>
                        <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                           <low xsi:type="Subtract">
                              <operand xsi:type="Start">
                                 <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="period" scope="Visit" xsi:type="Property"/>
                                 </operand>
                              </operand>
                              <operand value="1" unit="hour" xsi:type="Quantity"/>
                           </low>
                           <high xsi:type="Start">
                              <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="period" scope="Visit" xsi:type="Property"/>
                              </operand>
                           </high>
                        </operand>
                     </where>
                     <sort>
                        <by direction="asc" xsi:type="ByExpression">
                           <expression xsi:type="End">
                              <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand name="period" xsi:type="IdentifierRef"/>
                              </operand>
                           </expression>
                        </by>
                     </sort>
                  </source>
               </expression>
            </let>
            <let identifier="VisitStart">
               <expression xsi:type="Coalesce">
                  <operand xsi:type="Start">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" xsi:type="Property">
                           <source name="ObsVisit" xsi:type="QueryLetRef"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand xsi:type="Start">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="Visit" xsi:type="Property"/>
                     </operand>
                  </operand>
               </expression>
            </let>
            <let identifier="EDVisit">
               <expression xsi:type="Last">
                  <source xsi:type="Query">
                     <source alias="LastED">
                        <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes name="Emergency Department Visit" xsi:type="ValueSetRef"/>
                        </expression>
                     </source>
                     <where xsi:type="In">
                        <operand xsi:type="End">
                           <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="period" scope="LastED" xsi:type="Property"/>
                           </operand>
                        </operand>
                        <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                           <low xsi:type="Subtract">
                              <operand name="VisitStart" xsi:type="QueryLetRef"/>
                              <operand value="1" unit="hour" xsi:type="Quantity"/>
                           </low>
                           <high name="VisitStart" xsi:type="QueryLetRef"/>
                        </operand>
                     </where>
                     <sort>
                        <by direction="asc" xsi:type="ByExpression">
                           <expression xsi:type="End">
                              <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand name="period" xsi:type="IdentifierRef"/>
                              </operand>
                           </expression>
                        </by>
                     </sort>
                  </source>
               </expression>
            </let>
            <return>
               <expression lowClosed="true" highClosed="true" xsi:type="Interval">
                  <low xsi:type="Coalesce">
                     <operand xsi:type="Start">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="period" xsi:type="Property">
                              <source name="EDVisit" xsi:type="QueryLetRef"/>
                           </operand>
                        </operand>
                     </operand>
                     <operand name="VisitStart" xsi:type="QueryLetRef"/>
                  </low>
                  <high xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="Visit" xsi:type="Property"/>
                     </operand>
                  </high>
               </expression>
            </return>
         </expression>
         <operand name="TheEncounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="HospitalizationWithObservationLengthofStay" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression name="LengthInDays" xsi:type="FunctionRef">
            <operand name="HospitalizationWithObservation" xsi:type="FunctionRef">
               <operand name="Encounter" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="Encounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Normalize Onset" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="Is">
                  <operand name="onset" xsi:type="OperandRef"/>
                  <isTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
               </operand>
            </condition>
            <then lowClosed="true" highClosed="true" xsi:type="Interval">
               <low name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand name="onset" xsi:type="OperandRef"/>
                     <asTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </low>
               <high name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand name="onset" xsi:type="OperandRef"/>
                     <asTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </high>
            </then>
            <else xsi:type="If">
               <condition asType="t:Boolean" xsi:type="As">
                  <operand xsi:type="Is">
                     <operand name="onset" xsi:type="OperandRef"/>
                     <isTypeSpecifier name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </condition>
               <then name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand name="onset" xsi:type="OperandRef"/>
                     <asTypeSpecifier name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </then>
               <else xsi:type="Interval">
                  <low xsi:type="ToDateTime">
                     <operand path="low" xsi:type="Property">
                        <source xsi:type="If">
                           <condition asType="t:Boolean" xsi:type="As">
                              <operand xsi:type="Is">
                                 <operand name="onset" xsi:type="OperandRef"/>
                                 <isTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                              </operand>
                           </condition>
                           <then lowClosed="true" highClosed="false" xsi:type="Interval">
                              <low xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand name="onset" xsi:type="OperandRef"/>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </low>
                              <high xsi:type="Add">
                                 <operand xsi:type="Add">
                                    <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand path="birthDate" xsi:type="Property">
                                          <source name="Patient" xsi:type="ExpressionRef"/>
                                       </operand>
                                    </operand>
                                    <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand strict="false" xsi:type="As">
                                          <operand name="onset" xsi:type="OperandRef"/>
                                          <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                       </operand>
                                    </operand>
                                 </operand>
                                 <operand value="1" unit="year" xsi:type="Quantity"/>
                              </high>
                           </then>
                           <else xsi:type="As">
                              <operand xsi:type="Null"/>
                              <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                                 <pointType name="t:Date" xsi:type="NamedTypeSpecifier"/>
                              </asTypeSpecifier>
                           </else>
                        </source>
                     </operand>
                  </low>
                  <lowClosedExpression path="lowClosed" xsi:type="Property">
                     <source xsi:type="If">
                        <condition asType="t:Boolean" xsi:type="As">
                           <operand xsi:type="Is">
                              <operand name="onset" xsi:type="OperandRef"/>
                              <isTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                           </operand>
                        </condition>
                        <then lowClosed="true" highClosed="false" xsi:type="Interval">
                           <low xsi:type="Add">
                              <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="birthDate" xsi:type="Property">
                                    <source name="Patient" xsi:type="ExpressionRef"/>
                                 </operand>
                              </operand>
                              <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand strict="false" xsi:type="As">
                                    <operand name="onset" xsi:type="OperandRef"/>
                                    <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                 </operand>
                              </operand>
                           </low>
                           <high xsi:type="Add">
                              <operand xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand name="onset" xsi:type="OperandRef"/>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </operand>
                              <operand value="1" unit="year" xsi:type="Quantity"/>
                           </high>
                        </then>
                        <else xsi:type="As">
                           <operand xsi:type="Null"/>
                           <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                              <pointType name="t:Date" xsi:type="NamedTypeSpecifier"/>
                           </asTypeSpecifier>
                        </else>
                     </source>
                  </lowClosedExpression>
                  <high xsi:type="ToDateTime">
                     <operand path="high" xsi:type="Property">
                        <source xsi:type="If">
                           <condition asType="t:Boolean" xsi:type="As">
                              <operand xsi:type="Is">
                                 <operand name="onset" xsi:type="OperandRef"/>
                                 <isTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                              </operand>
                           </condition>
                           <then lowClosed="true" highClosed="false" xsi:type="Interval">
                              <low xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand name="onset" xsi:type="OperandRef"/>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </low>
                              <high xsi:type="Add">
                                 <operand xsi:type="Add">
                                    <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand path="birthDate" xsi:type="Property">
                                          <source name="Patient" xsi:type="ExpressionRef"/>
                                       </operand>
                                    </operand>
                                    <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand strict="false" xsi:type="As">
                                          <operand name="onset" xsi:type="OperandRef"/>
                                          <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                       </operand>
                                    </operand>
                                 </operand>
                                 <operand value="1" unit="year" xsi:type="Quantity"/>
                              </high>
                           </then>
                           <else xsi:type="As">
                              <operand xsi:type="Null"/>
                              <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                                 <pointType name="t:Date" xsi:type="NamedTypeSpecifier"/>
                              </asTypeSpecifier>
                           </else>
                        </source>
                     </operand>
                  </high>
                  <highClosedExpression path="highClosed" xsi:type="Property">
                     <source xsi:type="If">
                        <condition asType="t:Boolean" xsi:type="As">
                           <operand xsi:type="Is">
                              <operand name="onset" xsi:type="OperandRef"/>
                              <isTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                           </operand>
                        </condition>
                        <then lowClosed="true" highClosed="false" xsi:type="Interval">
                           <low xsi:type="Add">
                              <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="birthDate" xsi:type="Property">
                                    <source name="Patient" xsi:type="ExpressionRef"/>
                                 </operand>
                              </operand>
                              <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand strict="false" xsi:type="As">
                                    <operand name="onset" xsi:type="OperandRef"/>
                                    <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                 </operand>
                              </operand>
                           </low>
                           <high xsi:type="Add">
                              <operand xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand name="onset" xsi:type="OperandRef"/>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </operand>
                              <operand value="1" unit="year" xsi:type="Quantity"/>
                           </high>
                        </then>
                        <else xsi:type="As">
                           <operand xsi:type="Null"/>
                           <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                              <pointType name="t:Date" xsi:type="NamedTypeSpecifier"/>
                           </asTypeSpecifier>
                        </else>
                     </source>
                  </highClosedExpression>
               </else>
            </else>
         </expression>
         <operand name="onset">
            <operandTypeSpecifier xsi:type="ChoiceTypeSpecifier">
               <choice name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
               <choice name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
               <choice name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
               <choice name="fhir:Range" xsi:type="NamedTypeSpecifier"/>
               <choice name="fhir:string" xsi:type="NamedTypeSpecifier"/>
            </operandTypeSpecifier>
         </operand>
      </def>
      <def name="Normalize Abatement" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="Is">
                  <operand path="abatement" xsi:type="Property">
                     <source name="condition" xsi:type="OperandRef"/>
                  </operand>
                  <isTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
               </operand>
            </condition>
            <then lowClosed="true" highClosed="true" xsi:type="Interval">
               <low name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand path="abatement" xsi:type="Property">
                        <source name="condition" xsi:type="OperandRef"/>
                     </operand>
                     <asTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </low>
               <high name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand path="abatement" xsi:type="Property">
                        <source name="condition" xsi:type="OperandRef"/>
                     </operand>
                     <asTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </high>
            </then>
            <else xsi:type="If">
               <condition asType="t:Boolean" xsi:type="As">
                  <operand xsi:type="Is">
                     <operand path="abatement" xsi:type="Property">
                        <source name="condition" xsi:type="OperandRef"/>
                     </operand>
                     <isTypeSpecifier name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </condition>
               <then name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand path="abatement" xsi:type="Property">
                        <source name="condition" xsi:type="OperandRef"/>
                     </operand>
                     <asTypeSpecifier name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </then>
               <else xsi:type="If">
                  <condition asType="t:Boolean" xsi:type="As">
                     <operand xsi:type="Is">
                        <operand path="abatement" xsi:type="Property">
                           <source name="condition" xsi:type="OperandRef"/>
                        </operand>
                        <isTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                     </operand>
                  </condition>
                  <then xsi:type="Interval">
                     <low xsi:type="ToDateTime">
                        <operand path="low" xsi:type="Property">
                           <source lowClosed="true" highClosed="false" xsi:type="Interval">
                              <low xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand path="abatement" xsi:type="Property">
                                          <source name="condition" xsi:type="OperandRef"/>
                                       </operand>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </low>
                              <high xsi:type="Add">
                                 <operand xsi:type="Add">
                                    <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand path="birthDate" xsi:type="Property">
                                          <source name="Patient" xsi:type="ExpressionRef"/>
                                       </operand>
                                    </operand>
                                    <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand strict="false" xsi:type="As">
                                          <operand path="abatement" xsi:type="Property">
                                             <source name="condition" xsi:type="OperandRef"/>
                                          </operand>
                                          <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                       </operand>
                                    </operand>
                                 </operand>
                                 <operand value="1" unit="year" xsi:type="Quantity"/>
                              </high>
                           </source>
                        </operand>
                     </low>
                     <lowClosedExpression path="lowClosed" xsi:type="Property">
                        <source lowClosed="true" highClosed="false" xsi:type="Interval">
                           <low xsi:type="Add">
                              <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="birthDate" xsi:type="Property">
                                    <source name="Patient" xsi:type="ExpressionRef"/>
                                 </operand>
                              </operand>
                              <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand strict="false" xsi:type="As">
                                    <operand path="abatement" xsi:type="Property">
                                       <source name="condition" xsi:type="OperandRef"/>
                                    </operand>
                                    <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                 </operand>
                              </operand>
                           </low>
                           <high xsi:type="Add">
                              <operand xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand path="abatement" xsi:type="Property">
                                          <source name="condition" xsi:type="OperandRef"/>
                                       </operand>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </operand>
                              <operand value="1" unit="year" xsi:type="Quantity"/>
                           </high>
                        </source>
                     </lowClosedExpression>
                     <high xsi:type="ToDateTime">
                        <operand path="high" xsi:type="Property">
                           <source lowClosed="true" highClosed="false" xsi:type="Interval">
                              <low xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand path="abatement" xsi:type="Property">
                                          <source name="condition" xsi:type="OperandRef"/>
                                       </operand>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </low>
                              <high xsi:type="Add">
                                 <operand xsi:type="Add">
                                    <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand path="birthDate" xsi:type="Property">
                                          <source name="Patient" xsi:type="ExpressionRef"/>
                                       </operand>
                                    </operand>
                                    <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                       <operand strict="false" xsi:type="As">
                                          <operand path="abatement" xsi:type="Property">
                                             <source name="condition" xsi:type="OperandRef"/>
                                          </operand>
                                          <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                       </operand>
                                    </operand>
                                 </operand>
                                 <operand value="1" unit="year" xsi:type="Quantity"/>
                              </high>
                           </source>
                        </operand>
                     </high>
                     <highClosedExpression path="highClosed" xsi:type="Property">
                        <source lowClosed="true" highClosed="false" xsi:type="Interval">
                           <low xsi:type="Add">
                              <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand path="birthDate" xsi:type="Property">
                                    <source name="Patient" xsi:type="ExpressionRef"/>
                                 </operand>
                              </operand>
                              <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                 <operand strict="false" xsi:type="As">
                                    <operand path="abatement" xsi:type="Property">
                                       <source name="condition" xsi:type="OperandRef"/>
                                    </operand>
                                    <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                 </operand>
                              </operand>
                           </low>
                           <high xsi:type="Add">
                              <operand xsi:type="Add">
                                 <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand path="birthDate" xsi:type="Property">
                                       <source name="Patient" xsi:type="ExpressionRef"/>
                                    </operand>
                                 </operand>
                                 <operand name="ToQuantity" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                                    <operand strict="false" xsi:type="As">
                                       <operand path="abatement" xsi:type="Property">
                                          <source name="condition" xsi:type="OperandRef"/>
                                       </operand>
                                       <asTypeSpecifier name="fhir:Age" xsi:type="NamedTypeSpecifier"/>
                                    </operand>
                                 </operand>
                              </operand>
                              <operand value="1" unit="year" xsi:type="Quantity"/>
                           </high>
                        </source>
                     </highClosedExpression>
                  </then>
                  <else xsi:type="If">
                     <condition asType="t:Boolean" xsi:type="As">
                        <operand xsi:type="Is">
                           <operand path="abatement" xsi:type="Property">
                              <source name="condition" xsi:type="OperandRef"/>
                           </operand>
                           <isTypeSpecifier name="fhir:boolean" xsi:type="NamedTypeSpecifier"/>
                        </operand>
                     </condition>
                     <then lowClosed="true" highClosed="false" xsi:type="Interval">
                        <low xsi:type="End">
                           <operand name="Normalize Onset" xsi:type="FunctionRef">
                              <operand path="onset" xsi:type="Property">
                                 <source name="condition" xsi:type="OperandRef"/>
                              </operand>
                           </operand>
                        </low>
                        <high name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="assertedDate" xsi:type="Property">
                              <source name="condition" xsi:type="OperandRef"/>
                           </operand>
                        </high>
                     </then>
                     <else xsi:type="As">
                        <operand xsi:type="Null"/>
                        <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                           <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
                        </asTypeSpecifier>
                     </else>
                  </else>
               </else>
            </else>
         </expression>
         <operand name="condition">
            <operandTypeSpecifier name="fhir:Condition" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetPrevalencePeriod" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression lowClosed="true" highClosed="false" xsi:type="Interval">
            <low xsi:type="Start">
               <operand name="Normalize Onset" xsi:type="FunctionRef">
                  <operand path="onset" xsi:type="Property">
                     <source name="condition" xsi:type="OperandRef"/>
                  </operand>
               </operand>
            </low>
            <high xsi:type="End">
               <operand name="Normalize Abatement" xsi:type="FunctionRef">
                  <operand name="condition" xsi:type="OperandRef"/>
               </operand>
            </high>
         </expression>
         <operand name="condition">
            <operandTypeSpecifier name="fhir:Condition" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="Normalize Interval" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="Is">
                  <operand name="choice" xsi:type="OperandRef"/>
                  <isTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
               </operand>
            </condition>
            <then lowClosed="true" highClosed="true" xsi:type="Interval">
               <low name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand name="choice" xsi:type="OperandRef"/>
                     <asTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </low>
               <high name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand strict="false" xsi:type="As">
                     <operand name="choice" xsi:type="OperandRef"/>
                     <asTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
                  </operand>
               </high>
            </then>
            <else name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
               <operand strict="false" xsi:type="As">
                  <operand name="choice" xsi:type="OperandRef"/>
                  <asTypeSpecifier name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
               </operand>
            </else>
         </expression>
         <operand name="choice">
            <operandTypeSpecifier xsi:type="ChoiceTypeSpecifier">
               <choice name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
               <choice name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
            </operandTypeSpecifier>
         </operand>
      </def>
      <def name="GetId" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Last">
            <source xsi:type="Split">
               <stringToSplit name="uri" xsi:type="OperandRef"/>
               <separator valueType="t:String" value="/" xsi:type="Literal"/>
            </source>
         </expression>
         <operand name="uri">
            <operandTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="EncounterDiagnosis" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="D">
               <expression path="diagnosis" xsi:type="Property">
                  <source name="Encounter" xsi:type="OperandRef"/>
               </expression>
            </source>
            <return>
               <expression xsi:type="SingletonFrom">
                  <operand xsi:type="Query">
                     <source alias="Condition">
                        <expression dataType="fhir:Condition" xsi:type="Retrieve"/>
                     </source>
                     <where xsi:type="Equal">
                        <operand path="value" xsi:type="Property">
                           <source path="id" scope="Condition" xsi:type="Property"/>
                        </operand>
                        <operand name="GetId" xsi:type="FunctionRef">
                           <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="reference" xsi:type="Property">
                                 <source path="condition" scope="D" xsi:type="Property"/>
                              </operand>
                           </operand>
                        </operand>
                     </where>
                  </operand>
               </expression>
            </return>
         </expression>
         <operand name="Encounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="PrincipalDiagnosis" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="PD">
               <expression xsi:type="SingletonFrom">
                  <operand xsi:type="Query">
                     <source alias="D">
                        <expression path="diagnosis" xsi:type="Property">
                           <source name="Encounter" xsi:type="OperandRef"/>
                        </expression>
                     </source>
                     <where xsi:type="And">
                        <operand xsi:type="Equivalent">
                           <operand name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="role" scope="D" xsi:type="Property"/>
                           </operand>
                           <operand xsi:type="ToConcept">
                              <operand name="Billing" xsi:type="CodeRef"/>
                           </operand>
                        </operand>
                        <operand xsi:type="Equal">
                           <operand name="ToInteger" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="rank" scope="D" xsi:type="Property"/>
                           </operand>
                           <operand valueType="t:Integer" value="1" xsi:type="Literal"/>
                        </operand>
                     </where>
                  </operand>
               </expression>
            </source>
            <return>
               <expression xsi:type="SingletonFrom">
                  <operand xsi:type="Query">
                     <source alias="Condition">
                        <expression dataType="fhir:Condition" xsi:type="Retrieve"/>
                     </source>
                     <where xsi:type="Equal">
                        <operand path="value" xsi:type="Property">
                           <source path="id" scope="Condition" xsi:type="Property"/>
                        </operand>
                        <operand name="GetId" xsi:type="FunctionRef">
                           <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="reference" xsi:type="Property">
                                 <source path="condition" scope="PD" xsi:type="Property"/>
                              </operand>
                           </operand>
                        </operand>
                     </where>
                  </operand>
               </expression>
            </return>
         </expression>
         <operand name="Encounter">
            <operandTypeSpecifier name="fhir:Encounter" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetLocation" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="SingletonFrom">
            <operand xsi:type="Query">
               <source alias="Location">
                  <expression dataType="fhir:Location" xsi:type="Retrieve"/>
               </source>
               <where xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="id" scope="Location" xsi:type="Property"/>
                  </operand>
                  <operand name="GetId" xsi:type="FunctionRef">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="reference" xsi:type="Property">
                           <source name="reference" xsi:type="OperandRef"/>
                        </operand>
                     </operand>
                  </operand>
               </where>
            </operand>
         </expression>
         <operand name="reference">
            <operandTypeSpecifier name="fhir:Reference" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetExtensions" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="E">
               <expression path="extension" xsi:type="Property">
                  <source name="domainResource" xsi:type="OperandRef"/>
               </expression>
            </source>
            <where xsi:type="Equal">
               <operand path="url" scope="E" xsi:type="Property"/>
               <operand xsi:type="Concatenate">
                  <operand valueType="t:String" value="http://hl7.org/fhir/us/qicore/StructureDefinition/" xsi:type="Literal"/>
                  <operand name="url" xsi:type="OperandRef"/>
               </operand>
            </where>
            <return>
               <expression name="E" xsi:type="AliasRef"/>
            </return>
         </expression>
         <operand name="domainResource">
            <operandTypeSpecifier name="fhir:DomainResource" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="url">
            <operandTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetExtension" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="SingletonFrom">
            <operand name="GetExtensions" xsi:type="FunctionRef">
               <operand name="domainResource" xsi:type="OperandRef"/>
               <operand name="url" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="domainResource">
            <operandTypeSpecifier name="fhir:DomainResource" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="url">
            <operandTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetBaseExtensions" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="Query">
            <source alias="E">
               <expression path="extension" xsi:type="Property">
                  <source name="domainResource" xsi:type="OperandRef"/>
               </expression>
            </source>
            <where xsi:type="Equal">
               <operand path="url" scope="E" xsi:type="Property"/>
               <operand xsi:type="Concatenate">
                  <operand valueType="t:String" value="http://hl7.org/fhir/StructureDefinition/" xsi:type="Literal"/>
                  <operand name="url" xsi:type="OperandRef"/>
               </operand>
            </where>
            <return>
               <expression name="E" xsi:type="AliasRef"/>
            </return>
         </expression>
         <operand name="domainResource">
            <operandTypeSpecifier name="fhir:DomainResource" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="url">
            <operandTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetBaseExtension" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="SingletonFrom">
            <operand name="GetBaseExtensions" xsi:type="FunctionRef">
               <operand name="domainResource" xsi:type="OperandRef"/>
               <operand name="url" xsi:type="OperandRef"/>
            </operand>
         </expression>
         <operand name="domainResource">
            <operandTypeSpecifier name="fhir:DomainResource" xsi:type="NamedTypeSpecifier"/>
         </operand>
         <operand name="url">
            <operandTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetProvenance" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Provenance" codeProperty="target" xsi:type="Retrieve">
               <codes xsi:type="ToList">
                  <operand path="id" xsi:type="Property">
                     <source name="resource" xsi:type="OperandRef"/>
                  </operand>
               </codes>
            </operand>
         </expression>
         <operand name="resource">
            <operandTypeSpecifier name="fhir:Resource" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="GetMedicationCode" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="Is">
                  <operand path="medication" xsi:type="Property">
                     <source name="request" xsi:type="OperandRef"/>
                  </operand>
                  <isTypeSpecifier name="fhir:CodeableConcept" xsi:type="NamedTypeSpecifier"/>
               </operand>
            </condition>
            <then strict="false" xsi:type="As">
               <operand path="medication" xsi:type="Property">
                  <source name="request" xsi:type="OperandRef"/>
               </operand>
               <asTypeSpecifier name="fhir:CodeableConcept" xsi:type="NamedTypeSpecifier"/>
            </then>
            <else path="code" xsi:type="Property">
               <source xsi:type="SingletonFrom">
                  <operand dataType="fhir:Medication" codeProperty="id" xsi:type="Retrieve">
                     <codes xsi:type="ToList">
                        <operand name="GetId" xsi:type="FunctionRef">
                           <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="reference" xsi:type="Property">
                                 <source strict="false" xsi:type="As">
                                    <operand path="medication" xsi:type="Property">
                                       <source name="request" xsi:type="OperandRef"/>
                                    </operand>
                                    <asTypeSpecifier name="fhir:Reference" xsi:type="NamedTypeSpecifier"/>
                                 </source>
                              </operand>
                           </operand>
                        </operand>
                     </codes>
                  </operand>
               </source>
            </else>
         </expression>
         <operand name="request">
            <operandTypeSpecifier name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
   </statements>
</library>
" + }, + { + "contentType": "text/cql", + "data": "library MATGlobalCommonFunctions_FHIR3 version '4.0.000'

/*
This example is a work in progress and should not be considered a final specification
or recommendation for guidance. This example will help guide and direct the process
of finding conventions and usage patterns that meet the needs of the various stakeholders
in the measure development community.
*/

using FHIR version '3.0.0'

include FHIRHelpers version '3.0.0' called FHIRHelpers

codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct/731000124108'
codesystem "RoleCode": 'http://hl7.org/fhir/v3/RoleCode'
codesystem "Diagnosis Role": 'http://hl7.org/fhir/diagnosis-role'

valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
valueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'

code "Birthdate": '21112-8' from "LOINC" display 'Birth date'
code "Dead": '419099009' from "SNOMEDCT" display 'Dead'
code "ER": 'ER' from "RoleCode" display 'Emergency room'
code "ICU": 'ICU' from "RoleCode" display 'Intensive care unit'
code "Billing": 'billing' from "Diagnosis Role" display 'Billing'

parameter "Measurement Period" Interval<DateTime>

context Patient

define "Inpatient Encounter":
	[Encounter: "Encounter Inpatient"] EncounterInpatient
		where EncounterInpatient.status = 'finished'
		  and "LengthInDays"(EncounterInpatient.period) <= 120
			and EncounterInpatient.period ends during "Measurement Period"

define function "ToDate"(Value DateTime):
	DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)

define function "CalendarAgeInDaysAt"(BirthDateTime DateTime, AsOf DateTime):
	days between ToDate(BirthDateTime)and ToDate(AsOf)

define function "CalendarAgeInDays"(BirthDateTime DateTime):
	CalendarAgeInDaysAt(BirthDateTime, Today())

define function "CalendarAgeInMonthsAt"(BirthDateTime DateTime, AsOf DateTime):
	months between ToDate(BirthDateTime)and ToDate(AsOf)

define function "CalendarAgeInMonths"(BirthDateTime DateTime):
	CalendarAgeInMonthsAt(BirthDateTime, Today())

define function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime):
	years between ToDate(BirthDateTime)and ToDate(AsOf)

define function "CalendarAgeInYears"(BirthDateTime DateTime):
	CalendarAgeInYearsAt(BirthDateTime, Today())

define function "LengthInDays"(Value Interval<DateTime>):
	difference in days between start of Value and end of Value

define function "ED Visit"(TheEncounter FHIR.Encounter):
    singleton from (
        [Encounter: "Emergency Department Visit"] EDVisit
            where EDVisit.status = 'finished'
                and EDVisit.period ends 1 hour or less on or before start of FHIRHelpers.ToInterval(TheEncounter.period)
    )

define function "Hospitalization"(TheEncounter FHIR.Encounter):
	( "ED Visit"(TheEncounter) ) X
    return
        if X is null then TheEncounter.period
        else Interval[start of FHIRHelpers.ToInterval(X.period), end of FHIRHelpers.ToInterval(TheEncounter.period)]

define function "Hospitalization Locations"(TheEncounter FHIR.Encounter):
	( "ED Visit"(TheEncounter) ) EDEncounter
    return
        if EDEncounter is null then TheEncounter.location
        else flatten { EDEncounter.location, TheEncounter.location }

define function "Hospitalization Length of Stay"(TheEncounter FHIR.Encounter):
	LengthInDays("Hospitalization"(TheEncounter))

define function "Hospital Admission Time"(TheEncounter FHIR.Encounter):
	start of "Hospitalization"(TheEncounter)

define function "Hospital Discharge Time"(TheEncounter FHIR.Encounter):
	end of FHIRHelpers.ToInterval(TheEncounter.period)

define function "Hospital Arrival Time"(TheEncounter FHIR.Encounter):
	start of FHIRHelpers.ToInterval(First(
	    ( "Hospitalization Locations"(TheEncounter) ) HospitalLocation
			sort by start of FHIRHelpers.ToInterval(period)
	).period)

define function "HospitalizationWithObservation"(TheEncounter FHIR.Encounter):
	TheEncounter Visit
		let ObsVisit: Last([Encounter: "Observation Services"] LastObs
				where LastObs.period ends 1 hour or less on or before start of Visit.period
				sort by end of period
			),
			VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),
			EDVisit: Last([Encounter: "Emergency Department Visit"] LastED
				where LastED.period ends 1 hour or less on or before VisitStart
				sort by end of period
			)
		return Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]

define function "HospitalizationWithObservationLengthofStay"(Encounter FHIR.Encounter):
	"LengthInDays"("HospitalizationWithObservation"(Encounter))

// TODO - fix these (must fetch Location resources and compare id to reference)
/*define function "Hospital Departure Time"(TheEncounter FHIR.Encounter):
	end of FHIRHelpers.ToInterval(Last(
	    ( "Hospitalization Locations"(TheEncounter) ) HospitalLocation
			sort by start of FHIRHelpers.ToInterval(period)
	).period)

define function "Emergency Department Arrival Time"(TheEncounter FHIR.Encounter):
	start of FHIRHelpers.ToInterval((
	    singleton from (
	        ( "Hospitalization Locations"(TheEncounter) ) HospitalLocation
				where HospitalLocation.type ~ "ER"
		)
	).period)

define function "First Inpatient Intensive Care Unit"(TheEncounter FHIR.Encounter):
	First(
	    ( TheEncounter.location ) HospitalLocation
			where HospitalLocation.type ~ "ICU"
				and HospitalLocation.period during TheEncounter.period
			sort by start of FHIRHelpers.ToInterval(period)
	)*/

/*
*
*    CQFMeasures Common Logic
*
*/

define function "Normalize Onset"(onset Choice<FHIR.dateTime, FHIR.Age, FHIR.Period, FHIR.Range, FHIR.string>):
  if onset is FHIR.dateTime then
	  Interval[FHIRHelpers.ToDateTime(onset as FHIR.dateTime), FHIRHelpers.ToDateTime(onset as FHIR.dateTime)]
	else if onset is FHIR.Period then
	  FHIRHelpers.ToInterval(onset as FHIR.Period)
	else if onset is FHIR.Age then
	  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(onset as FHIR.Age),
		  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(onset as FHIR.Age) + 1 year)
	else null

define function "Normalize Abatement"(condition Condition):
	if condition.abatement is FHIR.dateTime then
	  Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]
	else if condition.abatement is FHIR.Period then
	  FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)
	else if condition.abatement is FHIR.Age then
		Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),
			FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)
	else if condition.abatement is FHIR.boolean then
	  Interval[end of "Normalize Onset"(condition.onset), condition.assertedDate)
	else null

define function "GetPrevalencePeriod"(condition Condition):
  Interval[start of "Normalize Onset"(condition.onset), end of "Normalize Abatement"(condition))

define function "Normalize Interval"(choice Choice<FHIR.dateTime, FHIR.Period>):
  if choice is FHIR.dateTime then
	  Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
	else
	  FHIRHelpers.ToInterval(choice as FHIR.Period)

define function "GetId"(uri String):
	Last(Split(uri, '/'))

define function "EncounterDiagnosis"(Encounter Encounter):
  Encounter.diagnosis D
    return singleton from ([Condition] Condition where Condition.id.value = "GetId"(D.condition.reference))

// Returns the condition that is specified as the principal diagnosis for the encounter
define function "PrincipalDiagnosis"(Encounter Encounter):
	(singleton from (Encounter.diagnosis D where D.role ~ ToConcept("Billing") and D.rank = 1)) PD
	//"GetId"(uri String): returns the last String of a Split by / List therefor cannot use in
		return singleton from ([Condition] Condition where Condition.id.value = "GetId"(PD.condition.reference))

// Returns the location for the given location reference
define function GetLocation(reference Reference):
  singleton from (
    [Location] Location where Location.id.value = GetId(reference.reference)
  )

/*
NOTE: Extensions are not the preferred approach, but are used as a way to access
content that is defined by extensions but not yet surfaced in the
CQL model info.
*/
define function "GetExtensions"(domainResource DomainResource, url String):
  domainResource.extension E
	  where E.url = ('http://hl7.org/fhir/us/qicore/StructureDefinition/' + url)
		return E

define function "GetExtension"(domainResource DomainResource, url String):
  singleton from "GetExtensions"(domainResource, url)

/*
NOTE: Extensions are not the preferred approach, but are used as a way to access
content that is defined by extensions but not yet surfaced in the
CQL model info.
*/
define function "GetBaseExtensions"(domainResource DomainResource, url String):
  domainResource.extension E
	  where E.url = ('http://hl7.org/fhir/StructureDefinition/' + url)
		return E

define function "GetBaseExtension"(domainResource DomainResource, url String):
  singleton from "GetBaseExtensions"(domainResource, url)

/*
NOTE: Provenance is not the preferred approach, this is provided only as an illustration
for what using Provenance could look like, and is not a tested pattern
*/
define function "GetProvenance"(resource Resource):
  singleton from ([Provenance: target in resource.id])

define function "GetMedicationCode"(request MedicationRequest):
  if request.medication is CodeableConcept then
	  request.medication as CodeableConcept
	else
	  (singleton from ([Medication: id in GetId((request.medication as Reference).reference)])).code
" + } + ] + }, + "request": { + "method": "PUT", + "url": "Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "1.3.6.1.4.1.33895.1.3.0.45", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "1.3.6.1.4.1.33895.1.3.0.45" + } + ], + "version": "20160331", + "name": "ComfortMeasures", + "title": "Comfort Measures", + "status": "active", + "publisher": "TJC EH Steward", + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "2018-03", + "concept": [ + { + "code": "133918004", + "display": "Comfort measures (regime/therapy)" + }, + { + "code": "182964004", + "display": "Terminal care (regime/therapy)" + }, + { + "code": "385736008", + "display": "Dying care (regime/therapy)" + }, + { + "code": "385763009", + "display": "Hospice care (regime/therapy)" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/1.3.6.1.4.1.33895.1.3.0.45" + } + }, + { + "resource": { + "resourceType": "Library", + "id": "library-SupplementalDataElements-FHIR3-1.0.0", + "text": { + "status": "generated", + "div": "
\n \n \n
Id: library-SupplementalDataElements-FHIR3-1.0.0
Type: Logic Library
Version: 1.0.0
Status: active
Related:

type: depends-on

Resource:
reference: Library/library-FHIRHelpers-3.0.0

Data Requirements:

type: Coverage

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

Content: type: text/cql
library SupplementalDataElements_FHIR3 version '1.0.0'\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\n\nvalueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'\nvalueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\nvalueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\nvalueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\n\ncontext Patient\n\ndefine "SDE Ethnicity":\n  (flatten (\n    Patient.extension Extension\n      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n        return Extension.extension\n  )) E\n    where E.url = 'ombCategory'\n      or E.url = 'detailed'\n    return E.value as Coding\n\ndefine "SDE Payer":\n    [Coverage: type in "Payer"] Payer\n      return {\n        code: Payer.type,\n        period: Payer.period\n      }\n\ndefine "SDE Race":\n  (flatten (\n    Patient.extension Extension\n      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n        return Extension.extension\n  )) E\n    where E.url = 'ombCategory'\n      or E.url = 'detailed'\n    return E.value as Coding\n\ndefine "SDE Sex":\n  case\n    when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n    when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n    else null\n  end\n
\n \n \n
\n
" + }, + "version": "1.0.0", + "name": "SupplementalDataElements_FHIR3", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://hl7.org/fhir/codesystem-library-type.html", + "code": "logic-library" + } + ] + }, + "relatedArtifact": [ + { + "type": "depends-on", + "resource": { + "reference": "Library/library-FHIRHelpers-3.0.0" + } + } + ], + "dataRequirement": [ + { + "type": "Coverage", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" + } + ] + } + ], + "content": [ + { + "contentType": "application/elm+xml", + "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="SupplementalDataElements_FHIR3" version="1.0.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
   </includes>
   <valueSets>
      <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>
      <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>
      <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>
      <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>
   </valueSets>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="SDE Ethnicity" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="E">
               <expression xsi:type="Flatten">
                  <operand xsi:type="Query">
                     <source alias="Extension">
                        <expression path="extension" xsi:type="Property">
                           <source name="Patient" xsi:type="ExpressionRef"/>
                        </expression>
                     </source>
                     <where xsi:type="Equal">
                        <operand path="url" scope="Extension" xsi:type="Property"/>
                        <operand valueType="t:String" value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" xsi:type="Literal"/>
                     </where>
                     <return>
                        <expression path="extension" scope="Extension" xsi:type="Property"/>
                     </return>
                  </operand>
               </expression>
            </source>
            <where xsi:type="Or">
               <operand xsi:type="Equal">
                  <operand path="url" scope="E" xsi:type="Property"/>
                  <operand valueType="t:String" value="ombCategory" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="Equal">
                  <operand path="url" scope="E" xsi:type="Property"/>
                  <operand valueType="t:String" value="detailed" xsi:type="Literal"/>
               </operand>
            </where>
            <return>
               <expression strict="false" xsi:type="As">
                  <operand path="value" scope="E" xsi:type="Property"/>
                  <asTypeSpecifier name="fhir:Coding" xsi:type="NamedTypeSpecifier"/>
               </expression>
            </return>
         </expression>
      </def>
      <def name="SDE Payer" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Payer">
               <expression dataType="fhir:Coverage" codeProperty="type" xsi:type="Retrieve">
                  <codes name="Payer" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <return>
               <expression xsi:type="Tuple">
                  <element name="code">
                     <value path="type" scope="Payer" xsi:type="Property"/>
                  </element>
                  <element name="period">
                     <value path="period" scope="Payer" xsi:type="Property"/>
                  </element>
               </expression>
            </return>
         </expression>
      </def>
      <def name="SDE Race" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="E">
               <expression xsi:type="Flatten">
                  <operand xsi:type="Query">
                     <source alias="Extension">
                        <expression path="extension" xsi:type="Property">
                           <source name="Patient" xsi:type="ExpressionRef"/>
                        </expression>
                     </source>
                     <where xsi:type="Equal">
                        <operand path="url" scope="Extension" xsi:type="Property"/>
                        <operand valueType="t:String" value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" xsi:type="Literal"/>
                     </where>
                     <return>
                        <expression path="extension" scope="Extension" xsi:type="Property"/>
                     </return>
                  </operand>
               </expression>
            </source>
            <where xsi:type="Or">
               <operand xsi:type="Equal">
                  <operand path="url" scope="E" xsi:type="Property"/>
                  <operand valueType="t:String" value="ombCategory" xsi:type="Literal"/>
               </operand>
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+ { + "system": "http://snomed.info/sct", + "version": "2018-03", + "concept": [ + { + "code": "183452005", + "display": "Emergency hospital admission (procedure)" + }, + { + "code": "32485007", + "display": "Hospital admission (procedure)" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.424" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1110.39", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39", + "title": "Ticagrelor Therapy", + "status": "active", + "publisher": "The Joint Commission", + "compose": { + "include": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "version": "2019-08", + "concept": [ + { + "code": "1116635", + "display": "Ticagrelor 90 MG Oral Tablet" + }, + { + "code": "1666332", + "display": "Ticagrelor 60 MG Oral Tablet" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113762.1.4.1110.39" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113883.3.117.1.7.1.247", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247", + "title": "Ischemic Stroke", + "status": "active", + "publisher": "The Joint Commission", + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "2019-03", + "concept": [ + { + "code": "111297002", + "display": "Nonparalytic stroke (disorder)" + }, + { + "code": "116288000", + "display": "Paralytic stroke (disorder)" + }, + { + "code": "195185009", + "display": "Cerebral infarct due to thrombosis of precerebral arteries (disorder)" + }, + { + "code": "195186005", + "display": "Cerebral infarction due to embolism of precerebral arteries (disorder)" + }, + { + "code": "195189003", + "display": "Cerebral infarction due to thrombosis of cerebral arteries (disorder)" + }, + { + "code": "195190007", + "display": "Cerebral infarction due to embolism of cerebral arteries (disorder)" + }, + { + "code": "195212005", + "display": "Brainstem stroke syndrome (disorder)" + }, + { + "code": "195213000", + "display": "Cerebellar stroke syndrome (disorder)" + }, + { + "code": "195216008", + "display": "Left sided cerebral hemisphere cerebrovascular accident (disorder)" + }, + { + "code": "195217004", + "display": "Right sided cerebral hemisphere cerebrovascular accident (disorder)" + }, + { + "code": "195230003", + "display": "Cerebral infarction due to cerebral venous thrombosis, non-pyogenic (disorder)" + }, + { + "code": "230690007", + "display": "Cerebrovascular accident (disorder)" + }, + { + "code": "230691006", + "display": "Cerebrovascular accident due to occlusion of cerebral artery (disorder)" + }, + { + "code": "230692004", + "display": "Infarction - precerebral (disorder)" + }, + { + "code": "230693009", + "display": "Anterior cerebral circulation infarction (disorder)" + }, + { + "code": "230694003", + "display": "Total anterior cerebral circulation infarction (disorder)" + }, + { + "code": "230695002", + "display": "Partial anterior cerebral circulation infarction (disorder)" + }, + { + "code": "230696001", + "display": "Posterior cerebral circulation infarction (disorder)" + }, + { + "code": "230698000", + "display": "Lacunar infarction (disorder)" + }, + { + "code": "230699008", + "display": "Pure motor lacunar infarction (disorder)" + }, + { + "code": "230700009", + "display": "Pure sensory lacunar infarction (disorder)" + }, + { + "code": "230701008", + "display": "Pure sensorimotor lacunar infarction (disorder)" + }, + { + "code": "307363008", + "display": "Multiple lacunar infarcts (disorder)" + }, + { + "code": "426107000", + "display": "Acute lacunar infarction (disorder)" + } + ] + }, + { + "system": "http://hl7.org/fhir/sid/icd-10", + "version": "2020", + "concept": [ + { + "code": "I63.00", + "display": "Cerebral infarction due to thrombosis of unspecified precerebral artery" + }, + { + "code": "I63.011", + "display": "Cerebral infarction due to thrombosis of right vertebral artery" + }, + { + "code": "I63.012", + "display": "Cerebral infarction due to thrombosis of left vertebral artery" + }, + { + "code": "I63.013", + "display": "Cerebral infarction due to thrombosis of bilateral vertebral arteries" + }, + { + "code": "I63.019", + "display": "Cerebral infarction due to thrombosis of unspecified vertebral artery" + }, + { + "code": "I63.02", + "display": "Cerebral infarction due to thrombosis of basilar artery" + }, + { + "code": "I63.031", + "display": "Cerebral infarction due to thrombosis of right carotid artery" + }, + { + "code": "I63.032", + "display": "Cerebral infarction due to thrombosis of left carotid artery" + }, + { + "code": "I63.033", + "display": "Cerebral infarction due to thrombosis of bilateral carotid arteries" + }, + { + "code": "I63.039", + "display": "Cerebral infarction due to thrombosis of unspecified carotid artery" + }, + { + "code": "I63.09", + "display": "Cerebral infarction due to thrombosis of other precerebral artery" + }, + { + "code": "I63.10", + "display": "Cerebral infarction due to embolism of unspecified precerebral artery" + }, + { + "code": "I63.111", + "display": "Cerebral infarction due to embolism of right vertebral artery" + }, + { + "code": "I63.112", + "display": "Cerebral infarction due to embolism of left vertebral artery" + }, + { + "code": "I63.113", + "display": "Cerebral infarction due to embolism of bilateral vertebral arteries" + }, + { + "code": "I63.119", + "display": "Cerebral infarction due to embolism of unspecified vertebral artery" + }, + { + "code": "I63.12", + "display": "Cerebral infarction due to embolism of basilar artery" + }, + { + "code": "I63.131", + "display": "Cerebral infarction due to embolism of right carotid artery" + }, + { + "code": "I63.132", + "display": "Cerebral infarction due to embolism of left carotid artery" + }, + { + "code": "I63.133", + "display": "Cerebral infarction due to embolism of bilateral carotid arteries" + }, + { + "code": "I63.139", + "display": "Cerebral infarction due to embolism of unspecified carotid artery" + }, + { + "code": "I63.19", + "display": "Cerebral infarction due to embolism of other precerebral artery" + }, + { + "code": "I63.20", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries" + }, + { + "code": "I63.211", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery" + }, + { + "code": "I63.212", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery" + }, + { + "code": "I63.213", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries" + }, + { + "code": "I63.219", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery" + }, + { + "code": "I63.22", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of basilar artery" + }, + { + "code": "I63.231", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries" + }, + { + "code": "I63.232", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries" + }, + { + "code": "I63.233", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries" + }, + { + "code": "I63.239", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery" + }, + { + "code": "I63.29", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries" + }, + { + "code": "I63.30", + "display": "Cerebral infarction due to thrombosis of unspecified cerebral artery" + }, + { + "code": "I63.311", + "display": "Cerebral infarction due to thrombosis of right middle cerebral artery" + }, + { + "code": "I63.312", + "display": "Cerebral infarction due to thrombosis of left middle cerebral artery" + }, + { + "code": "I63.313", + "display": "Cerebral infarction due to thrombosis of bilateral middle cerebral arteries" + }, + { + "code": "I63.319", + "display": "Cerebral infarction due to thrombosis of unspecified middle cerebral artery" + }, + { + "code": "I63.321", + "display": "Cerebral infarction due to thrombosis of right anterior cerebral artery" + }, + { + "code": "I63.322", + "display": "Cerebral infarction due to thrombosis of left anterior cerebral artery" + }, + { + "code": "I63.323", + "display": "Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries" + }, + { + "code": "I63.329", + "display": "Cerebral infarction due to thrombosis of unspecified anterior cerebral artery" + }, + { + "code": "I63.331", + "display": "Cerebral infarction due to thrombosis of right posterior cerebral artery" + }, + { + "code": "I63.332", + "display": "Cerebral infarction due to thrombosis of left posterior cerebral artery" + }, + { + "code": "I63.333", + "display": "Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries" + }, + { + "code": "I63.339", + "display": "Cerebral infarction due to thrombosis of unspecified posterior cerebral artery" + }, + { + "code": "I63.341", + "display": "Cerebral infarction due to thrombosis of right cerebellar artery" + }, + { + "code": "I63.342", + "display": "Cerebral infarction due to thrombosis of left cerebellar artery" + }, + { + "code": "I63.343", + "display": "Cerebral infarction due to thrombosis of bilateral cerebellar arteries" + }, + { + "code": "I63.349", + "display": "Cerebral infarction due to thrombosis of unspecified cerebellar artery" + }, + { + "code": "I63.39", + "display": "Cerebral infarction due to thrombosis of other cerebral artery" + }, + { + "code": "I63.40", + "display": "Cerebral infarction due to embolism of unspecified cerebral artery" + }, + { + "code": "I63.411", + "display": "Cerebral infarction due to embolism of right middle cerebral artery" + }, + { + "code": "I63.412", + "display": "Cerebral infarction due to embolism of left middle cerebral artery" + }, + { + "code": "I63.413", + "display": "Cerebral infarction due to embolism of bilateral middle cerebral arteries" + }, + { + "code": "I63.419", + "display": "Cerebral infarction due to embolism of unspecified middle cerebral artery" + }, + { + "code": "I63.421", + "display": "Cerebral infarction due to embolism of right anterior cerebral artery" + }, + { + "code": "I63.422", + "display": "Cerebral infarction due to embolism of left anterior cerebral artery" + }, + { + "code": "I63.423", + "display": "Cerebral infarction due to embolism of bilateral anterior cerebral arteries" + }, + { + "code": "I63.429", + "display": "Cerebral infarction due to embolism of unspecified anterior cerebral artery" + }, + { + "code": "I63.431", + "display": "Cerebral infarction due to embolism of right posterior cerebral artery" + }, + { + "code": "I63.432", + "display": "Cerebral infarction due to embolism of left posterior cerebral artery" + }, + { + "code": "I63.433", + "display": "Cerebral infarction due to embolism of bilateral posterior cerebral arteries" + }, + { + "code": "I63.439", + "display": "Cerebral infarction due to embolism of unspecified posterior cerebral artery" + }, + { + "code": "I63.441", + "display": "Cerebral infarction due to embolism of right cerebellar artery" + }, + { + "code": "I63.442", + "display": "Cerebral infarction due to embolism of left cerebellar artery" + }, + { + "code": "I63.443", + "display": "Cerebral infarction due to embolism of bilateral cerebellar arteries" + }, + { + "code": "I63.449", + "display": "Cerebral infarction due to embolism of unspecified cerebellar artery" + }, + { + "code": "I63.49", + "display": "Cerebral infarction due to embolism of other cerebral artery" + }, + { + "code": "I63.50", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery" + }, + { + "code": "I63.511", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery" + }, + { + "code": "I63.512", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery" + }, + { + "code": "I63.513", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries" + }, + { + "code": "I63.519", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery" + }, + { + "code": "I63.521", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery" + }, + { + "code": "I63.522", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery" + }, + { + "code": "I63.523", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries" + }, + { + "code": "I63.529", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery" + }, + { + "code": "I63.531", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery" + }, + { + "code": "I63.532", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery" + }, + { + "code": "I63.533", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries" + }, + { + "code": "I63.539", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery" + }, + { + "code": "I63.541", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery" + }, + { + "code": "I63.542", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery" + }, + { + "code": "I63.543", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries" + }, + { + "code": "I63.549", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery" + }, + { + "code": "I63.59", + "display": "Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery" + }, + { + "code": "I63.6", + "display": "Cerebral infarction due to cerebral venous thrombosis, nonpyogenic" + }, + { + "code": "I63.81", + "display": "Other cerebral infarction due to occlusion or stenosis of small artery" + }, + { + "code": "I63.89", + "display": "Other cerebral infarction" + }, + { + "code": "I63.9", + "display": "Cerebral infarction, unspecified" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.247" + } + }, + { + "resource": { + "resourceType": "Library", + "id": "library-FHIRHelpers-3.0.0", + "text": { + "status": "generated", + "div": "
\n \n \n
Id: library-FHIRHelpers-3.0.0
Type: Logic Library
Version: 3.0.0
Status: active
Content: type: text/cql
library FHIRHelpers version '3.0.0'\n\nusing FHIR version '3.0.0'\n\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        Interval[period."start".value, period."end".value]\n\ndefine function ToQuantity(quantity FHIR.Quantity):\n    if quantity is null then\n        null\n    else\n        System.Quantity { value: quantity.value.value, unit: quantity.unit.value }\n\ndefine function ToInterval(range FHIR.Range):\n    if range is null then\n        null\n    else\n        Interval[ToQuantity(range.low), ToQuantity(range.high)]\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\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\ndefine function ToString(value FHIR.uuid): value.value\ndefine function ToString(value FHIR.TestScriptRequestMethodCode): value.value\ndefine function ToString(value FHIR.ProvenanceEntityRole): value.value\ndefine function ToString(value FHIR.UnitsOfTime): value.value\ndefine function ToString(value FHIR.AddressType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceCategory): value.value\ndefine function ToString(value FHIR.SpecimenStatus): value.value\ndefine function ToString(value FHIR.RestfulCapabilityMode): value.value\ndefine function ToString(value FHIR.DetectedIssueSeverity): value.value\ndefine function ToString(value FHIR.IssueSeverity): value.value\ndefine function ToString(value FHIR.CareTeamStatus): value.value\ndefine function ToString(value FHIR.DataElementStringency): value.value\ndefine function ToString(value FHIR.VisionEyes): value.value\ndefine function ToString(value FHIR.EncounterStatus): value.value\ndefine function ToString(value FHIR.StructureDefinitionKind): value.value\ndefine function ToString(value FHIR.PublicationStatus): value.value\ndefine function ToString(value FHIR.ConsentDataMeaning): value.value\ndefine function ToString(value FHIR.StructureMapSourceListMode): value.value\ndefine function ToString(value FHIR.RequestStatus): value.value\ndefine function ToString(value FHIR.QuestionnaireResponseStatus): value.value\ndefine function ToString(value FHIR.SearchComparator): value.value\ndefine function ToString(value FHIR.ChargeItemStatus): value.value\ndefine function ToString(value FHIR.ActionParticipantType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceType): value.value\ndefine function ToString(value FHIR.DocumentRelationshipType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceClinicalStatus): value.value\ndefine function ToString(value FHIR.CarePlanActivityStatus): value.value\ndefine function ToString(value FHIR.ActionList): value.value\ndefine function ToString(value FHIR.ParticipationStatus): value.value\ndefine function ToString(value FHIR.TestReportResult): value.value\ndefine function ToString(value FHIR.ConceptMapGroupUnmappedMode): value.value\ndefine function ToDateTime(value FHIR.instant): value.value\ndefine function ToDateTime(value FHIR.dateTime): value.value\ndefine function ToDate(value FHIR.date): value.value\ndefine function ToString(value FHIR.DocumentMode): value.value\ndefine function ToString(value FHIR.AssertionOperatorType): value.value\ndefine function ToString(value FHIR.DaysOfWeek): value.value\ndefine function ToString(value FHIR.IssueType): value.value\ndefine function ToString(value FHIR.ContentType): value.value\ndefine function ToString(value FHIR.StructureMapContextType): value.value\ndefine function ToString(value FHIR.FamilyHistoryStatus): value.value\ndefine function ToInteger(value FHIR.positiveInt): value.value\ndefine function ToString(value FHIR.ClinicalImpressionStatus): value.value\ndefine function ToString(value FHIR.AssertionResponseTypes): value.value\ndefine function ToString(value FHIR.RequestIntent): value.value\ndefine function ToString(value FHIR.NarrativeStatus): value.value\ndefine function ToString(value FHIR.MeasmntPrinciple): value.value\ndefine function ToString(value FHIR.ConsentExceptType): value.value\ndefine function ToString(value FHIR.string): value.value\ndefine function ToString(value FHIR.ActionRequiredBehavior): value.value\ndefine function ToString(value FHIR.EndpointStatus): value.value\ndefine function ToString(value FHIR.GuidePageKind): value.value\ndefine function ToString(value FHIR.GuideDependencyType): value.value\ndefine function ToString(value FHIR.ResourceVersionPolicy): value.value\ndefine function ToString(value FHIR.MedicationRequestStatus): value.value\ndefine function ToString(value FHIR.MedicationAdministrationStatus): value.value\ndefine function ToString(value FHIR.ActionCardinalityBehavior): value.value\ndefine function ToString(value FHIR.MedicationRequestIntent): value.value\ndefine function ToString(value FHIR.NamingSystemIdentifierType): value.value\ndefine function ToString(value FHIR.ImmunizationStatusCodes): value.value\ndefine function ToString(value FHIR.AccountStatus): value.value\ndefine function ToString(value FHIR.MedicationDispenseStatus): value.value\ndefine function ToString(value FHIR.ConfidentialityClassification): value.value\ndefine function ToString(value FHIR.IdentifierUse): value.value\ndefine function ToString(value FHIR.DigitalMediaType): value.value\ndefine function ToString(value FHIR.StructureMapTargetListMode): value.value\ndefine function ToString(value FHIR.TestReportParticipantType): value.value\ndefine function ToString(value FHIR.BindingStrength): value.value\ndefine function ToString(value FHIR.RequestPriority): value.value\ndefine function ToString(value FHIR.ParticipantRequired): value.value\ndefine function ToString(value FHIR.DiscriminatorType): value.value\ndefine function ToString(value FHIR.XPathUsageType): value.value\ndefine function ToString(value FHIR.StructureMapInputMode): value.value\ndefine function ToString(value FHIR.InstanceAvailability): value.value\ndefine function ToString(value FHIR.id): value.value\ndefine function ToString(value FHIR.LinkageType): value.value\ndefine function ToString(value FHIR.ReferenceHandlingPolicy): value.value\ndefine function ToString(value FHIR.MedicationStatus): value.value\ndefine function ToString(value FHIR.FilterOperator): value.value\ndefine function ToString(value FHIR.NamingSystemType): value.value\ndefine function ToString(value FHIR.ResearchStudyStatus): value.value\ndefine function ToString(value FHIR.ExtensionContext): value.value\ndefine function ToString(value FHIR.FHIRDefinedType): value.value\ndefine function ToString(value FHIR.AuditEventOutcome): value.value\ndefine function ToString(value FHIR.ActionRelationshipType): value.value\ndefine function ToString(value FHIR.ConstraintSeverity): value.value\ndefine function ToString(value FHIR.EventCapabilityMode): value.value\ndefine function ToString(value FHIR.ContractResourceStatusCodes): value.value\ndefine function ToString(value FHIR.ResearchSubjectStatus): value.value\ndefine function ToString(value FHIR.UDIEntryType): value.value\ndefine function ToString(value FHIR.DeviceMetricCategory): value.value\ndefine function ToString(value FHIR.TestReportActionResult): value.value\ndefine function ToString(value FHIR.StructureMapTransform): value.value\ndefine function ToString(value FHIR.ResponseType): value.value\ndefine function ToDecimal(value FHIR.decimal): value.value\ndefine function ToString(value FHIR.AggregationMode): value.value\ndefine function ToString(value FHIR.CapabilityStatementKind): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceVerificationStatus): value.value\ndefine function ToString(value FHIR.EventTiming): value.value\ndefine function ToString(value FHIR.GoalStatus): value.value\ndefine function ToString(value FHIR.SearchParamType): value.value\ndefine function ToString(value FHIR.SystemRestfulInteraction): value.value\ndefine function ToString(value FHIR.ActionGroupingBehavior): value.value\ndefine function ToString(value FHIR.StructureMapModelMode): value.value\ndefine function ToString(value FHIR.TaskStatus): value.value\ndefine function ToString(value FHIR.AdverseEventCausality): value.value\ndefine function ToString(value FHIR.SubscriptionChannelType): value.value\ndefine function ToString(value FHIR.GraphCompartmentRule): value.value\ndefine function ToString(value FHIR.AssertionDirectionType): value.value\ndefine function ToString(value FHIR.CarePlanIntent): value.value\ndefine function ToString(value FHIR.SlicingRules): value.value\ndefine function ToString(value FHIR.ExplanationOfBenefitStatus): value.value\ndefine function ToString(value FHIR.ConsentState): value.value\ndefine function ToString(value FHIR.AdverseEventCategory): value.value\ndefine function ToString(value FHIR.LinkType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceCriticality): value.value\ndefine function ToString(value FHIR.MedicationRequestPriority): value.value\ndefine function ToString(value FHIR.ConceptMapEquivalence): value.value\ndefine function ToString(value FHIR.FHIRAllTypes): value.value\ndefine function ToString(value FHIR.PropertyRepresentation): value.value\ndefine function ToString(value FHIR.AuditEventAction): value.value\ndefine function ToString(value FHIR.TriggerType): value.value\ndefine function ToString(value FHIR.SearchModifierCode): value.value\ndefine function ToString(value FHIR.CompositionStatus): value.value\ndefine function ToString(value FHIR.AppointmentStatus): value.value\ndefine function ToString(value FHIR.MessageSignificanceCategory): value.value\ndefine function ToString(value FHIR.EventStatus): value.value\ndefine function ToString(value FHIR.OperationParameterUse): value.value\ndefine function ToString(value FHIR.ListMode): value.value\ndefine function ToString(value FHIR.ActionConditionKind): value.value\ndefine function ToString(value FHIR.ObservationStatus): value.value\ndefine function ToString(value FHIR.qualityType): value.value\ndefine function ToString(value FHIR.AdministrativeGender): value.value\ndefine function ToString(value FHIR.ResourceType): value.value\ndefine function ToString(value FHIR.QuestionnaireItemType): value.value\ndefine function ToBoolean(value FHIR.boolean): value.value\ndefine function ToString(value FHIR.StructureMapGroupTypeMode): value.value\ndefine function ToString(value FHIR.DeviceMetricCalibrationType): value.value\ndefine function ToString(value FHIR.code): value.value\ndefine function ToString(value FHIR.SupplyRequestStatus): value.value\ndefine function ToString(value FHIR.ActionSelectionBehavior): value.value\ndefine function ToString(value FHIR.EncounterLocationStatus): value.value\ndefine function ToString(value FHIR.SupplyDeliveryStatus): value.value\ndefine function ToString(value FHIR.DiagnosticReportStatus): value.value\ndefine function ToString(value FHIR.FlagStatus): value.value\ndefine function ToString(value FHIR.CarePlanStatus): value.value\ndefine function ToString(value FHIR.ConditionClinicalStatusCodes): value.value\ndefine function ToString(value FHIR.ListStatus): value.value\ndefine function Tobase64Binary(value FHIR.base64Binary): value.value\ndefine function ToString(value FHIR.DeviceUseStatementStatus): value.value\ndefine function ToString(value FHIR.AuditEventAgentNetworkType): value.value\ndefine function ToString(value FHIR.AddressUse): value.value\ndefine function ToString(value FHIR.ConditionalDeleteStatus): value.value\ndefine function ToString(value FHIR.ContactPointUse): value.value\ndefine function ToString(value FHIR.DeviceMetricOperationalStatus): value.value\ndefine function ToString(value FHIR.NutritionOrderStatus): value.value\ndefine function ToString(value FHIR.uri): value.value\ndefine function ToString(value FHIR.ContributorType): value.value\ndefine function ToString(value FHIR.ReferenceVersionRules): value.value\ndefine function ToString(value FHIR.Use): value.value\ndefine function ToString(value FHIR.IdentityAssuranceLevel): value.value\ndefine function ToString(value FHIR.MeasureReportStatus): value.value\ndefine function ToString(value FHIR.DeviceMetricColor): value.value\ndefine function ToString(value FHIR.SearchEntryMode): value.value\ndefine function ToTime(value FHIR.time): value.value\ndefine function ToString(value FHIR.ConditionalReadStatus): value.value\ndefine function ToString(value FHIR.ConditionVerificationStatus): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceSeverity): value.value\ndefine function ToString(value FHIR.FinancialResourceStatusCodes): value.value\ndefine function ToString(value FHIR.OperationKind): value.value\ndefine function ToString(value FHIR.ObservationRelationshipType): value.value\ndefine function ToInteger(value FHIR.unsignedInt): value.value\ndefine function ToString(value FHIR.NameUse): value.value\ndefine function ToString(value FHIR.SubscriptionStatus): value.value\ndefine function ToString(value FHIR.DocumentReferenceStatus): value.value\ndefine function ToString(value FHIR.LocationMode): value.value\ndefine function ToInteger(value FHIR.integer): value.value\ndefine function ToString(value FHIR.repositoryType): value.value\ndefine function ToString(value FHIR.LocationStatus): value.value\ndefine function ToString(value FHIR.FHIRSubstanceStatus): value.value\ndefine function ToString(value FHIR.UnknownContentCode): value.value\ndefine function ToString(value FHIR.NoteType): value.value\ndefine function ToString(value FHIR.TestReportStatus): value.value\ndefine function ToString(value FHIR.HTTPVerb): value.value\ndefine function ToString(value FHIR.CodeSystemContentMode): value.value\ndefine function ToString(value FHIR.EpisodeOfCareStatus): value.value\ndefine function ToString(value FHIR.RemittanceOutcome): value.value\ndefine function ToString(value FHIR.FHIRDeviceStatus): value.value\ndefine function ToString(value FHIR.ContactPointSystem): value.value\ndefine function ToString(value FHIR.SlotStatus): value.value\ndefine function ToString(value FHIR.PropertyType): value.value\ndefine function ToString(value FHIR.markdown): value.value\ndefine function ToString(value FHIR.TypeDerivationRule): value.value\ndefine function ToString(value FHIR.MedicationStatementStatus): value.value\ndefine function ToString(value FHIR.GuidanceResponseStatus): value.value\ndefine function ToString(value FHIR.QuantityComparator): value.value\ndefine function ToString(value FHIR.RelatedArtifactType): value.value\ndefine function ToString(value FHIR.oid): value.value\ndefine function ToString(value FHIR.MeasureReportType): value.value\ndefine function ToString(value FHIR.ActionPrecheckBehavior): value.value\ndefine function ToString(value FHIR.SampledDataDataType): value.value\ndefine function ToString(value FHIR.MedicationStatementTaken): value.value\ndefine function ToString(value FHIR.CompartmentType): value.value\ndefine function ToString(value FHIR.CompositionAttestationMode): value.value\ndefine function ToString(value FHIR.DeviceMetricCalibrationState): value.value\ndefine function ToString(value FHIR.GroupType): value.value\ndefine function ToString(value FHIR.TypeRestfulInteraction): value.value\ndefine function ToString(value FHIR.CodeSystemHierarchyMeaning): value.value\ndefine function ToString(value FHIR.VisionBase): value.value\ndefine function ToString(value FHIR.BundleType): value.value\ndefine function ToString(value FHIR.SystemVersionProcessingMode): value.value\n
\n \n \n
\n
" + }, + "version": "3.0.0", + "name": "FHIRHelpers", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://hl7.org/fhir/codesystem-library-type.html", + "code": "logic-library" + } + ] + }, + "content": [ + { + "contentType": "application/elm+xml", + "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="FHIRHelpers" version="3.0.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <statements>
      <def name="ToInterval" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="IsNull">
                  <operand name="period" xsi:type="OperandRef"/>
               </operand>
            </condition>
            <then xsi:type="As">
               <operand xsi:type="Null"/>
               <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                  <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
               </asTypeSpecifier>
            </then>
            <else lowClosed="true" highClosed="true" xsi:type="Interval">
               <low path="value" xsi:type="Property">
                  <source path="start" xsi:type="Property">
                     <source name="period" xsi:type="OperandRef"/>
                  </source>
               </low>
               <high path="value" xsi:type="Property">
                  <source path="end" xsi:type="Property">
                     <source name="period" xsi:type="OperandRef"/>
                  </source>
               </high>
            </else>
         </expression>
         <operand name="period">
            <operandTypeSpecifier name="fhir:Period" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToQuantity" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="IsNull">
                  <operand name="quantity" xsi:type="OperandRef"/>
               </operand>
            </condition>
            <then asType="t:Quantity" xsi:type="As">
               <operand xsi:type="Null"/>
            </then>
            <else classType="t:Quantity" xsi:type="Instance">
               <element name="value">
                  <value path="value" xsi:type="Property">
                     <source path="value" xsi:type="Property">
                        <source name="quantity" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
               <element name="unit">
                  <value path="value" xsi:type="Property">
                     <source path="unit" xsi:type="Property">
                        <source name="quantity" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
            </else>
         </expression>
         <operand name="quantity">
            <operandTypeSpecifier name="fhir:Quantity" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToInterval" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="IsNull">
                  <operand name="range" xsi:type="OperandRef"/>
               </operand>
            </condition>
            <then xsi:type="As">
               <operand xsi:type="Null"/>
               <asTypeSpecifier xsi:type="IntervalTypeSpecifier">
                  <pointType name="t:Quantity" xsi:type="NamedTypeSpecifier"/>
               </asTypeSpecifier>
            </then>
            <else lowClosed="true" highClosed="true" xsi:type="Interval">
               <low name="ToQuantity" xsi:type="FunctionRef">
                  <operand path="low" xsi:type="Property">
                     <source name="range" xsi:type="OperandRef"/>
                  </operand>
               </low>
               <high name="ToQuantity" xsi:type="FunctionRef">
                  <operand path="high" xsi:type="Property">
                     <source name="range" xsi:type="OperandRef"/>
                  </operand>
               </high>
            </else>
         </expression>
         <operand name="range">
            <operandTypeSpecifier name="fhir:Range" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToCode" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="IsNull">
                  <operand name="coding" xsi:type="OperandRef"/>
               </operand>
            </condition>
            <then asType="t:Code" xsi:type="As">
               <operand xsi:type="Null"/>
            </then>
            <else classType="t:Code" xsi:type="Instance">
               <element name="code">
                  <value path="value" xsi:type="Property">
                     <source path="code" xsi:type="Property">
                        <source name="coding" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
               <element name="system">
                  <value path="value" xsi:type="Property">
                     <source path="system" xsi:type="Property">
                        <source name="coding" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
               <element name="version">
                  <value path="value" xsi:type="Property">
                     <source path="version" xsi:type="Property">
                        <source name="coding" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
               <element name="display">
                  <value path="value" xsi:type="Property">
                     <source path="display" xsi:type="Property">
                        <source name="coding" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
            </else>
         </expression>
         <operand name="coding">
            <operandTypeSpecifier name="fhir:Coding" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToConcept" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="IsNull">
                  <operand name="concept" xsi:type="OperandRef"/>
               </operand>
            </condition>
            <then asType="t:Concept" xsi:type="As">
               <operand xsi:type="Null"/>
            </then>
            <else classType="t:Concept" xsi:type="Instance">
               <element name="codes">
                  <value xsi:type="Query">
                     <source alias="C">
                        <expression path="coding" xsi:type="Property">
                           <source name="concept" xsi:type="OperandRef"/>
                        </expression>
                     </source>
                     <return>
                        <expression name="ToCode" xsi:type="FunctionRef">
                           <operand name="C" xsi:type="AliasRef"/>
                        </expression>
                     </return>
                  </value>
               </element>
               <element name="display">
                  <value path="value" xsi:type="Property">
                     <source path="text" xsi:type="Property">
                        <source name="concept" xsi:type="OperandRef"/>
                     </source>
                  </value>
               </element>
            </else>
         </expression>
         <operand name="concept">
            <operandTypeSpecifier name="fhir:CodeableConcept" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:uuid" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TestScriptRequestMethodCode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ProvenanceEntityRole" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:UnitsOfTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AddressType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AllergyIntoleranceCategory" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SpecimenStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:RestfulCapabilityMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DetectedIssueSeverity" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:IssueSeverity" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CareTeamStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DataElementStringency" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:VisionEyes" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:EncounterStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureDefinitionKind" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:PublicationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConsentDataMeaning" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapSourceListMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:RequestStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:QuestionnaireResponseStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SearchComparator" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ChargeItemStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionParticipantType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AllergyIntoleranceType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DocumentRelationshipType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AllergyIntoleranceClinicalStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CarePlanActivityStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionList" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ParticipationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TestReportResult" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConceptMapGroupUnmappedMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToDateTime" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:instant" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToDateTime" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:dateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToDate" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:date" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DocumentMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AssertionOperatorType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DaysOfWeek" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:IssueType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ContentType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapContextType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FamilyHistoryStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToInteger" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:positiveInt" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ClinicalImpressionStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AssertionResponseTypes" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:RequestIntent" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:NarrativeStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MeasmntPrinciple" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConsentExceptType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:string" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionRequiredBehavior" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:EndpointStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:GuidePageKind" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:GuideDependencyType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ResourceVersionPolicy" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationRequestStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationAdministrationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionCardinalityBehavior" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationRequestIntent" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:NamingSystemIdentifierType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ImmunizationStatusCodes" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AccountStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationDispenseStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConfidentialityClassification" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:IdentifierUse" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DigitalMediaType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapTargetListMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TestReportParticipantType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:BindingStrength" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:RequestPriority" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ParticipantRequired" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DiscriminatorType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:XPathUsageType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapInputMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:InstanceAvailability" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:id" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:LinkageType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ReferenceHandlingPolicy" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FilterOperator" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:NamingSystemType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ResearchStudyStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ExtensionContext" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FHIRDefinedType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AuditEventOutcome" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionRelationshipType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConstraintSeverity" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:EventCapabilityMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ContractResourceStatusCodes" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ResearchSubjectStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:UDIEntryType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DeviceMetricCategory" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TestReportActionResult" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapTransform" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ResponseType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToDecimal" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:decimal" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AggregationMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CapabilityStatementKind" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AllergyIntoleranceVerificationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:EventTiming" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:GoalStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SearchParamType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SystemRestfulInteraction" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionGroupingBehavior" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapModelMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TaskStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AdverseEventCausality" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SubscriptionChannelType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:GraphCompartmentRule" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AssertionDirectionType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CarePlanIntent" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SlicingRules" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ExplanationOfBenefitStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConsentState" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AdverseEventCategory" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:LinkType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AllergyIntoleranceCriticality" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationRequestPriority" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConceptMapEquivalence" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FHIRAllTypes" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:PropertyRepresentation" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AuditEventAction" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TriggerType" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SearchModifierCode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CompositionStatus" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AppointmentStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MessageSignificanceCategory" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:EventStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:OperationParameterUse" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ListMode" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionConditionKind" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ObservationStatus" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:qualityType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AdministrativeGender" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ResourceType" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:QuestionnaireItemType" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToBoolean" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:boolean" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:StructureMapGroupTypeMode" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DeviceMetricCalibrationType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:code" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:SupplyRequestStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionSelectionBehavior" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:EncounterLocationStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:SupplyDeliveryStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:DiagnosticReportStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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            <operandTypeSpecifier name="fhir:FlagStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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            <operandTypeSpecifier name="fhir:CarePlanStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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            <operandTypeSpecifier name="fhir:ConditionClinicalStatusCodes" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:ListStatus" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="Tobase64Binary" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:base64Binary" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:DeviceUseStatementStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:AuditEventAgentNetworkType" xsi:type="NamedTypeSpecifier"/>
         </operand>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AddressUse" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConditionalDeleteStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:ContactPointUse" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:DeviceMetricOperationalStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:NutritionOrderStatus" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
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            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:uri" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ContributorType" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ReferenceVersionRules" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:Use" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
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         <operand name="value">
            <operandTypeSpecifier name="fhir:IdentityAssuranceLevel" xsi:type="NamedTypeSpecifier"/>
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      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MeasureReportStatus" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DeviceMetricColor" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SearchEntryMode" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToTime" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:time" xsi:type="NamedTypeSpecifier"/>
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      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConditionalReadStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ConditionVerificationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:AllergyIntoleranceSeverity" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FinancialResourceStatusCodes" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:OperationKind" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ObservationRelationshipType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToInteger" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:unsignedInt" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:NameUse" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SubscriptionStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DocumentReferenceStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:LocationMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToInteger" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:integer" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:repositoryType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:LocationStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FHIRSubstanceStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:UnknownContentCode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:NoteType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TestReportStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:HTTPVerb" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CodeSystemContentMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:EpisodeOfCareStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:RemittanceOutcome" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:FHIRDeviceStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ContactPointSystem" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SlotStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:PropertyType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:markdown" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TypeDerivationRule" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationStatementStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:GuidanceResponseStatus" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:QuantityComparator" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:RelatedArtifactType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:oid" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MeasureReportType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:ActionPrecheckBehavior" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SampledDataDataType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:MedicationStatementTaken" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CompartmentType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CompositionAttestationMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:DeviceMetricCalibrationState" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:GroupType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:TypeRestfulInteraction" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:CodeSystemHierarchyMeaning" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:VisionBase" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:BundleType" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
      <def name="ToString" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression path="value" xsi:type="Property">
            <source name="value" xsi:type="OperandRef"/>
         </expression>
         <operand name="value">
            <operandTypeSpecifier name="fhir:SystemVersionProcessingMode" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
   </statements>
</library>
" + }, + { + "contentType": "text/cql", + "data": "library FHIRHelpers version '3.0.0'

using FHIR version '3.0.0'

define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        Interval[period."start".value, period."end".value]

define function ToQuantity(quantity FHIR.Quantity):
    if quantity is null then
        null
    else
        System.Quantity { value: quantity.value.value, unit: quantity.unit.value }

define function ToInterval(range FHIR.Range):
    if range is null then
        null
    else
        Interval[ToQuantity(range.low), ToQuantity(range.high)]

define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }

define function ToConcept(concept FHIR.CodeableConcept):
    if concept is null then
         null
    else
        System.Concept {
            codes: concept.coding C return ToCode(C),
            display: concept.text.value
        }

define function ToString(value FHIR.uuid): value.value
define function ToString(value FHIR.TestScriptRequestMethodCode): value.value
define function ToString(value FHIR.ProvenanceEntityRole): value.value
define function ToString(value FHIR.UnitsOfTime): value.value
define function ToString(value FHIR.AddressType): value.value
define function ToString(value FHIR.AllergyIntoleranceCategory): value.value
define function ToString(value FHIR.SpecimenStatus): value.value
define function ToString(value FHIR.RestfulCapabilityMode): value.value
define function ToString(value FHIR.DetectedIssueSeverity): value.value
define function ToString(value FHIR.IssueSeverity): value.value
define function ToString(value FHIR.CareTeamStatus): value.value
define function ToString(value FHIR.DataElementStringency): value.value
define function ToString(value FHIR.VisionEyes): value.value
define function ToString(value FHIR.EncounterStatus): value.value
define function ToString(value FHIR.StructureDefinitionKind): value.value
define function ToString(value FHIR.PublicationStatus): value.value
define function ToString(value FHIR.ConsentDataMeaning): value.value
define function ToString(value FHIR.StructureMapSourceListMode): value.value
define function ToString(value FHIR.RequestStatus): value.value
define function ToString(value FHIR.QuestionnaireResponseStatus): value.value
define function ToString(value FHIR.SearchComparator): value.value
define function ToString(value FHIR.ChargeItemStatus): value.value
define function ToString(value FHIR.ActionParticipantType): value.value
define function ToString(value FHIR.AllergyIntoleranceType): value.value
define function ToString(value FHIR.DocumentRelationshipType): value.value
define function ToString(value FHIR.AllergyIntoleranceClinicalStatus): value.value
define function ToString(value FHIR.CarePlanActivityStatus): value.value
define function ToString(value FHIR.ActionList): value.value
define function ToString(value FHIR.ParticipationStatus): value.value
define function ToString(value FHIR.TestReportResult): value.value
define function ToString(value FHIR.ConceptMapGroupUnmappedMode): value.value
define function ToDateTime(value FHIR.instant): value.value
define function ToDateTime(value FHIR.dateTime): value.value
define function ToDate(value FHIR.date): value.value
define function ToString(value FHIR.DocumentMode): value.value
define function ToString(value FHIR.AssertionOperatorType): value.value
define function ToString(value FHIR.DaysOfWeek): value.value
define function ToString(value FHIR.IssueType): value.value
define function ToString(value FHIR.ContentType): value.value
define function ToString(value FHIR.StructureMapContextType): value.value
define function ToString(value FHIR.FamilyHistoryStatus): value.value
define function ToInteger(value FHIR.positiveInt): value.value
define function ToString(value FHIR.ClinicalImpressionStatus): value.value
define function ToString(value FHIR.AssertionResponseTypes): value.value
define function ToString(value FHIR.RequestIntent): value.value
define function ToString(value FHIR.NarrativeStatus): value.value
define function ToString(value FHIR.MeasmntPrinciple): value.value
define function ToString(value FHIR.ConsentExceptType): value.value
define function ToString(value FHIR.string): value.value
define function ToString(value FHIR.ActionRequiredBehavior): value.value
define function ToString(value FHIR.EndpointStatus): value.value
define function ToString(value FHIR.GuidePageKind): value.value
define function ToString(value FHIR.GuideDependencyType): value.value
define function ToString(value FHIR.ResourceVersionPolicy): value.value
define function ToString(value FHIR.MedicationRequestStatus): value.value
define function ToString(value FHIR.MedicationAdministrationStatus): value.value
define function ToString(value FHIR.ActionCardinalityBehavior): value.value
define function ToString(value FHIR.MedicationRequestIntent): value.value
define function ToString(value FHIR.NamingSystemIdentifierType): value.value
define function ToString(value FHIR.ImmunizationStatusCodes): value.value
define function ToString(value FHIR.AccountStatus): value.value
define function ToString(value FHIR.MedicationDispenseStatus): value.value
define function ToString(value FHIR.ConfidentialityClassification): value.value
define function ToString(value FHIR.IdentifierUse): value.value
define function ToString(value FHIR.DigitalMediaType): value.value
define function ToString(value FHIR.StructureMapTargetListMode): value.value
define function ToString(value FHIR.TestReportParticipantType): value.value
define function ToString(value FHIR.BindingStrength): value.value
define function ToString(value FHIR.RequestPriority): value.value
define function ToString(value FHIR.ParticipantRequired): value.value
define function ToString(value FHIR.DiscriminatorType): value.value
define function ToString(value FHIR.XPathUsageType): value.value
define function ToString(value FHIR.StructureMapInputMode): value.value
define function ToString(value FHIR.InstanceAvailability): value.value
define function ToString(value FHIR.id): value.value
define function ToString(value FHIR.LinkageType): value.value
define function ToString(value FHIR.ReferenceHandlingPolicy): value.value
define function ToString(value FHIR.MedicationStatus): value.value
define function ToString(value FHIR.FilterOperator): value.value
define function ToString(value FHIR.NamingSystemType): value.value
define function ToString(value FHIR.ResearchStudyStatus): value.value
define function ToString(value FHIR.ExtensionContext): value.value
define function ToString(value FHIR.FHIRDefinedType): value.value
define function ToString(value FHIR.AuditEventOutcome): value.value
define function ToString(value FHIR.ActionRelationshipType): value.value
define function ToString(value FHIR.ConstraintSeverity): value.value
define function ToString(value FHIR.EventCapabilityMode): value.value
define function ToString(value FHIR.ContractResourceStatusCodes): value.value
define function ToString(value FHIR.ResearchSubjectStatus): value.value
define function ToString(value FHIR.UDIEntryType): value.value
define function ToString(value FHIR.DeviceMetricCategory): value.value
define function ToString(value FHIR.TestReportActionResult): value.value
define function ToString(value FHIR.StructureMapTransform): value.value
define function ToString(value FHIR.ResponseType): value.value
define function ToDecimal(value FHIR.decimal): value.value
define function ToString(value FHIR.AggregationMode): value.value
define function ToString(value FHIR.CapabilityStatementKind): value.value
define function ToString(value FHIR.AllergyIntoleranceVerificationStatus): value.value
define function ToString(value FHIR.EventTiming): value.value
define function ToString(value FHIR.GoalStatus): value.value
define function ToString(value FHIR.SearchParamType): value.value
define function ToString(value FHIR.SystemRestfulInteraction): value.value
define function ToString(value FHIR.ActionGroupingBehavior): value.value
define function ToString(value FHIR.StructureMapModelMode): value.value
define function ToString(value FHIR.TaskStatus): value.value
define function ToString(value FHIR.AdverseEventCausality): value.value
define function ToString(value FHIR.SubscriptionChannelType): value.value
define function ToString(value FHIR.GraphCompartmentRule): value.value
define function ToString(value FHIR.AssertionDirectionType): value.value
define function ToString(value FHIR.CarePlanIntent): value.value
define function ToString(value FHIR.SlicingRules): value.value
define function ToString(value FHIR.ExplanationOfBenefitStatus): value.value
define function ToString(value FHIR.ConsentState): value.value
define function ToString(value FHIR.AdverseEventCategory): value.value
define function ToString(value FHIR.LinkType): value.value
define function ToString(value FHIR.AllergyIntoleranceCriticality): value.value
define function ToString(value FHIR.MedicationRequestPriority): value.value
define function ToString(value FHIR.ConceptMapEquivalence): value.value
define function ToString(value FHIR.FHIRAllTypes): value.value
define function ToString(value FHIR.PropertyRepresentation): value.value
define function ToString(value FHIR.AuditEventAction): value.value
define function ToString(value FHIR.TriggerType): value.value
define function ToString(value FHIR.SearchModifierCode): value.value
define function ToString(value FHIR.CompositionStatus): value.value
define function ToString(value FHIR.AppointmentStatus): value.value
define function ToString(value FHIR.MessageSignificanceCategory): value.value
define function ToString(value FHIR.EventStatus): value.value
define function ToString(value FHIR.OperationParameterUse): value.value
define function ToString(value FHIR.ListMode): value.value
define function ToString(value FHIR.ActionConditionKind): value.value
define function ToString(value FHIR.ObservationStatus): value.value
define function ToString(value FHIR.qualityType): value.value
define function ToString(value FHIR.AdministrativeGender): value.value
define function ToString(value FHIR.ResourceType): value.value
define function ToString(value FHIR.QuestionnaireItemType): value.value
define function ToBoolean(value FHIR.boolean): value.value
define function ToString(value FHIR.StructureMapGroupTypeMode): value.value
define function ToString(value FHIR.DeviceMetricCalibrationType): value.value
define function ToString(value FHIR.code): value.value
define function ToString(value FHIR.SupplyRequestStatus): value.value
define function ToString(value FHIR.ActionSelectionBehavior): value.value
define function ToString(value FHIR.EncounterLocationStatus): value.value
define function ToString(value FHIR.SupplyDeliveryStatus): value.value
define function ToString(value FHIR.DiagnosticReportStatus): value.value
define function ToString(value FHIR.FlagStatus): value.value
define function ToString(value FHIR.CarePlanStatus): value.value
define function ToString(value FHIR.ConditionClinicalStatusCodes): value.value
define function ToString(value FHIR.ListStatus): value.value
define function Tobase64Binary(value FHIR.base64Binary): value.value
define function ToString(value FHIR.DeviceUseStatementStatus): value.value
define function ToString(value FHIR.AuditEventAgentNetworkType): value.value
define function ToString(value FHIR.AddressUse): value.value
define function ToString(value FHIR.ConditionalDeleteStatus): value.value
define function ToString(value FHIR.ContactPointUse): value.value
define function ToString(value FHIR.DeviceMetricOperationalStatus): value.value
define function ToString(value FHIR.NutritionOrderStatus): value.value
define function ToString(value FHIR.uri): value.value
define function ToString(value FHIR.ContributorType): value.value
define function ToString(value FHIR.ReferenceVersionRules): value.value
define function ToString(value FHIR.Use): value.value
define function ToString(value FHIR.IdentityAssuranceLevel): value.value
define function ToString(value FHIR.MeasureReportStatus): value.value
define function ToString(value FHIR.DeviceMetricColor): value.value
define function ToString(value FHIR.SearchEntryMode): value.value
define function ToTime(value FHIR.time): value.value
define function ToString(value FHIR.ConditionalReadStatus): value.value
define function ToString(value FHIR.ConditionVerificationStatus): value.value
define function ToString(value FHIR.AllergyIntoleranceSeverity): value.value
define function ToString(value FHIR.FinancialResourceStatusCodes): value.value
define function ToString(value FHIR.OperationKind): value.value
define function ToString(value FHIR.ObservationRelationshipType): value.value
define function ToInteger(value FHIR.unsignedInt): value.value
define function ToString(value FHIR.NameUse): value.value
define function ToString(value FHIR.SubscriptionStatus): value.value
define function ToString(value FHIR.DocumentReferenceStatus): value.value
define function ToString(value FHIR.LocationMode): value.value
define function ToInteger(value FHIR.integer): value.value
define function ToString(value FHIR.repositoryType): value.value
define function ToString(value FHIR.LocationStatus): value.value
define function ToString(value FHIR.FHIRSubstanceStatus): value.value
define function ToString(value FHIR.UnknownContentCode): value.value
define function ToString(value FHIR.NoteType): value.value
define function ToString(value FHIR.TestReportStatus): value.value
define function ToString(value FHIR.HTTPVerb): value.value
define function ToString(value FHIR.CodeSystemContentMode): value.value
define function ToString(value FHIR.EpisodeOfCareStatus): value.value
define function ToString(value FHIR.RemittanceOutcome): value.value
define function ToString(value FHIR.FHIRDeviceStatus): value.value
define function ToString(value FHIR.ContactPointSystem): value.value
define function ToString(value FHIR.SlotStatus): value.value
define function ToString(value FHIR.PropertyType): value.value
define function ToString(value FHIR.markdown): value.value
define function ToString(value FHIR.TypeDerivationRule): value.value
define function ToString(value FHIR.MedicationStatementStatus): value.value
define function ToString(value FHIR.GuidanceResponseStatus): value.value
define function ToString(value FHIR.QuantityComparator): value.value
define function ToString(value FHIR.RelatedArtifactType): value.value
define function ToString(value FHIR.oid): value.value
define function ToString(value FHIR.MeasureReportType): value.value
define function ToString(value FHIR.ActionPrecheckBehavior): value.value
define function ToString(value FHIR.SampledDataDataType): value.value
define function ToString(value FHIR.MedicationStatementTaken): value.value
define function ToString(value FHIR.CompartmentType): value.value
define function ToString(value FHIR.CompositionAttestationMode): value.value
define function ToString(value FHIR.DeviceMetricCalibrationState): value.value
define function ToString(value FHIR.GroupType): value.value
define function ToString(value FHIR.TypeRestfulInteraction): value.value
define function ToString(value FHIR.CodeSystemHierarchyMeaning): value.value
define function ToString(value FHIR.VisionBase): value.value
define function ToString(value FHIR.BundleType): value.value
define function ToString(value FHIR.SystemVersionProcessingMode): value.value
" + } + ] + }, + "request": { + "method": "PUT", + "url": "Library/library-FHIRHelpers-3.0.0" + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "denom-EXM104-FHIR3-2", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" + ] + }, + "status": "finished", + "class": { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", + "code": "IMP", + "display": "inpatient encounter" + }, + "type": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "32485007", + "display": "Hospital admission (procedure)" + } + ] + } + ], + "subject": { + "reference": "Patient/denom-EXM104-FHIR3" + }, + "period": { + "start": "2019-08-21T00:00:00-06:00", + "end": "2019-12-19T08:15:00-07:00" + }, + "diagnosis": [ + { + "condition": { + "reference": "Condition/denom-EXM104-FHIR3-1" + }, + "role": { + "coding": [ + { + "system": "http://hl7.org/fhir/diagnosis-role", + "code": "billing", + "display": "Billing" + } + ] + }, + "rank": 1 + } + ] + }, + "request": { + "method": "PUT", + "url": "Encounter/denom-EXM104-FHIR3-2" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113883.3.117.1.7.1.207", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "2.16.840.1.113883.3.117.1.7.1.207" + } + ], + "version": "20170725", + "name": "DischargedtoHealthCareFacilityforHospiceCare", + "title": "Discharged to Health Care Facility for Hospice Care", + "status": "active", + "publisher": "NLM", + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "2018-03", + "concept": [ + { + "code": "428371000124100", + "display": "Discharge to healthcare facility for hospice care (procedure)" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.207" + } + }, + { + "resource": { + "resourceType": "Measure", + "id": "measure-EXM104-FHIR3-8.1.000", + "meta": { + "versionId": "4", + "lastUpdated": "2019-09-13T20:33:19.546+00:00", + "profile": [ + "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm" + ] + }, + "text": { + "status": "generated", + "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
Measure Title

Discharged on Antithrombotic Therapy

Measure ID

EXM104

Description
Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge
\n
\n
\n
Measurement PeriodJanuary 1 - December 31
Copyright and Disclaimer Notice\n
\n 
These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.
\n
\n 
HEDIS%26reg; is a registered trademark of the National Committee for Quality Assurance (NCQA). The HEDIS measures and specifications are owned by NCQA. NCQA holds a copyright in the HEDIS measures and specifications and may rescind or alter these measures and specifications at any time. Users of the HEDIS measures and specifications shall not have the right to alter, enhance or otherwise modify the HEDIS measures and specifications, and shall not disassemble, recompile or reverse engineer the HEDIS measures and specifications. Anyone desiring to use or reproduce the materials, subject to licensed user restrictions, without modification for an internal, non-commercial purpose may do so without obtaining any approval from NCQA. Use of the Rules for Allowable Adjustments of HEDIS to make permitted adjustments of the materials does not constitute a modification. All other uses, including a commercial use, or any external reproduction, distribution and publication must be approved by NCQA and are subject to a license at the discretion of NCQA.\n\nHEDIS measures and specifications are not clinical guidelines, do not establish a standard of medical care and have not been tested for all potential applications. The measures and specifications are provided “as is” without warranty of any kind. NCQA makes no representations, warranties or endorsements about the quality of any product, test or protocol identified as numerator compliant or otherwise identified as meeting the requirements of a HEDIS measure or specification. NCQA also makes no representations, warranties or endorsements about the quality of any organization or clinician who uses or reports performance measures. NCQA has no liability to anyone who relies on HEDIS measures and specifications or data reflective of performance under such measures and specifications.\n\nCalculated measure results, based on unadjusted HEDIS specifications, may not be termed “Health Plan HEDIS rates” until the logic used to produce the measure results has been certified by NCQA and has been audited and designated reportable by an NCQA-Certified Auditor. Such results should be referred to as “Uncertified, Unaudited Health Plan HEDIS Rates.”\n\nCalculated measure results, based on adjusted HEDIS specifications, may not be termed “Adjusted HEDIS rates” until the logic used to produce the measure results has been certified by NCQA and has been audited and designated reportable by an NCQA-Certified Auditor. Such results should be referred to as “Adjusted, Uncertified, Unaudited HEDIS Rates.”\n\nLimited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. NCQA disclaims all liability for use or accuracy of any coding contained in the specifications.\n\nThe American Medical Association holds a copyright to the CPT%26reg; codes contained in the measures specifications.\n\nThe American Hospital Association holds a copyright to the Uniform Bill Codes (UB) contained in the measure specifications. The UB Codes in the HEDIS specifications are included with the permission of the AHA. The UB Codes contained in the HEDIS specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting HEDIS measure results or using HEDIS measure results for their internal quality improvement purposes. All other uses of the UB Codes require a license from the AHA. Anyone desiring to use the UB Codes in a commercial Product(s) to generate HEDIS results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n\nSome measure specifications contain coding from LOINC%26reg; (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright %26copy; 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/terms-of-use.\n\n"SNOMED” and “SNOMED CT” are registered trademarks of the International Health Terminology Standards Development Organization (IHTSDO).\n\n“HL7” is the registered trademark of Health Level Seven International.\n\n%26copy; 2019 by the National Committee for Quality Assurance, all rights reserved.
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\n
Clinical Recommendation Statement\n

Clinical trial results suggest that antithrombotic therapy should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality and morbidity as long as no contraindications exist

\n
\n
References\n
\n 
Adams HP, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks E. Guidelines for the Early Management of Adults with Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke Council, Clinical CardiologyCouncil, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke. 2007;38:1655-1711.
\n
\n
\n
\n 
Adams H, Adams R, Del Zoppo G, Goldstein LB. Guidelines for the Early Management of Patients With Ischemic Stroke: Guidelines Update A Scientific Statement From the Stroke Council of the American Heart Association/American Stroke Association. Stroke Vol. 36, 2005: 916:923.
\n
\n
\n
\n 
Albers GW, Amarenco P, Easton JD, Sacco RL, Teal P. Antithrombotic and Thrombolytic Therapy for Ischemic Stroke. Chest Vol. 119, 2001: 300-320.
\n
\n
\n
\n 
Brott TG, Clark WM, Grotta JC, et al. Stroke the first hours. Guidelines for acute treatment. Consensus Statement. National Stroke Association. 2000.
\n
\n
\n
\n 
Chen ZM, Sandercock P, Pan HC, et al. Indications for early aspirin use in acute ischemic stroke: a combined analysis of 40,000 randomized patients from the Chinese acute stroke trial and the international stroke trial. On behalf of the CAST and IST collaborative groups, Stroke 2000;31:1240-1249.
\n
\n
\n
\n 
Coull BM, Williams LS, Goldstein LB, et al. Anticoagulants and Antiplatelet Agents in Acute Ischemic Stroke. Report of the Joint Stroke Guideline Development Committee of the American Academy of Neurology and the American Stroke Association (a Division of the American Heart Association) Stroke. 2002;33:1934 - 1942.
\n
\n
\n
\n 
Guideline on the Use of Aspirin as Secondary Prophylaxis for Vascular Disease in Primary Care, Centre for Health Services Research University of Newcastle upon Tyne, %26amp; Centre for Health Economics of York, 1998.
\n
\n
\n
\n 
Kernan, W.N., B. Ovbiagele, H. R. Black, D. M. Bravata, M. I. Chimowitz, M. D. Ezekowitz, M. C. Fang, M. Fisher, K. L. Furie, D. V. Heck, S. C. Johnston, S. E. Kasner, S. J. Kittner, P. H. Mitchell, M. W. Rich, D. Richardson, L. H. Schwamm, J. A. Wilson. "Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association." [in eng.]  Stroke 45, no. 7 (May 2014): 2160-223.
\n
\n
Characteristics
ScoringProportion
TypeProcess
Improvement NotationA higher rate indicates better performance.
Guidance\n

The "Non-elective Inpatient Encounter" value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the "Inpatient encounter" value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective admissions include emergency, urgent and unplanned admissions.

\n

The "Medication, Discharge" datatype refers to the discharge medication list and is intended to express medications ordered for post-discharge use.

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\n
Definitions
\n \n \n
\n \n \n \n \n
\n

Table of Contents

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Definitions

\n \n

Functions

\n \n

Terminology

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    \n \n
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\n

Data Criteria (QDM Data Elements)

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    \n \n
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Supplemental Data Elements

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    \n
  • None
    • \n
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Risk Adjustment Variables

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    \n
  • None
    • \n
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\n \n \n \n
\n
" + }, + "extension": [ + { + "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", + "valueCode": "boolean" + } + ], + "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm104-FHIR3", + "identifier": [ + { + "use": "official", + "system": "http://hl7.org/fhir/cqi/ecqm/Measure/Identifier/cms", + "value": "104" + } + ], + "version": "8.1.000", + "name": "EXM104", + "title": "Discharged on Antithrombotic Therapy", + "status": "draft", + "experimental": true, + "publisher": "National Committee for Quality Assurance (NCQA)", + "description": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge", + "purpose": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge", + "approvalDate": "2016-01-01", + "lastReviewDate": "2019-08-19", + "effectivePeriod": { + "start": "2019-01-01", + "end": "2019-12-31" + }, + "useContext": [ + { + "code": { + "code": "program" + }, + "valueCodeableConcept": { + "text": "eligible-provider" + } + } + ], + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US" + } + ] + } + ], + "topic": [ + { + "coding": [ + { + "system": "http://loinc.org", + "code": "57024-2", + "display": "Health Quality Measure Document" + } + ] + } + ], + "contributor": [ + { + "type": "author", + "name": "National Committee for Quality Assurance" + } + ], + "contact": [ + { + "telecom": [ + { + "system": "url", + "value": "http://www.ncqa.org/" + } + ] + } + ], + "copyright": "Measure specifications are in the Public Domain. LOINC(R) is a registered trademark of the Regenstrief Institute. This material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2017 International Health Terminology Standards Development Organization. All rights reserved.", + "relatedArtifact": [ + { + "type": "citation", + "citation": "Adams HP, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks E. Guidelines for the Early Management of Adults with Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke Council, Clinical CardiologyCouncil, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke. 2007;38:1655-1711." + }, + { + "type": "citation", + "citation": "Adams H, Adams R, Del Zoppo G, Goldstein LB. Guidelines for the Early Management of Patients With Ischemic Stroke: Guidelines Update A Scientific Statement From the Stroke Council of the American Heart Association/American Stroke Association. Stroke Vol. 36, 2005: 916:923." + }, + { + "type": "citation", + "citation": "Albers GW, Amarenco P, Easton JD, Sacco RL, Teal P. Antithrombotic and Thrombolytic Therapy for Ischemic Stroke. Chest Vol. 119, 2001: 300-320." + }, + { + "type": "citation", + "citation": "Brott TG, Clark WM, Grotta JC, et al. Stroke the first hours. Guidelines for acute treatment. Consensus Statement. National Stroke Association. 2000." + }, + { + "type": "citation", + "citation": "Chen ZM, Sandercock P, Pan HC, et al. Indications for early aspirin use in acute ischemic stroke: a combined analysis of 40,000 randomized patients from the Chinese acute stroke trial and the international stroke trial. On behalf of the CAST and IST collaborative groups, Stroke 2000;31:1240-1249." + }, + { + "type": "citation", + "citation": "Coull BM, Williams LS, Goldstein LB, et al. Anticoagulants and Antiplatelet Agents in Acute Ischemic Stroke. Report of the Joint Stroke Guideline Development Committee of the American Academy of Neurology and the American Stroke Association (a Division of the American Heart Association) Stroke. 2002;33:1934 - 1942." + }, + { + "type": "citation", + "citation": "Guideline on the Use of Aspirin as Secondary Prophylaxis for Vascular Disease in Primary Care, Centre for Health Services Research University of Newcastle upon Tyne, & Centre for Health Economics of York, 1998." + }, + { + "type": "citation", + "citation": "Kernan, W.N., B. Ovbiagele, H. R. Black, D. M. Bravata, M. I. Chimowitz, M. D. Ezekowitz, M. C. Fang, M. Fisher, K. L. Furie, D. V. Heck, S. C. Johnston, S. E. Kasner, S. J. Kittner, P. H. Mitchell, M. W. Rich, D. Richardson, L. H. Schwamm, J. A. Wilson. \"Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association.\" [in eng.] Stroke 45, no. 7 (May 2014): 2160-223. " + } + ], + "library": [ + { + "reference": "Library/library-EXM104-FHIR3-8.1.000" + } + ], + "disclaimer": "These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.", + "scoring": { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-scoring", + "code": "proportion" + } + ] + }, + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-type", + "code": "process" + } + ] + } + ], + "rateAggregation": "none", + "rationale": "The effectiveness of antithrombotic agents in reducing stroke mortality, stroke-related morbidity and recurrence rates has been studied in several large clinical trials. While the use of these agents for patients with acute ischemic stroke and transient ischemic attacks continues to be the subject of study, substantial evidence is available from completed studies. Data at this time suggest that antithrombotic therapy should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality and morbidity as long as no contraindications exist.\n\nFor patients with a stroke due to a cardioembolic source (eg atrial fibrillation, mechanical heart valve), warfarin is recommended unless contraindicated. In recent years, novel oral anticoagulant agents (NOACs) have been developed and approved by the U.S. Food and Drug Administration (FDA) for stroke prevention, and may be considered as an alternative to warfarin for select patients. Anticoagulation therapy is not generally recommended for secondary stroke prevention in patients presumed to have a non-cardioembolic stroke.\nAnticoagulants at doses to prevent venous thromboembolism are insufficient antithrombotic therapy to prevent recurrent ischemic stroke or TIA.", + "clinicalRecommendationStatement": "Clinical trial results suggest that antithrombotic therapy should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality and morbidity as long as no contraindications exist", + "improvementNotation": "increase", + "guidance": "The \"Non-elective Inpatient Encounter\" value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the \"Inpatient encounter\" value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective admissions include emergency, urgent and unplanned admissions.\n\nThe \"Medication, Discharge\" datatype refers to the discharge medication list and is intended to express medications ordered for post-discharge use.", + "group": [ + { + "identifier": { + "value": "group-1" + }, + "population": [ + { + "identifier": { + "value": "initial-population-identifier" + }, + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "initial-population", + "display": "Initial Population" + } + ] + }, + "criteria": "Initial Population" + }, + { + "identifier": { + "value": "numerator-identifier" + }, + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "numerator", + "display": "Numerator" + } + ] + }, + "criteria": "Numerator" + }, + { + "identifier": { + "value": "denominator-identifier" + }, + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator", + "display": "Denominator" + } + ] + }, + "criteria": "Denominator" + }, + { + "identifier": { + "value": "denominator-exclusions-identifier" + }, + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/measure-population", + "code": "denominator-exclusion", + "display": "Denominator Exclusion" + } + ] + }, + "criteria": "Denominator Exclusion" + } + ] + } + ], + "supplementalData": [ + { + "identifier": { + "value": "sde-ethnicity" + }, + "usage": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-data-usage", + "code": "supplemental-data" + } + ] + } + ], + "criteria": "SDE Ethnicity" + }, + { + "identifier": { + "value": "sde-payer" + }, + "usage": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-data-usage", + "code": "supplemental-data" + } + ] + } + ], + "criteria": "SDE Payer" + }, + { + "identifier": { + "value": "sde-race" + }, + "usage": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-data-usage", + "code": "supplemental-data" + } + ] + } + ], + "criteria": "SDE Race" + }, + { + "identifier": { + "value": "sde-sex" + }, + "usage": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/measure-data-usage", + "code": "supplemental-data" + } + ] + } + ], + "criteria": "SDE Sex" + } + ] + }, + "request": { + "method": "PUT", + "url": "Measure/measure-EXM104-FHIR3-8.1.000/_history/4" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113883.3.117.1.7.1.93", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93", + "title": "Patient Refusal", + "status": "active", + "publisher": "The Joint Commission", + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "2019-03", + "concept": [ + { + "code": "105480006", + "display": "Refusal of treatment by patient (situation)" + }, + { + "code": "182890002", + "display": "Patient requests alternative treatment (finding)" + }, + { + "code": "182895007", + "display": "Drug declined by patient (situation)" + }, + { + "code": "182896008", + "display": "Drug declined by patient - dislikes taste (situation)" + }, + { + "code": "182897004", + "display": "Drug declined by patient - side effects (situation)" + }, + { + "code": "182898009", + "display": "Drug declined by patient - inconvenient (situation)" + }, + { + "code": "182900006", + "display": "Drug declined by patient - patient beliefs (situation)" + }, + { + "code": "182901005", + "display": "Drug declined by patient - alternative therapy (situation)" + }, + { + "code": "182903008", + "display": "Drug declined by patient - reason unknown (situation)" + }, + { + "code": "183944003", + "display": "Procedure refused (situation)" + }, + { + "code": "183945002", + "display": "Procedure refused for religious reason (situation)" + }, + { + "code": "183946001", + "display": "Procedure refused - uncooperative (situation)" + }, + { + "code": "183947005", + "display": "Refused procedure - after thought (situation)" + }, + { + "code": "183948000", + "display": "Refused procedure - parent's wish (situation)" + }, + { + "code": "275936005", + "display": "Patient noncompliance - general (situation)" + }, + { + "code": "371138003", + "display": "Refusal of treatment by parents (situation)" + }, + { + "code": "406149000", + "display": "Medication refused (situation)" + }, + { + "code": "413312003", + "display": "Patient non-compliant - refused service (situation)" + }, + { + "code": "416432009", + "display": "Procedure not wanted (situation)" + }, + { + "code": "443390004", + "display": "Refused (qualifier value)" + }, + { + "code": "609589008", + "display": "Refused by parents of subject (qualifier value)" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.93" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1111.143", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143", + "title": "Observation Services", + "status": "active", + "publisher": "The Joint Commission", + "compose": { + "include": [ + { + "system": "http://snomed.info/sct", + "version": "2019-09", + "concept": [ + { + "code": "448851000124103", + "display": "Hospital admission from observation unit (procedure)" + }, + { + "code": "448951000124107", + "display": "Admission to observation unit (procedure)" + }, + { + "code": "76464004", + "display": "Hospital admission, for observation (procedure)" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113762.1.4.1111.143" + } + }, + { + "resource": { + "resourceType": "Library", + "id": "library-TJCOverall-FHIR3-3.6.000", + "text": { + "status": "generated", + "div": "
\n \n \n
Id: library-TJCOverall-FHIR3-3.6.000
Type: Logic Library
Version: 3.6.000
Status: active
Related:

type: depends-on

Resource:
reference: Library/library-FHIRHelpers-3.0.0

type: depends-on

Resource:
reference: Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000

type: depends-on

Resource:
reference: Library/library-SupplementalDataElements-FHIR3-1.0.0

Data Requirements:

type: ProcedureRequest

code filter:
path: code
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45

type: Procedure

code filter:
path: code
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45

type: Encounter

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424

type: Patient

Content: type: text/cql
library TJCOverall_FHIR3 version '3.6.000'\n\nusing FHIR version '3.0.0'\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\n//TODO: MATGlobalCommonFunctions_FHIR version '2.0.000' need to be updated to 4.0\ninclude MATGlobalCommonFunctions_FHIR3 version '4.0.000' called Global\ninclude SupplementalDataElements_FHIR3 version '1.0.0' called SDE\n\ncodesystem "SNOMEDCT": 'http://snomed.info/sct/731000124108'\ncodesystem "LOINC": 'http://loinc.org'\n\nvalueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'\nvalueset "Discharge To Acute Care Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'\nvalueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'\nvalueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'\nvalueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'\nvalueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'\nvalueset "Left Against Medical Advice": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'\nvalueset "Non-Elective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'\nvalueset "Patient Expired": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'\nvalueset "Ticagrelor Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39'\nvalueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\n\ncode "Birth date": '21112-8' from "LOINC" display 'Birth date'\n\nparameter "Measurement Period" Interval<DateTime>\n\ncontext Patient\n\ndefine "Intervention Comfort Measures":\n\t(["ProcedureRequest": "Comfort Measures"] P\n\t\twhere P.intent = 'order')\n\t\tunion\n\t\t(["Procedure": "Comfort Measures"] InterventionPerformed\n\t\twhere InterventionPerformed.status = 'completed')\n\ndefine "All Stroke Encounter":\n\t"Non Elective Inpatient Encounter" NonElectiveEncounter\n    where Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Hemorrhagic Stroke"\n      or Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Ischemic Stroke"\n\ndefine "Ischemic Stroke Encounter":\n\t"Encounter with Principal Diagnosis and Age" EncounterWithAge\n\t\twhere Global.PrincipalDiagnosis(EncounterWithAge).code in "Ischemic Stroke"\n\ndefine "Non Elective Inpatient Encounter":\n\t["Encounter": "Non-Elective Inpatient Encounter"] NonElectiveEncounter\n\t\twhere Global."LengthInDays"(NonElectiveEncounter.period)<= 120\n\t\t\tand NonElectiveEncounter.period ends during "Measurement Period"\n\ndefine "Ischemic Stroke Encounters with Discharge Disposition":\n\t( ( "Ischemic Stroke Encounter" IschemicStrokeEncounter\n\t\t\t\twhere IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharge To Acute Care Facility"\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Left Against Medical Advice"\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Patient Expired"\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharged to Home for Hospice Care"\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"\n\t\t)\n\t)\n\ndefine "Comfort Measures during Hospitalization":\n\t"Ischemic Stroke Encounter" IschemicStrokeEncounter\n\t\twith "Intervention Comfort Measures" ComfortMeasure\n\t\t\tsuch that Coalesce(start of FHIRHelpers.ToInterval(ComfortMeasure.performed), ComfortMeasure.authoredOn)during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)\n\ndefine "Encounter with Principal Diagnosis and Age":\n\t"All Stroke Encounter" AllStrokeEncounter\n\t\twith ["Patient"] BirthDate\n\t\t\tsuch that Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(BirthDate.birthDate), start of FHIRHelpers.ToInterval(AllStrokeEncounter.period)) >= 18\n\ndefine function "CalendarDayOfOrDayAfter"(StartValue DateTime ):\n\tInterval(Global."ToDate"(StartValue), Global."ToDate"(StartValue + 2 days))\n
\n \n \n
\n
" + }, + "version": "3.6.000", + "name": "TJCOverall_FHIR3", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://hl7.org/fhir/codesystem-library-type.html", + "code": "logic-library" + } + ] + }, + "relatedArtifact": [ + { + "type": "depends-on", + "resource": { + "reference": "Library/library-FHIRHelpers-3.0.0" + } + }, + { + "type": "depends-on", + "resource": { + "reference": "Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000" + } + }, + { + "type": "depends-on", + "resource": { + "reference": "Library/library-SupplementalDataElements-FHIR3-1.0.0" + } + } + ], + "dataRequirement": [ + { + "type": "ProcedureRequest", + "codeFilter": [ + { + "path": "code", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45" + } + ] + }, + { + "type": "Procedure", + "codeFilter": [ + { + "path": "code", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45" + } + ] + }, + { + "type": "Encounter", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424" + } + ] + }, + { + "type": "Patient" + } + ], + "content": [ + { + "contentType": "application/elm+xml", + "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="TJCOverall_FHIR3" version="3.6.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
      <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR3" version="4.0.000"/>
      <def localIdentifier="SDE" path="SupplementalDataElements_FHIR3" version="1.0.0"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <codeSystems>
      <def name="SNOMEDCT" id="http://snomed.info/sct/731000124108" accessLevel="Public"/>
      <def name="LOINC" id="http://loinc.org" accessLevel="Public"/>
   </codeSystems>
   <valueSets>
      <def name="Comfort Measures" id="http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45" accessLevel="Public"/>
      <def name="Discharge To Acute Care Facility" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87" accessLevel="Public"/>
      <def name="Discharged to Health Care Facility for Hospice Care" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207" accessLevel="Public"/>
      <def name="Discharged to Home for Hospice Care" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209" accessLevel="Public"/>
      <def name="Emergency Department Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" accessLevel="Public"/>
      <def name="Encounter Inpatient" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307" accessLevel="Public"/>
      <def name="Hemorrhagic Stroke" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212" accessLevel="Public"/>
      <def name="Ischemic Stroke" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247" accessLevel="Public"/>
      <def name="Left Against Medical Advice" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308" accessLevel="Public"/>
      <def name="Non-Elective Inpatient Encounter" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424" accessLevel="Public"/>
      <def name="Patient Expired" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309" accessLevel="Public"/>
      <def name="Ticagrelor Therapy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39" accessLevel="Public"/>
      <def name="Observation Services" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143" accessLevel="Public"/>
   </valueSets>
   <codes>
      <def name="Birth date" id="21112-8" display="Birth date" accessLevel="Public">
         <codeSystem name="LOINC"/>
      </def>
   </codes>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Intervention Comfort Measures" context="Patient" accessLevel="Public">
         <expression xsi:type="Union">
            <operand xsi:type="As">
               <operand xsi:type="Query">
                  <source alias="P">
                     <expression dataType="fhir:ProcedureRequest" codeProperty="code" xsi:type="Retrieve">
                        <codes name="Comfort Measures" xsi:type="ValueSetRef"/>
                     </expression>
                  </source>
                  <where xsi:type="Equal">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="intent" scope="P" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:String" value="order" xsi:type="Literal"/>
                  </where>
               </operand>
               <asTypeSpecifier xsi:type="ListTypeSpecifier">
                  <elementType xsi:type="ChoiceTypeSpecifier">
                     <choice name="fhir:Procedure" xsi:type="NamedTypeSpecifier"/>
                     <choice name="fhir:ProcedureRequest" xsi:type="NamedTypeSpecifier"/>
                  </elementType>
               </asTypeSpecifier>
            </operand>
            <operand xsi:type="As">
               <operand xsi:type="Query">
                  <source alias="InterventionPerformed">
                     <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                        <codes name="Comfort Measures" xsi:type="ValueSetRef"/>
                     </expression>
                  </source>
                  <where xsi:type="Equal">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="InterventionPerformed" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:String" value="completed" xsi:type="Literal"/>
                  </where>
               </operand>
               <asTypeSpecifier xsi:type="ListTypeSpecifier">
                  <elementType xsi:type="ChoiceTypeSpecifier">
                     <choice name="fhir:Procedure" xsi:type="NamedTypeSpecifier"/>
                     <choice name="fhir:ProcedureRequest" xsi:type="NamedTypeSpecifier"/>
                  </elementType>
               </asTypeSpecifier>
            </operand>
         </expression>
      </def>
      <def name="Non Elective Inpatient Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NonElectiveEncounter">
               <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                  <codes name="Non-Elective Inpatient Encounter" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="LessOrEqual">
                  <operand name="LengthInDays" libraryName="Global" xsi:type="FunctionRef">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="NonElectiveEncounter" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand valueType="t:Integer" value="120" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="NonElectiveEncounter" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="All Stroke Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NonElectiveEncounter">
               <expression name="Non Elective Inpatient Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="Or">
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="code" xsi:type="Property">
                        <source name="PrincipalDiagnosis" libraryName="Global" xsi:type="FunctionRef">
                           <operand name="NonElectiveEncounter" xsi:type="AliasRef"/>
                        </source>
                     </operand>
                  </code>
                  <valueset name="Hemorrhagic Stroke"/>
               </operand>
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="code" xsi:type="Property">
                        <source name="PrincipalDiagnosis" libraryName="Global" xsi:type="FunctionRef">
                           <operand name="NonElectiveEncounter" xsi:type="AliasRef"/>
                        </source>
                     </operand>
                  </code>
                  <valueset name="Ischemic Stroke"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Encounter with Principal Diagnosis and Age" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="AllStrokeEncounter">
               <expression name="All Stroke Encounter" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="BirthDate" xsi:type="With">
               <expression dataType="fhir:Patient" xsi:type="Retrieve"/>
               <suchThat xsi:type="GreaterOrEqual">
                  <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">
                     <operand xsi:type="ToDateTime">
                        <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="birthDate" scope="BirthDate" xsi:type="Property"/>
                        </operand>
                     </operand>
                     <operand xsi:type="Start">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="period" scope="AllStrokeEncounter" xsi:type="Property"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand valueType="t:Integer" value="18" xsi:type="Literal"/>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Ischemic Stroke Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="EncounterWithAge">
               <expression name="Encounter with Principal Diagnosis and Age" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="InValueSet">
               <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand path="code" xsi:type="Property">
                     <source name="PrincipalDiagnosis" libraryName="Global" xsi:type="FunctionRef">
                        <operand name="EncounterWithAge" xsi:type="AliasRef"/>
                     </source>
                  </operand>
               </code>
               <valueset name="Ischemic Stroke"/>
            </where>
         </expression>
      </def>
      <def name="Ischemic Stroke Encounters with Discharge Disposition" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="Or">
               <operand xsi:type="Or">
                  <operand xsi:type="Or">
                     <operand xsi:type="Or">
                        <operand xsi:type="InValueSet">
                           <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="dischargeDisposition" xsi:type="Property">
                                 <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                              </operand>
                           </code>
                           <valueset name="Discharge To Acute Care Facility"/>
                        </operand>
                        <operand xsi:type="InValueSet">
                           <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="dischargeDisposition" xsi:type="Property">
                                 <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                              </operand>
                           </code>
                           <valueset name="Left Against Medical Advice"/>
                        </operand>
                     </operand>
                     <operand xsi:type="InValueSet">
                        <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="dischargeDisposition" xsi:type="Property">
                              <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                           </operand>
                        </code>
                        <valueset name="Patient Expired"/>
                     </operand>
                  </operand>
                  <operand xsi:type="InValueSet">
                     <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="dischargeDisposition" xsi:type="Property">
                           <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                        </operand>
                     </code>
                     <valueset name="Discharged to Home for Hospice Care"/>
                  </operand>
               </operand>
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="dischargeDisposition" xsi:type="Property">
                        <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                     </operand>
                  </code>
                  <valueset name="Discharged to Health Care Facility for Hospice Care"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Comfort Measures during Hospitalization" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="ComfortMeasure" xsi:type="With">
               <expression name="Intervention Comfort Measures" xsi:type="ExpressionRef"/>
               <suchThat xsi:type="In">
                  <operand xsi:type="Coalesce">
                     <operand xsi:type="Start">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand asType="fhir:Period" xsi:type="As">
                              <operand path="performed" scope="ComfortMeasure" xsi:type="Property"/>
                           </operand>
                        </operand>
                     </operand>
                     <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="authoredOn" scope="ComfortMeasure" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="HospitalizationWithObservation" libraryName="Global" xsi:type="FunctionRef">
                     <operand name="IschemicStrokeEncounter" xsi:type="AliasRef"/>
                  </operand>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="CalendarDayOfOrDayAfter" context="Patient" accessLevel="Public" xsi:type="FunctionDef">
         <expression lowClosed="false" highClosed="false" xsi:type="Interval">
            <low name="ToDate" libraryName="Global" xsi:type="FunctionRef">
               <operand name="StartValue" xsi:type="OperandRef"/>
            </low>
            <high name="ToDate" libraryName="Global" xsi:type="FunctionRef">
               <operand xsi:type="Add">
                  <operand name="StartValue" xsi:type="OperandRef"/>
                  <operand value="2" unit="days" xsi:type="Quantity"/>
               </operand>
            </high>
         </expression>
         <operand name="StartValue">
            <operandTypeSpecifier name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
   </statements>
</library>
" + }, + { + "contentType": "text/cql", + "data": "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" + } + ] + }, + "request": { + "method": "PUT", + "url": "Library/library-TJCOverall-FHIR3-3.6.000" + } + }, + { + "resource": { + "resourceType": "Library", + "id": "library-EXM104-FHIR3-8.1.000", + "text": { + "status": "generated", + "div": "
\n \n \n
Id: library-EXM104-FHIR3-8.1.000
Type: Logic Library
Version: 8.1.000
Status: active
Related:

type: depends-on

Resource:
reference: Library/library-FHIRHelpers-3.0.0

type: depends-on

Resource:
reference: Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000

type: depends-on

Resource:
reference: Library/library-TJCOverall-FHIR3-3.6.000

type: depends-on

Resource:
reference: Library/library-SupplementalDataElements-FHIR3-1.0.0

Data Requirements:

type: Encounter

code filter:
path: type
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424

type: Patient

type: ProcedureRequest

code filter:
path: code
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45

type: Procedure

code filter:
path: code
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45

type: MedicationRequest

type: MedicationRequest

code filter:
path: medication
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201

type: MedicationRequest

code filter:
path: medication
valueset: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39

Content: type: text/cql
library EXM104_FHIR3 version '8.1.000'\n\n/*\nBased on CMS104v8 - Discharged on Antithrombotic Therapy\nAuthor: TJC\nSTK 2\n*/\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0'\ninclude MATGlobalCommonFunctions_FHIR3 version '4.0.000' called Global\ninclude TJCOverall_FHIR3 version '3.6.000' called TJC\ninclude SupplementalDataElements_FHIR3 version '1.0.0' called SDE\n\ncodesystem "LOINC": 'http://loinc.org'\ncodesystem "SNOMEDCT": 'http://snomed.info/sct/731000124108'\ncodesystem "Diagnosis Role": 'http://hl7.org/fhir/diagnosis-role'\ncodesystem "RequestIntent": 'http://hl7.org/fhir/request-intent'\n// NOTE: This is an R4 code system\ncodesystem "MedicationRequestCategory": 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'\n\nvalueset "Antithrombotic Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201'\nvalueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'\nvalueset "Discharge To Acute Care Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'\nvalueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'\nvalueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'\nvalueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\nvalueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'\nvalueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'\nvalueset "Left Against Medical Advice": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'\nvalueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473'\nvalueset "Non-Elective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'\nvalueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\nvalueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'\nvalueset "Patient Expired": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'\nvalueset "Patient Refusal": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93'\nvalueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\nvalueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\nvalueset "Ticagrelor Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39'\n\ncode "Birth date": '21112-8' from "LOINC" display 'Birth date'\n\n// NOTE: This is an R4 code\ncode "Discharge": 'discharge' from "MedicationRequestCategory" display 'Discharge'\n\nparameter "Measurement Period" Interval<DateTime>\n  default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)\n\ncontext Patient\n\ndefine "SDE Ethnicity":\n  SDE."SDE Ethnicity"\n\ndefine "SDE Payer":\n\tSDE."SDE Payer"\n\ndefine "SDE Race":\n  SDE."SDE Race"\n\ndefine "SDE Sex":\n\tSDE."SDE Sex"\n\ndefine "Initial Population":\n\tTJC."Encounter with Principal Diagnosis and Age"\n\n  define "Encounter with Principal Diagnosis and Age":\n  \t"All Stroke Encounter" AllStrokeEncounter\n  \t\twith ["Patient"] BirthDate\n  \t\t\tsuch that AgeInYearsAt(AllStrokeEncounter.period.start) >= 18\n\n        define "All Stroke Encounter":\n        \t"Non Elective Inpatient Encounter" NonElectiveEncounter\n        \t\twhere Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Hemorrhagic Stroke"\n        \t\tor Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Ischemic Stroke"\n\n            define "Non Elective Inpatient Encounter":\n            \t["Encounter": "Non-Elective Inpatient Encounter"] NonElectiveEncounter\n            \t\twhere Global."LengthInDays"(NonElectiveEncounter.period)<= 120\n            \t\t\tand NonElectiveEncounter.period ends during "Measurement Period"\n\ndefine "Denominator":\n\tTJC."Ischemic Stroke Encounter"\n\n  define "Ischemic Stroke Encounter":\n  \t"Encounter with Principal Diagnosis and Age" EncounterWithAge\n  \t\twhere Global.PrincipalDiagnosis(EncounterWithAge).code in "Ischemic Stroke"\n\ndefine "Denominator Exclusion":\n\tTJC."Ischemic Stroke Encounters with Discharge Disposition"\n\t\tunion TJC."Comfort Measures during Hospitalization"\n\n    define "Ischemic Stroke Encounters with Discharge Disposition":\n    \t( ( "Ischemic Stroke Encounter" IschemicStrokeEncounter\n    \t\t\t\twhere IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharge To Acute Care Facility"\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Left Against Medical Advice"\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Patient Expired"\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharged to Home for Hospice Care"\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in "Discharged to Health Care Facility for Hospice Care"\n    \t\t)\n    \t)\n\n    define "Comfort Measures during Hospitalization":\n    \t"Ischemic Stroke Encounter" IschemicStrokeEncounter\n    \t\twith "Intervention Comfort Measures" ComfortMeasure\n    \t\t\tsuch that Coalesce(start of ComfortMeasure.performed, ComfortMeasure.authoredOn)during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)\n\n          define "Intervention Comfort Measures":\n          \t(["ProcedureRequest": "Comfort Measures"] P\n          \t\twhere P.intent = 'order')\n          \t\tunion\n          \t\t(["Procedure": "Comfort Measures"] IntervetionPerformed\n          \t\twhere IntervetionPerformed.status = 'completed')\n\ndefine "Numerator":\n\tTJC."Ischemic Stroke Encounter" IschemicStrokeEncounter\n\t\twith "Antithrombotic Therapy at Discharge" DischargeAntithrombotic\n\t\t\tsuch that DischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period\n\n      define "Antithrombotic Therapy at Discharge":\n      \t//The following should work, but it's pending a fix in the CQL Engine, ref https://github.com/DBCG/cql_engine/issues/271.\n        //["MedicationRequest": "Antithrombotic Therapy"] Antithrombotic\n        //where Antithrombotic.intent = 'order'\n        \n        //Temporarily using the following until the fix is available.\n        ["MedicationRequest"] Antithrombotic\n            where (Antithrombotic.medication as CodeableConcept) in "Antithrombotic Therapy"\n      \t    and Antithrombotic.intent = 'order'\n\ndefine "Denominator Exceptions":\n\t"Encounter With No Antithrombotic At Discharge"\n\t\tunion "Encounter With Ticagrelor at Discharge"\n\n    define "Encounter With No Antithrombotic At Discharge":\n    \tTJC."Ischemic Stroke Encounter" IschemicStrokeEncounter\n    \t\twith "Antithrombotic Not Given at Discharge" NoDischargeAntithrombotic\n    \t\t\tsuch that NoDischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period\n\n          define "Antithrombotic Not Given at Discharge":\n          \t["MedicationRequest": "Antithrombotic Therapy"] NoAntithromboticDischarge\n          \t  // STU3\n          \t\twhere exists (NoAntithromboticDischarge.extension E where E.url = 'http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-doNotPerform' and E.value is true)\n          \t\t// R4\n          \t\t//where NoAntithromboticDischarge.doNotPerform is true\n          \t\t\tand (singleton from NoAntithromboticDischarge.reasonCode in "Medical Reason"\n          \t\t\t\tor singleton from NoAntithromboticDischarge.reasonCode in "Patient Refusal")\n\n          // NOTE: On the assumption that status of not-taken is the closest to what the measure is looking for, this is the expression:\n          // TODO: Request discussion w/ Pharmacy regarding how medications not prescribed at discharged would be documented\n          //define "Antithrombotic Not Given at Discharge R4":\n          //  ["MedicationStatement": "Antithrombotic Therapy"] AntithromboticTherapy\n          //\t  where AntithromboticTherapy.status = 'not-taken'\n          //\t\t  and (AntithromboticTherapy.statusReason in "Medical Reason"\n          //\t\t\t\tor AntithrombtoicTherapy.statusReason in "Patient Refusal")\n\n          // If it's documented as a checkbox, it may be represented as an observation\n          //define "Antithrombotic Not Given at Discharge (Observation)":\n          //  ["Observation": "Medication Not Given At Discharge"] O\n          //\t  where O.value in "Antithrombotic Therapy"\n\n      /*\n      define "Encounter With Ticagrelor During Hospitalization":\n      \tTJC."Ischemic Stroke Encounter" IschemicStrokeEncounter\n      \t\twith ["MedicationAdministration": medication in TJC."Ticagrelor Therapy"] Ticagrelor\n      \t\t\tsuch that Ticagrelor.effective starts during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)\n      */\n      //Looking for Ticagrelor as discharge medication, include a corrected defintion in 2021 CQL based measure\n      define "Encounter With Ticagrelor at Discharge":\n        TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter\n          with "Ticagrelor Therapy at Discharge" DischargeTicagrelor\n            such that DischargeTicagrelor.authoredOn during IschemicStrokeEncounter.period\n\n            define "Ticagrelor Therapy at Discharge":\n              ["MedicationRequest": medication in TJC."Ticagrelor Therapy"] Ticagrelor\n                where (Ticagrelor.medication as CodeableConcept) in TJC."Ticagrelor Therapy"\n                  and Ticagrelor.intent = 'order'\n
\n \n \n
\n
" + }, + "version": "8.1.000", + "name": "EXM104_FHIR3", + "status": "active", + "experimental": true, + "type": { + "coding": [ + { + "system": "http://hl7.org/fhir/codesystem-library-type.html", + "code": "logic-library" + } + ] + }, + "relatedArtifact": [ + { + "type": "depends-on", + "resource": { + "reference": "Library/library-FHIRHelpers-3.0.0" + } + }, + { + "type": "depends-on", + "resource": { + "reference": "Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000" + } + }, + { + "type": "depends-on", + "resource": { + "reference": "Library/library-TJCOverall-FHIR3-3.6.000" + } + }, + { + "type": "depends-on", + "resource": { + "reference": "Library/library-SupplementalDataElements-FHIR3-1.0.0" + } + } + ], + "dataRequirement": [ + { + "type": "Encounter", + "codeFilter": [ + { + "path": "type", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424" + } + ] + }, + { + "type": "Patient" + }, + { + "type": "ProcedureRequest", + "codeFilter": [ + { + "path": "code", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45" + } + ] + }, + { + "type": "Procedure", + "codeFilter": [ + { + "path": "code", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45" + } + ] + }, + { + "type": "MedicationRequest" + }, + { + "type": "MedicationRequest", + "codeFilter": [ + { + "path": "medication", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201" + } + ] + }, + { + "type": "MedicationRequest", + "codeFilter": [ + { + "path": "medication", + "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39" + } + ] + } + ], + "content": [ + { + "contentType": "application/elm+xml", + "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="EXM104_FHIR3" version="8.1.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
      <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR3" version="4.0.000"/>
      <def localIdentifier="TJC" path="TJCOverall_FHIR3" version="3.6.000"/>
      <def localIdentifier="SDE" path="SupplementalDataElements_FHIR3" version="1.0.0"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <default lowClosed="true" highClosed="false" xsi:type="Interval">
            <low xsi:type="DateTime">
               <year valueType="t:Integer" value="2019" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </low>
            <high xsi:type="DateTime">
               <year valueType="t:Integer" value="2020" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </high>
         </default>
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <codeSystems>
      <def name="LOINC" id="http://loinc.org" accessLevel="Public"/>
      <def name="SNOMEDCT" id="http://snomed.info/sct/731000124108" accessLevel="Public"/>
      <def name="Diagnosis Role" id="http://hl7.org/fhir/diagnosis-role" accessLevel="Public"/>
      <def name="RequestIntent" id="http://hl7.org/fhir/request-intent" accessLevel="Public"/>
      <def name="MedicationRequestCategory" id="http://terminology.hl7.org/CodeSystem/medicationrequest-category" accessLevel="Public"/>
   </codeSystems>
   <valueSets>
      <def name="Antithrombotic Therapy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201" accessLevel="Public"/>
      <def name="Comfort Measures" id="http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45" accessLevel="Public"/>
      <def name="Discharge To Acute Care Facility" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87" accessLevel="Public"/>
      <def name="Discharged to Health Care Facility for Hospice Care" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207" accessLevel="Public"/>
      <def name="Discharged to Home for Hospice Care" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209" accessLevel="Public"/>
      <def name="Emergency Department Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" accessLevel="Public"/>
      <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>
      <def name="Hemorrhagic Stroke" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212" accessLevel="Public"/>
      <def name="Ischemic Stroke" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247" accessLevel="Public"/>
      <def name="Left Against Medical Advice" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308" accessLevel="Public"/>
      <def name="Medical Reason" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473" accessLevel="Public"/>
      <def name="Non-Elective Inpatient Encounter" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424" accessLevel="Public"/>
      <def name="Observation Services" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143" accessLevel="Public"/>
      <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>
      <def name="Patient Expired" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309" accessLevel="Public"/>
      <def name="Patient Refusal" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93" accessLevel="Public"/>
      <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>
      <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>
      <def name="Ticagrelor Therapy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39" accessLevel="Public"/>
   </valueSets>
   <codes>
      <def name="Birth date" id="21112-8" display="Birth date" accessLevel="Public">
         <codeSystem name="LOINC"/>
      </def>
      <def name="Discharge" id="discharge" display="Discharge" accessLevel="Public">
         <codeSystem name="MedicationRequestCategory"/>
      </def>
   </codes>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="SDE Ethnicity" context="Patient" accessLevel="Public">
         <expression name="SDE Ethnicity" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Payer" context="Patient" accessLevel="Public">
         <expression name="SDE Payer" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Race" context="Patient" accessLevel="Public">
         <expression name="SDE Race" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Sex" context="Patient" accessLevel="Public">
         <expression name="SDE Sex" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="Initial Population" context="Patient" accessLevel="Public">
         <expression name="Encounter with Principal Diagnosis and Age" libraryName="TJC" xsi:type="ExpressionRef"/>
      </def>
      <def name="Non Elective Inpatient Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NonElectiveEncounter">
               <expression dataType="fhir:Encounter" codeProperty="type" xsi:type="Retrieve">
                  <codes name="Non-Elective Inpatient Encounter" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="LessOrEqual">
                  <operand name="LengthInDays" libraryName="Global" xsi:type="FunctionRef">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="NonElectiveEncounter" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand valueType="t:Integer" value="120" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="period" scope="NonElectiveEncounter" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="All Stroke Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NonElectiveEncounter">
               <expression name="Non Elective Inpatient Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="Or">
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="code" xsi:type="Property">
                        <source name="PrincipalDiagnosis" libraryName="Global" xsi:type="FunctionRef">
                           <operand name="NonElectiveEncounter" xsi:type="AliasRef"/>
                        </source>
                     </operand>
                  </code>
                  <valueset name="Hemorrhagic Stroke"/>
               </operand>
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="code" xsi:type="Property">
                        <source name="PrincipalDiagnosis" libraryName="Global" xsi:type="FunctionRef">
                           <operand name="NonElectiveEncounter" xsi:type="AliasRef"/>
                        </source>
                     </operand>
                  </code>
                  <valueset name="Ischemic Stroke"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Encounter with Principal Diagnosis and Age" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="AllStrokeEncounter">
               <expression name="All Stroke Encounter" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="BirthDate" xsi:type="With">
               <expression dataType="fhir:Patient" xsi:type="Retrieve"/>
               <suchThat xsi:type="GreaterOrEqual">
                  <operand precision="Year" xsi:type="CalculateAgeAt">
                     <operand xsi:type="ToDateTime">
                        <operand path="birthDate.value" xsi:type="Property">
                           <source name="Patient" xsi:type="ExpressionRef"/>
                        </operand>
                     </operand>
                     <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="start" xsi:type="Property">
                           <source path="period" scope="AllStrokeEncounter" xsi:type="Property"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand valueType="t:Integer" value="18" xsi:type="Literal"/>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Denominator" context="Patient" accessLevel="Public">
         <expression name="Ischemic Stroke Encounter" libraryName="TJC" xsi:type="ExpressionRef"/>
      </def>
      <def name="Ischemic Stroke Encounter" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="EncounterWithAge">
               <expression name="Encounter with Principal Diagnosis and Age" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="InValueSet">
               <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand path="code" xsi:type="Property">
                     <source name="PrincipalDiagnosis" libraryName="Global" xsi:type="FunctionRef">
                        <operand name="EncounterWithAge" xsi:type="AliasRef"/>
                     </source>
                  </operand>
               </code>
               <valueset name="Ischemic Stroke"/>
            </where>
         </expression>
      </def>
      <def name="Denominator Exclusion" context="Patient" accessLevel="Public">
         <expression xsi:type="Union">
            <operand name="Ischemic Stroke Encounters with Discharge Disposition" libraryName="TJC" xsi:type="ExpressionRef"/>
            <operand name="Comfort Measures during Hospitalization" libraryName="TJC" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def name="Ischemic Stroke Encounters with Discharge Disposition" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="Or">
               <operand xsi:type="Or">
                  <operand xsi:type="Or">
                     <operand xsi:type="Or">
                        <operand xsi:type="InValueSet">
                           <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="dischargeDisposition" xsi:type="Property">
                                 <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                              </operand>
                           </code>
                           <valueset name="Discharge To Acute Care Facility"/>
                        </operand>
                        <operand xsi:type="InValueSet">
                           <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand path="dischargeDisposition" xsi:type="Property">
                                 <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                              </operand>
                           </code>
                           <valueset name="Left Against Medical Advice"/>
                        </operand>
                     </operand>
                     <operand xsi:type="InValueSet">
                        <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="dischargeDisposition" xsi:type="Property">
                              <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                           </operand>
                        </code>
                        <valueset name="Patient Expired"/>
                     </operand>
                  </operand>
                  <operand xsi:type="InValueSet">
                     <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="dischargeDisposition" xsi:type="Property">
                           <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                        </operand>
                     </code>
                     <valueset name="Discharged to Home for Hospice Care"/>
                  </operand>
               </operand>
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="dischargeDisposition" xsi:type="Property">
                        <source path="hospitalization" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                     </operand>
                  </code>
                  <valueset name="Discharged to Health Care Facility for Hospice Care"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Intervention Comfort Measures" context="Patient" accessLevel="Public">
         <expression xsi:type="Union">
            <operand xsi:type="As">
               <operand xsi:type="Query">
                  <source alias="P">
                     <expression dataType="fhir:ProcedureRequest" codeProperty="code" xsi:type="Retrieve">
                        <codes name="Comfort Measures" xsi:type="ValueSetRef"/>
                     </expression>
                  </source>
                  <where xsi:type="Equal">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="intent" scope="P" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:String" value="order" xsi:type="Literal"/>
                  </where>
               </operand>
               <asTypeSpecifier xsi:type="ListTypeSpecifier">
                  <elementType xsi:type="ChoiceTypeSpecifier">
                     <choice name="fhir:Procedure" xsi:type="NamedTypeSpecifier"/>
                     <choice name="fhir:ProcedureRequest" xsi:type="NamedTypeSpecifier"/>
                  </elementType>
               </asTypeSpecifier>
            </operand>
            <operand xsi:type="As">
               <operand xsi:type="Query">
                  <source alias="IntervetionPerformed">
                     <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                        <codes name="Comfort Measures" xsi:type="ValueSetRef"/>
                     </expression>
                  </source>
                  <where xsi:type="Equal">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="IntervetionPerformed" xsi:type="Property"/>
                     </operand>
                     <operand valueType="t:String" value="completed" xsi:type="Literal"/>
                  </where>
               </operand>
               <asTypeSpecifier xsi:type="ListTypeSpecifier">
                  <elementType xsi:type="ChoiceTypeSpecifier">
                     <choice name="fhir:Procedure" xsi:type="NamedTypeSpecifier"/>
                     <choice name="fhir:ProcedureRequest" xsi:type="NamedTypeSpecifier"/>
                  </elementType>
               </asTypeSpecifier>
            </operand>
         </expression>
      </def>
      <def name="Comfort Measures during Hospitalization" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="ComfortMeasure" xsi:type="With">
               <expression name="Intervention Comfort Measures" xsi:type="ExpressionRef"/>
               <suchThat xsi:type="In">
                  <operand xsi:type="Coalesce">
                     <operand xsi:type="Start">
                        <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand asType="fhir:Period" xsi:type="As">
                              <operand path="performed" scope="ComfortMeasure" xsi:type="Property"/>
                           </operand>
                        </operand>
                     </operand>
                     <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="authoredOn" scope="ComfortMeasure" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="HospitalizationWithObservation" libraryName="Global" xsi:type="FunctionRef">
                     <operand name="IschemicStrokeEncounter" xsi:type="AliasRef"/>
                  </operand>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Antithrombotic Therapy at Discharge" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Antithrombotic">
               <expression dataType="fhir:MedicationRequest" xsi:type="Retrieve"/>
            </source>
            <where xsi:type="And">
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand strict="false" xsi:type="As">
                        <operand path="medication" scope="Antithrombotic" xsi:type="Property"/>
                        <asTypeSpecifier name="fhir:CodeableConcept" xsi:type="NamedTypeSpecifier"/>
                     </operand>
                  </code>
                  <valueset name="Antithrombotic Therapy"/>
               </operand>
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="intent" scope="Antithrombotic" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="order" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Numerator" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" libraryName="TJC" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="DischargeAntithrombotic" xsi:type="With">
               <expression name="Antithrombotic Therapy at Discharge" xsi:type="ExpressionRef"/>
               <suchThat xsi:type="In">
                  <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="authoredOn" scope="DischargeAntithrombotic" xsi:type="Property"/>
                  </operand>
                  <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="period" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                  </operand>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Antithrombotic Not Given at Discharge" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NoAntithromboticDischarge">
               <expression dataType="fhir:MedicationRequest" codeProperty="medication" xsi:type="Retrieve">
                  <codes name="Antithrombotic Therapy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Exists">
                  <operand xsi:type="Query">
                     <source alias="E">
                        <expression path="extension" scope="NoAntithromboticDischarge" xsi:type="Property"/>
                     </source>
                     <where xsi:type="And">
                        <operand xsi:type="Equal">
                           <operand path="url" scope="E" xsi:type="Property"/>
                           <operand valueType="t:String" value="http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-doNotPerform" xsi:type="Literal"/>
                        </operand>
                        <operand xsi:type="IsTrue">
                           <operand name="ToBoolean" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                              <operand asType="fhir:boolean" xsi:type="As">
                                 <operand path="value" scope="E" xsi:type="Property"/>
                              </operand>
                           </operand>
                        </operand>
                     </where>
                  </operand>
               </operand>
               <operand xsi:type="Or">
                  <operand xsi:type="InValueSet">
                     <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand xsi:type="SingletonFrom">
                           <operand path="reasonCode" scope="NoAntithromboticDischarge" xsi:type="Property"/>
                        </operand>
                     </code>
                     <valueset name="Medical Reason"/>
                  </operand>
                  <operand xsi:type="InValueSet">
                     <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand xsi:type="SingletonFrom">
                           <operand path="reasonCode" scope="NoAntithromboticDischarge" xsi:type="Property"/>
                        </operand>
                     </code>
                     <valueset name="Patient Refusal"/>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Encounter With No Antithrombotic At Discharge" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" libraryName="TJC" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="NoDischargeAntithrombotic" xsi:type="With">
               <expression name="Antithrombotic Not Given at Discharge" xsi:type="ExpressionRef"/>
               <suchThat xsi:type="In">
                  <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="authoredOn" scope="NoDischargeAntithrombotic" xsi:type="Property"/>
                  </operand>
                  <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="period" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                  </operand>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Ticagrelor Therapy at Discharge" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Ticagrelor">
               <expression dataType="fhir:MedicationRequest" codeProperty="medication" xsi:type="Retrieve">
                  <codes name="Ticagrelor Therapy" libraryName="TJC" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="InValueSet">
                  <code name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand strict="false" xsi:type="As">
                        <operand path="medication" scope="Ticagrelor" xsi:type="Property"/>
                        <asTypeSpecifier name="fhir:CodeableConcept" xsi:type="NamedTypeSpecifier"/>
                     </operand>
                  </code>
                  <valueset name="Ticagrelor Therapy" libraryName="TJC"/>
               </operand>
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="intent" scope="Ticagrelor" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="order" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Encounter With Ticagrelor at Discharge" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="IschemicStrokeEncounter">
               <expression name="Ischemic Stroke Encounter" libraryName="TJC" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="DischargeTicagrelor" xsi:type="With">
               <expression name="Ticagrelor Therapy at Discharge" xsi:type="ExpressionRef"/>
               <suchThat xsi:type="In">
                  <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="authoredOn" scope="DischargeTicagrelor" xsi:type="Property"/>
                  </operand>
                  <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="period" scope="IschemicStrokeEncounter" xsi:type="Property"/>
                  </operand>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Denominator Exceptions" context="Patient" accessLevel="Public">
         <expression xsi:type="Union">
            <operand name="Encounter With No Antithrombotic At Discharge" xsi:type="ExpressionRef"/>
            <operand name="Encounter With Ticagrelor at Discharge" xsi:type="ExpressionRef"/>
         </expression>
      </def>
   </statements>
</library>
" + }, + { + "contentType": "text/cql", + "data": "library EXM104_FHIR3 version '8.1.000'

/*
Based on CMS104v8 - Discharged on Antithrombotic Therapy
Author: TJC
STK 2
*/

using FHIR version '3.0.0'

include FHIRHelpers version '3.0.0'
include MATGlobalCommonFunctions_FHIR3 version '4.0.000' called Global
include TJCOverall_FHIR3 version '3.6.000' called TJC
include SupplementalDataElements_FHIR3 version '1.0.0' called SDE

codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct/731000124108'
codesystem "Diagnosis Role": 'http://hl7.org/fhir/diagnosis-role'
codesystem "RequestIntent": 'http://hl7.org/fhir/request-intent'
// NOTE: This is an R4 code system
codesystem "MedicationRequestCategory": 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'

valueset "Antithrombotic Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201'
valueset "Comfort Measures": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'
valueset "Discharge To Acute Care Facility": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'
valueset "Discharged to Health Care Facility for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'
valueset "Discharged to Home for Hospice Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'
valueset "Emergency Department Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset "Hemorrhagic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'
valueset "Ischemic Stroke": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'
valueset "Left Against Medical Advice": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'
valueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473'
valueset "Non-Elective Inpatient Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'
valueset "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'
valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'
valueset "Patient Expired": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'
valueset "Patient Refusal": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93'
valueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'
valueset "Ticagrelor Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39'

code "Birth date": '21112-8' from "LOINC" display 'Birth date'

// NOTE: This is an R4 code
code "Discharge": 'discharge' from "MedicationRequestCategory" display 'Discharge'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)

context Patient

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

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

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

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

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

  define "Encounter with Principal Diagnosis and Age":
  	"All Stroke Encounter" AllStrokeEncounter
  		with ["Patient"] BirthDate
  			such that AgeInYearsAt(AllStrokeEncounter.period.start) >= 18

        define "All Stroke Encounter":
        	"Non Elective Inpatient Encounter" NonElectiveEncounter
        		where Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Hemorrhagic Stroke"
        		or Global.PrincipalDiagnosis(NonElectiveEncounter).code in "Ischemic Stroke"

            define "Non Elective Inpatient Encounter":
            	["Encounter": "Non-Elective Inpatient Encounter"] NonElectiveEncounter
            		where Global."LengthInDays"(NonElectiveEncounter.period)<= 120
            			and NonElectiveEncounter.period ends during "Measurement Period"

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

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

define "Denominator Exclusion":
	TJC."Ischemic Stroke Encounters with Discharge Disposition"
		union TJC."Comfort Measures during Hospitalization"

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

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

          define "Intervention Comfort Measures":
          	(["ProcedureRequest": "Comfort Measures"] P
          		where P.intent = 'order')
          		union
          		(["Procedure": "Comfort Measures"] IntervetionPerformed
          		where IntervetionPerformed.status = 'completed')

define "Numerator":
	TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
		with "Antithrombotic Therapy at Discharge" DischargeAntithrombotic
			such that DischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period

      define "Antithrombotic Therapy at Discharge":
      	//The following should work, but it's pending a fix in the CQL Engine, ref https://github.com/DBCG/cql_engine/issues/271.
        //["MedicationRequest": "Antithrombotic Therapy"] Antithrombotic
        //where Antithrombotic.intent = 'order'
        
        //Temporarily using the following until the fix is available.
        ["MedicationRequest"] Antithrombotic
            where (Antithrombotic.medication as CodeableConcept) in "Antithrombotic Therapy"
      	    and Antithrombotic.intent = 'order'

define "Denominator Exceptions":
	"Encounter With No Antithrombotic At Discharge"
		union "Encounter With Ticagrelor at Discharge"

    define "Encounter With No Antithrombotic At Discharge":
    	TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
    		with "Antithrombotic Not Given at Discharge" NoDischargeAntithrombotic
    			such that NoDischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period

          define "Antithrombotic Not Given at Discharge":
          	["MedicationRequest": "Antithrombotic Therapy"] NoAntithromboticDischarge
          	  // STU3
          		where exists (NoAntithromboticDischarge.extension E where E.url = 'http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-doNotPerform' and E.value is true)
          		// R4
          		//where NoAntithromboticDischarge.doNotPerform is true
          			and (singleton from NoAntithromboticDischarge.reasonCode in "Medical Reason"
          				or singleton from NoAntithromboticDischarge.reasonCode in "Patient Refusal")

          // NOTE: On the assumption that status of not-taken is the closest to what the measure is looking for, this is the expression:
          // TODO: Request discussion w/ Pharmacy regarding how medications not prescribed at discharged would be documented
          //define "Antithrombotic Not Given at Discharge R4":
          //  ["MedicationStatement": "Antithrombotic Therapy"] AntithromboticTherapy
          //	  where AntithromboticTherapy.status = 'not-taken'
          //		  and (AntithromboticTherapy.statusReason in "Medical Reason"
          //				or AntithrombtoicTherapy.statusReason in "Patient Refusal")

          // If it's documented as a checkbox, it may be represented as an observation
          //define "Antithrombotic Not Given at Discharge (Observation)":
          //  ["Observation": "Medication Not Given At Discharge"] O
          //	  where O.value in "Antithrombotic Therapy"

      /*
      define "Encounter With Ticagrelor During Hospitalization":
      	TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
      		with ["MedicationAdministration": medication in TJC."Ticagrelor Therapy"] Ticagrelor
      			such that Ticagrelor.effective starts during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)
      */
      //Looking for Ticagrelor as discharge medication, include a corrected defintion in 2021 CQL based measure
      define "Encounter With Ticagrelor at Discharge":
        TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter
          with "Ticagrelor Therapy at Discharge" DischargeTicagrelor
            such that DischargeTicagrelor.authoredOn during IschemicStrokeEncounter.period

            define "Ticagrelor Therapy at Discharge":
              ["MedicationRequest": medication in TJC."Ticagrelor Therapy"] Ticagrelor
                where (Ticagrelor.medication as CodeableConcept) in TJC."Ticagrelor Therapy"
                  and Ticagrelor.intent = 'order'
" + } + ] + }, + "request": { + "method": "PUT", + "url": "Library/library-EXM104-FHIR3-8.1.000" + } + }, + { + "resource": { + "resourceType": "ValueSet", + "id": "2.16.840.1.113762.1.4.1", + "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1", + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "2.16.840.1.113762.1.4.1" + } + ], + "version": "20150331", + "name": "ONCAdministrativeSex", + "title": "ONC Administrative Sex", + "status": "active", + "publisher": "NLM", + "compose": { + "include": [ + { + "system": "http://hl7.org/fhir/v3/AdministrativeGender", + "version": "HL7V3.0_2017-07", + "concept": [ + { + "code": "F", + "display": "Female" + }, + { + "code": "M", + "display": "Male" + } + ] + } + ] + } + }, + "request": { + "method": "PUT", + "url": "ValueSet/2.16.840.1.113762.1.4.1" + } + }, + { + "resource": { + "resourceType": "MeasureReport", + "id": "measurereport-numer-EXM104-FHIR3", + "contained": [ + { + "resourceType": "Bundle", + "id": "edc87d47-5804-4d85-8874-ee2d50e51c51", + "type": "collection", + "entry": [ + { + "fullUrl": "MedicationRequest/numer-EXM104-FHIR3-5", + "resource": { + "resourceType": "MedicationRequest", + "id": "numer-EXM104-FHIR3-5", + "meta": { + "versionId": "1", + "lastUpdated": "2019-12-18T22:42:17.748-07:00" + }, + "status": "completed", + "intent": "order", + "category": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", + "code": "discharge", + "display": "Discharge" + } + ] + }, + "medicationCodeableConcept": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1037045", + "display": "dabigatran etexilate 150 MG Oral Capsule" + } + ] + }, + "subject": { + "reference": "Patient/numer-EXM104-FHIR3" + }, + "authoredOn": "2019-12-19T08:00:00-07:00" + } + }, + { + "fullUrl": "Patient/numer-EXM104-FHIR3", + "resource": { + "resourceType": "Patient", + "id": "numer-EXM104-FHIR3", + "meta": { + "versionId": "1", + "lastUpdated": "2019-12-18T22:42:17.748-07:00", + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" + ] + }, + "text": { + "status": "generated", + "div": "
Louise JONES
Identifier9999999911
Date of birth21 November 1971
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