library TestPJM4a version '0.0.000'

using QICore version '4.1.1'

valueset "birth date": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.4'
valueset "Telephone Visits": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080'

parameter "Measurement Period" default Interval[@2022-01-01T00:00:00.0, @2023-01-01T00:00:00.0)

context Patient

define "Telehealth Services":
  [Encounter: "Telephone Visits"] TelehealthEncounter
    where TelehealthEncounter.period during "Measurement Period"
      and TelehealthEncounter.status = 'finished'

                    
/* add age to result output */
define "Age at start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period")

define "Initial Population":
  "Age at start of Measurement Period" in Interval[65, 74 )

            
define "Denominator":
  "Initial Population" and exists ("Telehealth Services")
  
define "Numerator 1":
  "Denominator" and Patient.gender = 'male'  
  
define "Numerator 2":
  "Denominator" and Patient.gender = 'female'
===

{
  "resourceType": "Bundle",
  "id": "3031",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2022-08-25T14:11:47.752+00:00"
  },
  "type": "collection",
  "entry": [ {
    "fullUrl": "http://clinfhir.com/fhir/Patient/numer-EXM190-IPCOnICUStart",
    "resource": {
      "resourceType": "Patient",
      "id": "numer-EXM104-AntithromboticTMeqIPAdmTM",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">numer-EXM104-AntithromboticTMeqIPAdmTM <b>NUMERPASS </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2a65a26f9f7578ed1148174b365eff5a</td></tr><tr><td>Date of birth</td><td><span>31 May 1990</span></td></tr></tbody></table></div>"
      },
      "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": "1002-5",
            "display": "American Indian or Alaska Native",
            "userSelected": true
          }
        }, {
          "url": "text",
          "valueString": "American Indian or Alaska Native"
        } ]
      }, {
        "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": "2135-2",
            "display": "Hispanic or Latino",
            "userSelected": true
          }
        }, {
          "url": "text",
          "valueString": "Hispanic or Latino"
        } ]
      } ],
      "identifier": [ {
        "type": {
          "coding": [ {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR"
          } ]
        },
        "value": "2a65a26f9f7578ed1148174b365eff5a"
      } ],
      "active": true,
      "name": [ {
        "use": "usual",
        "family": "NUMERPass",
        "given": [ "numer-EXM104-AntithromboticTMeqIPAdmTM" ]
      } ],
      "gender": "male",
      "birthDate": "1990-05-31"
    }
  }, {
    "fullUrl": "http://clinfhir.com/fhir/Condition/ischemic-stroke-7f36",
    "resource": {
      "resourceType": "Condition",
      "id": "ischemic-stroke-7f36",
      "code": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "version": "2020-09",
          "code": "111297002",
          "display": "Nonparalytic stroke (disorder)",
          "userSelected": true
        } ]
      },
      "subject": {
        "reference": "Patient/numer-EXM104-AntithromboticTMeqIPAdmTM"
      },
      "recordedDate": "2022-07-15T08:00:00.000+00:00"
    }
  }, {
    "fullUrl": "http://clinfhir.com/fhir/Location/numer-EXM104-AntithromboticTMeqIPAdmTM-medReq",
    "resource": {
      "resourceType": "MedicationRequest",
      "id": "numer-EXM104-AntithromboticTMeqIPAdmTM-MedReq",
      "status": "active",
      "intent": "order",
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "discharge",
          "display": "Discharge",
          "userSelected": true
        } ]
      } ],
      "subject": {
        "reference": "Patient/numer-EXM104-AntithromboticTMeqIPAdmTM"
      },
      "authoredOn": "2022-06-15T09:30:00.000+00:00"
    }
  }, {
    "fullUrl": "http://clinfhir.com/fhir/Encounter/numer-EXM104-AntithromboticTMeqIPAdmTM-610",
    "resource": {
      "resourceType": "Encounter",
      "id": "numer-EXM104-AntithromboticTMeqIPAdmTM-610",
      "status": "finished",
      "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter",
        "userSelected": true
      },
      "type": [ {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "32485007"
        } ]
      } ],
      "subject": {
        "reference": "Patient/numer-EXM104-AntithromboticTMeqIPAdmTM"
      },
      "period": {
        "start": "2022-06-15T09:30:00.000+00:00",
        "end": "2022-10-12T10:30:00.000+00:00"
      },
      "length": {
        "value": 119,
        "unit": "days"
      },
      "diagnosis": [ {
        "condition": {
          "reference": "Condition/ischemic-stroke-7f36"
        },
        "use": {
          "coding": [ {
            "system": "http://snomed.info/sct",
            "code": "111297002",
            "display": "Ischemic Stroke"
          } ]
        },
        "rank": 1
      } ]
    }
  } ]
}

==

{
  "resourceType": "Bundle",
  "id": "3085",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2022-08-26T16:50:25.428+00:00"
  },
  "type": "collection",
  "entry": [ {
    "fullUrl": "http://clinfhir.com/fhir/Patient/numer-EXM190-IPCOnICUStart",
    "resource": {
      "resourceType": "Patient",
      "id": "numer-EXM104-AntithromboticTMeqIPAdmTM",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">numer-EXM104-AntithromboticTMeqIPAdmTM <b>NUMERPASS </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2a65a26f9f7578ed1148174b365eff5a</td></tr><tr><td>Date of birth</td><td><span>31 May 1990</span></td></tr></tbody></table></div>"
      },
      "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": "1002-5",
            "display": "American Indian or Alaska Native",
            "userSelected": true
          }
        }, {
          "url": "text",
          "valueString": "American Indian or Alaska Native"
        } ]
      }, {
        "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": "2135-2",
            "display": "Hispanic or Latino",
            "userSelected": true
          }
        }, {
          "url": "text",
          "valueString": "Hispanic or Latino"
        } ]
      } ],
      "identifier": [ {
        "type": {
          "coding": [ {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR"
          } ]
        },
        "value": "2a65a26f9f7578ed1148174b365eff5a"
      } ],
      "active": true,
      "name": [ {
        "use": "usual",
        "family": "NUMERPass",
        "given": [ "numer-EXM104-AntithromboticTMeqIPAdmTM" ]
      } ],
      "gender": "male",
      "birthDate": "1990-05-31"
    }
  }, {
    "fullUrl": "http://clinfhir.com/fhir/Condition/ischemic-stroke-7f36",
    "resource": {
      "resourceType": "Condition",
      "id": "ischemic-stroke-7f36",
      "code": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "version": "2020-09",
          "code": "111297002",
          "display": "Nonparalytic stroke (disorder)",
          "userSelected": true
        } ]
      },
      "subject": {
        "reference": "Patient/numer-EXM104-AntithromboticTMeqIPAdmTM"
      },
      "recordedDate": "2022-07-15T08:00:00.000+00:00"
    }
  }, {
    "fullUrl": "http://clinfhir.com/fhir/Location/numer-EXM104-AntithromboticTMeqIPAdmTM-medReq",
    "resource": {
      "resourceType": "MedicationRequest",
      "id": "numer-EXM104-AntithromboticTMeqIPAdmTM-MedReq",
      "status": "active",
      "intent": "order",
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "discharge",
          "display": "Discharge",
          "userSelected": true
        } ]
      } ],
      "subject": {
        "reference": "Patient/numer-EXM104-AntithromboticTMeqIPAdmTM"
      },
      "authoredOn": "2022-06-15T09:30:00.000+00:00"
    }
  }, {
    "fullUrl": "http://clinfhir.com/fhir/Encounter/numer-EXM104-AntithromboticTMeqIPAdmTM-610",
    "resource": {
      "resourceType": "Encounter",
      "id": "numer-EXM104-AntithromboticTMeqIPAdmTM-610",
      "status": "finished",
      "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter",
        "userSelected": true
      },
      "type": [ {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "32485007"
        } ]
      } ],
      "subject": {
        "reference": "Patient/numer-EXM104-AntithromboticTMeqIPAdmTM"
      },
      "period": {
        "start": "2022-06-15T09:30:00.000+00:00",
        "end": "2022-10-12T10:30:00.000+00:00"
      },
      "length": {
        "value": 119,
        "unit": "days"
      },
      "diagnosis": [ {
        "condition": {
          "reference": "Condition/ischemic-stroke-7f36"
        },
        "use": {
          "coding": [ {
            "system": "http://snomed.info/sct",
            "code": "111297002",
            "display": "Ischemic Stroke"
          } ]
        },
        "rank": 1
      } ]
    }
  } ]
}