{ "calculate_sdes": null, "calculation_method": "PATIENT", "cms_id": "CMS137v7", "component": false, "component_hqmf_set_ids": [ ], "composite": false, "composite_hqmf_set_id": null, "cql_libraries": [ { "cql": "library InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment version '7.2.000'\r\n\r\nusing QDM version '5.3'\r\n\r\ninclude Hospice version '1.0.000' called Hospice\r\ninclude MATGlobalCommonFunctions version '2.0.000' called Global\r\n\r\nvalueset \"ONC Administrative Sex\": 'urn:oid:2.16.840.1.113762.1.4.1'\r\nvalueset \"Race\": 'urn:oid:2.16.840.1.114222.4.11.836'\r\nvalueset \"Ethnicity\": 'urn:oid:2.16.840.1.114222.4.11.837'\r\nvalueset \"Payer\": 'urn:oid:2.16.840.1.114222.4.11.3591'\r\nvalueset \"Alcohol and Drug Dependence\": 'urn:oid:2.16.840.1.113883.3.464.1003.106.12.1001'\r\nvalueset \"Alcohol and Drug Dependence Treatment\": 'urn:oid:2.16.840.1.113883.3.464.1003.106.12.1005'\r\nvalueset \"Detoxification Visit\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1059'\r\nvalueset \"Discharge Services - Hospital Inpatient\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1007'\r\nvalueset \"Discharge Services - Hospital Inpatient Same Day Discharge\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1006'\r\nvalueset \"Emergency Department Visit\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1010'\r\nvalueset \"Hospital Inpatient Visit - Initial\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1004'\r\nvalueset \"Hospital Observation Care - Initial\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1002'\r\nvalueset \"Office Visit\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1001'\r\nvalueset \"Psych Visit - Psychotherapy\": 'urn:oid:2.16.840.1.113883.3.526.3.1496'\r\n\r\nparameter \"Measurement Period\" Interval\r\n\r\ncontext Patient\r\n\r\ndefine \"SDE Ethnicity\":\r\n\t[\"Patient Characteristic Ethnicity\": \"Ethnicity\"]\r\n\r\ndefine \"SDE Payer\":\r\n\t[\"Patient Characteristic Payer\": \"Payer\"]\r\n\r\ndefine \"SDE Race\":\r\n\t[\"Patient Characteristic Race\": \"Race\"]\r\n\r\ndefine \"SDE Sex\":\r\n\t[\"Patient Characteristic Sex\": \"ONC Administrative Sex\"]\r\n\r\ndefine \"Denominator\":\r\n\t\"Initial Population\"\r\n\r\ndefine \"Numerator 2\":\r\n\t\"Has Continuation Of Treatments\"\r\n\r\ndefine \"Stratification 2\":\r\n\texists ( [\"Patient Characteristic Birthdate\"] BirthDate\r\n\t\t\twhere Global.\"CalendarAgeInYearsAt\"(BirthDate.birthDatetime, start of \"Measurement Period\")>= 18\r\n\t)\r\n\r\ndefine \"Qualifying Encounters\":\r\n\t( [\"Encounter, Performed\": \"Office Visit\"]\r\n\t\tunion [\"Encounter, Performed\": \"Emergency Department Visit\"]\r\n\t\tunion [\"Encounter, Performed\": \"Detoxification Visit\"]\r\n\t\tunion [\"Encounter, Performed\": \"Hospital Observation Care - Initial\"]\r\n\t\tunion [\"Encounter, Performed\": \"Hospital Inpatient Visit - Initial\"]\r\n\t\tunion [\"Encounter, Performed\": \"Discharge Services - Hospital Inpatient Same Day Discharge\"]\r\n\t\tunion [\"Encounter, Performed\": \"Discharge Services - Hospital Inpatient\"] ) ValidEncounters\r\n\t\twhere ValidEncounters.relevantPeriod during \"Measurement Period\"\r\n\r\ndefine \"First Dependence Diagnosis\":\r\n\tFirst([\"Diagnosis\": \"Alcohol and Drug Dependence\"] InitialDependenceDiagnosis\r\n\t\t\twith(\"Qualifying Encounters\")ValidEncounter\r\n\t\t\t\tsuch that InitialDependenceDiagnosis.prevalencePeriod starts during ValidEncounter.relevantPeriod\r\n\t\t\t\t\tand InitialDependenceDiagnosis.prevalencePeriod starts 319 days or less after start of \"Measurement Period\"\r\n\t\t\tsort by start of prevalencePeriod\r\n\t)\r\n\r\ndefine \"Treatment Initiation\":\r\n\t( ( [\"Encounter, Performed\": \"Alcohol and Drug Dependence Treatment\"]\r\n\t\t\tunion [\"Encounter, Performed\": \"Psych Visit - Psychotherapy\"] ) InitiatedTreatment\r\n\t\t\twith ( \"First Dependence Diagnosis\" ) FirstDiagnosed\r\n\t\t\t\tsuch that InitiatedTreatment.relevantPeriod starts 14 days or less after day of start of FirstDiagnosed.prevalencePeriod\r\n\t)\r\n\r\ndefine \"Stratification 1\":\r\n\texists ( [\"Patient Characteristic Birthdate\"] BirthDate\r\n\t\t\twhere Global.\"CalendarAgeInYearsAt\"(BirthDate.birthDatetime, start of \"Measurement Period\")>= 13\r\n\t\t\t\tand Global.\"CalendarAgeInYearsAt\"(BirthDate.birthDatetime, start of \"Measurement Period\")< 18\r\n\t)\r\n\r\ndefine \"Denominator Exclusions\":\r\n\tHospice.\"Has Hospice\"\r\n\t\tor exists \"Has Prior Dependence\"\r\n\r\ndefine \"Numerator\":\r\n\texists \"Treatment Initiation\"\r\n\r\ndefine \"Has Prior Dependence\":\r\n\t[\"Diagnosis\": \"Alcohol and Drug Dependence\"] PriorDependenceDiagnosis\r\n\t\twith ( \"First Dependence Diagnosis\" ) FirstDiagnosed\r\n\t\t\tsuch that PriorDependenceDiagnosis.prevalencePeriod starts 60 days or less before start of FirstDiagnosed.prevalencePeriod\r\n\r\ndefine \"Has Continuation Of Treatments\":\r\n\tCount(([\"Encounter, Performed\": \"Alcohol and Drug Dependence Treatment\"]\r\n\t\t\tunion [\"Encounter, Performed\": \"Psych Visit - Psychotherapy\"])ContinuedTreatment\r\n\t\t\twith(\"Treatment Initiation\")InitiatedTreatment\r\n\t\t\t\tsuch that ContinuedTreatment.relevantPeriod starts 30 days or less after start of InitiatedTreatment.relevantPeriod\r\n\t)>= 2\r\n\r\ndefine \"Initial Population\":\r\n\texists [\"Patient Characteristic Birthdate\"] BirthDate\r\n\t\twhere Global.\"CalendarAgeInYearsAt\"(BirthDate.birthDatetime, start of \"Measurement Period\")>= 13\r\n\t\t\tand \"First Dependence Diagnosis\" is not null\r\n", "elm": { "library": { "identifier": { "id": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "version": "7.2.000" }, "schemaIdentifier": { "id": "urn:hl7-org:elm", "version": "r1" }, "usings": { "def": [ { "localIdentifier": "System", "uri": "urn:hl7-org:elm-types:r1" }, { "localId": "1", "locator": "3:1-3:23", "localIdentifier": "QDM", "uri": "urn:healthit-gov:qdm:v5_3", "version": "5.3" } ] }, "includes": { "def": [ { "localId": "2", "locator": "5:1-5:48", "localIdentifier": "Hospice", "path": "Hospice", "version": "1.0.000" }, { "localId": "3", "locator": "7:1-7:64", "localIdentifier": "Global", "path": "MATGlobalCommonFunctions", "version": "2.0.000" } ] }, "parameters": { "def": [ { "localId": "20", "locator": "26:1-26:49", "name": "Measurement Period", "accessLevel": "Public", "parameterTypeSpecifier": { "localId": "19", "locator": "26:32-26:49", "type": "IntervalTypeSpecifier", "pointType": { "localId": "18", "locator": "26:41-26:48", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } } ] }, "valueSets": { "def": [ { "localId": "4", "locator": "10:1-10:68", "name": "ONC Administrative Sex", "id": "2.16.840.1.113762.1.4.1", "accessLevel": "Public" }, { "localId": "5", "locator": "11:1-11:53", "name": "Race", "id": "2.16.840.1.114222.4.11.836", "accessLevel": "Public" }, { "localId": "6", "locator": "12:1-12:58", "name": "Ethnicity", "id": "2.16.840.1.114222.4.11.837", "accessLevel": "Public" }, { "localId": "7", "locator": "13:1-13:55", "name": "Payer", "id": "2.16.840.1.114222.4.11.3591", "accessLevel": "Public" }, { "localId": "8", "locator": "14:1-14:90", "name": "Alcohol and Drug Dependence", "id": "2.16.840.1.113883.3.464.1003.106.12.1001", "accessLevel": "Public" }, { "localId": "9", "locator": "15:1-15:100", "name": "Alcohol and Drug Dependence Treatment", "id": "2.16.840.1.113883.3.464.1003.106.12.1005", "accessLevel": "Public" }, { "localId": "10", "locator": "16:1-16:83", "name": "Detoxification Visit", "id": "2.16.840.1.113883.3.464.1003.101.12.1059", "accessLevel": "Public" }, { "localId": "11", "locator": "17:1-17:102", "name": "Discharge Services - Hospital Inpatient", "id": "2.16.840.1.113883.3.464.1003.101.12.1007", "accessLevel": "Public" }, { "localId": "12", "locator": "18:1-18:121", "name": "Discharge Services - Hospital Inpatient Same Day Discharge", "id": "2.16.840.1.113883.3.464.1003.101.12.1006", "accessLevel": "Public" }, { "localId": "13", "locator": "19:1-19:89", "name": "Emergency Department Visit", "id": "2.16.840.1.113883.3.464.1003.101.12.1010", "accessLevel": "Public" }, { "localId": "14", "locator": "20:1-20:97", "name": "Hospital Inpatient Visit - Initial", "id": "2.16.840.1.113883.3.464.1003.101.12.1004", "accessLevel": "Public" }, { "localId": "15", "locator": "21:1-21:98", "name": "Hospital Observation Care - Initial", "id": "2.16.840.1.113883.3.464.1003.101.12.1002", "accessLevel": "Public" }, { "localId": "16", "locator": "22:1-22:75", "name": "Office Visit", "id": "2.16.840.1.113883.3.464.1003.101.12.1001", "accessLevel": "Public" }, { "localId": "17", "locator": "23:1-23:80", "name": "Psych Visit - Psychotherapy", "id": "2.16.840.1.113883.3.526.3.1496", "accessLevel": "Public" } ] }, "statements": { "def": [ { "locator": "28:1-28:15", "name": "Patient", "context": "Patient", "expression": { "type": "SingletonFrom", "operand": { "locator": "28:1-28:15", "dataType": "{urn:healthit-gov:qdm:v5_3}Patient", "templateId": "Patient", "type": "Retrieve" } } }, { "localId": "22", "locator": "30:1-31:50", "name": "SDE Ethnicity", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "22", "s": [ { "value": [ "define ", "\"SDE Ethnicity\"", ":\n\t" ] }, { "r": "21", "s": [ { "value": [ "[", "\"Patient Characteristic Ethnicity\"", ": " ] }, { "s": [ { "value": [ "\"Ethnicity\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "21", "locator": "31:2-31:50", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicEthnicity", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Ethnicity", "type": "ValueSetRef" } } }, { "localId": "24", "locator": "33:1-34:42", "name": "SDE Payer", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "24", "s": [ { "value": [ "define ", "\"SDE Payer\"", ":\n\t" ] }, { "r": "23", "s": [ { "value": [ "[", "\"Patient Characteristic Payer\"", ": " ] }, { "s": [ { "value": [ "\"Payer\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "23", "locator": "34:2-34:42", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicPayer", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Payer", "type": "ValueSetRef" } } }, { "localId": "26", "locator": "36:1-37:40", "name": "SDE Race", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "26", "s": [ { "value": [ "define ", "\"SDE Race\"", ":\n\t" ] }, { "r": "25", "s": [ { "value": [ "[", "\"Patient Characteristic Race\"", ": " ] }, { "s": [ { "value": [ "\"Race\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "25", "locator": "37:2-37:40", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicRace", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Race", "type": "ValueSetRef" } } }, { "localId": "28", "locator": "39:1-40:57", "name": "SDE Sex", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "28", "s": [ { "value": [ "define ", "\"SDE Sex\"", ":\n\t" ] }, { "r": "27", "s": [ { "value": [ "[", "\"Patient Characteristic Sex\"", ": " ] }, { "s": [ { "value": [ "\"ONC Administrative Sex\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "27", "locator": "40:2-40:57", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicSex", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "ONC Administrative Sex", "type": "ValueSetRef" } } }, { "localId": "60", "locator": "53:1-61:66", "name": "Qualifying Encounters", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "60", "s": [ { "value": [ "define ", "\"Qualifying Encounters\"", ":\n\t" ] }, { "r": "59", "s": [ { "s": [ { "r": "54", "s": [ { "r": "53", "s": [ { "value": [ "( " ] }, { "r": "53", "s": [ { "r": "51", "s": [ { "r": "49", "s": [ { "r": "47", "s": [ { "r": "45", "s": [ { "r": "43", "s": [ { "r": "41", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Office Visit\"" ] } ] }, { "value": [ "]" ] } ] }, { "value": [ "\n\t\tunion " ] }, { "r": "42", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Emergency Department Visit\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ "\n\t\tunion " ] }, { "r": "44", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Detoxification Visit\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ "\n\t\tunion " ] }, { "r": "46", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Hospital Observation Care - Initial\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ "\n\t\tunion " ] }, { "r": "48", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Hospital Inpatient Visit - Initial\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ "\n\t\tunion " ] }, { "r": "50", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Discharge Services - Hospital Inpatient Same Day Discharge\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ "\n\t\tunion " ] }, { "r": "52", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Discharge Services - Hospital Inpatient\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " )" ] } ] }, { "value": [ " ", "ValidEncounters" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "58", "s": [ { "value": [ "where " ] }, { "r": "58", "s": [ { "r": "56", "s": [ { "r": "55", "s": [ { "value": [ "ValidEncounters" ] } ] }, { "value": [ "." ] }, { "r": "56", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " ", "during", " " ] }, { "r": "57", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "59", "locator": "54:2-61:66", "type": "Query", "source": [ { "localId": "54", "locator": "54:2-60:93", "alias": "ValidEncounters", "expression": { "localId": "53", "locator": "54:2-60:77", "type": "Union", "operand": [ { "localId": "51", "locator": "54:4-59:94", "type": "Union", "operand": [ { "localId": "49", "locator": "54:4-58:70", "type": "Union", "operand": [ { "localId": "47", "locator": "54:4-57:71", "type": "Union", "operand": [ { "localId": "45", "locator": "54:4-56:56", "type": "Union", "operand": [ { "localId": "43", "locator": "54:4-55:62", "type": "Union", "operand": [ { "localId": "41", "locator": "54:4-54:43", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Office Visit", "type": "ValueSetRef" } }, { "localId": "42", "locator": "55:9-55:62", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Emergency Department Visit", "type": "ValueSetRef" } } ] }, { "localId": "44", "locator": "56:9-56:56", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Detoxification Visit", "type": "ValueSetRef" } } ] }, { "localId": "46", "locator": "57:9-57:71", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Hospital Observation Care - Initial", "type": "ValueSetRef" } } ] }, { "localId": "48", "locator": "58:9-58:70", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Hospital Inpatient Visit - Initial", "type": "ValueSetRef" } } ] }, { "localId": "50", "locator": "59:9-59:94", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Discharge Services - Hospital Inpatient Same Day Discharge", "type": "ValueSetRef" } } ] }, { "localId": "52", "locator": "60:9-60:75", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Discharge Services - Hospital Inpatient", "type": "ValueSetRef" } } ] } } ], "relationship": [ ], "where": { "localId": "58", "locator": "61:3-61:66", "type": "IncludedIn", "operand": [ { "localId": "56", "locator": "61:9-61:38", "path": "relevantPeriod", "scope": "ValidEncounters", "type": "Property" }, { "localId": "57", "locator": "61:47-61:66", "name": "Measurement Period", "type": "ParameterRef" } ] } } }, { "localId": "82", "locator": "63:1-69:2", "name": "First Dependence Diagnosis", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "82", "s": [ { "value": [ "define ", "\"First Dependence Diagnosis\"", ":\n\t" ] }, { "r": "81", "s": [ { "value": [ "First", "(" ] }, { "r": "80", "s": [ { "s": [ { "r": "40", "s": [ { "r": "39", "s": [ { "r": "39", "s": [ { "value": [ "[", "\"Diagnosis\"", ": " ] }, { "s": [ { "value": [ "\"Alcohol and Drug Dependence\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "InitialDependenceDiagnosis" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "75", "s": [ { "value": [ "with" ] }, { "r": "62", "s": [ { "r": "61", "s": [ { "value": [ "(" ] }, { "r": "61", "s": [ { "value": [ "\"Qualifying Encounters\"" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "ValidEncounter" ] } ] }, { "value": [ "\n\t\t\t\tsuch that " ] }, { "r": "74", "s": [ { "r": "67", "s": [ { "r": "64", "s": [ { "r": "63", "s": [ { "value": [ "InitialDependenceDiagnosis" ] } ] }, { "value": [ "." ] }, { "r": "64", "s": [ { "value": [ "prevalencePeriod" ] } ] } ] }, { "value": [ " ", "starts during", " " ] }, { "r": "66", "s": [ { "r": "65", "s": [ { "value": [ "ValidEncounter" ] } ] }, { "value": [ "." ] }, { "r": "66", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] }, { "value": [ "\n\t\t\t\t\tand " ] }, { "r": "73", "s": [ { "r": "69", "s": [ { "r": "68", "s": [ { "value": [ "InitialDependenceDiagnosis" ] } ] }, { "value": [ "." ] }, { "r": "69", "s": [ { "value": [ "prevalencePeriod" ] } ] } ] }, { "value": [ " " ] }, { "r": "73", "s": [ { "value": [ "starts " ] }, { "r": "72", "s": [ { "value": [ "319 ", "days" ] } ] }, { "value": [ " or less after" ] } ] }, { "value": [ " " ] }, { "r": "71", "s": [ { "value": [ "start of " ] }, { "r": "70", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "79", "s": [ { "value": [ "sort by " ] }, { "r": "78", "s": [ { "r": "77", "s": [ { "value": [ "start of " ] }, { "r": "76", "s": [ { "value": [ "prevalencePeriod" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] } } ], "expression": { "localId": "81", "locator": "64:2-69:2", "type": "First", "source": { "localId": "80", "locator": "64:8-68:36", "type": "Query", "source": [ { "localId": "40", "locator": "64:8-64:78", "alias": "InitialDependenceDiagnosis", "expression": { "localId": "39", "locator": "64:8-64:51", "dataType": "{urn:healthit-gov:qdm:v5_3}Diagnosis", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Alcohol and Drug Dependence", "type": "ValueSetRef" } } } ], "relationship": [ { "localId": "75", "locator": "65:4-67:112", "alias": "ValidEncounter", "type": "With", "expression": { "localId": "61", "locator": "65:8-65:32", "name": "Qualifying Encounters", "type": "ExpressionRef" }, "suchThat": { "localId": "74", "locator": "66:15-67:112", "type": "And", "operand": [ { "localId": "67", "locator": "66:15-66:101", "type": "In", "operand": [ { "locator": "66:59-66:64", "type": "Start", "operand": { "localId": "64", "locator": "66:15-66:57", "path": "prevalencePeriod", "scope": "InitialDependenceDiagnosis", "type": "Property" } }, { "localId": "66", "locator": "66:73-66:101", "path": "relevantPeriod", "scope": "ValidEncounter", "type": "Property" } ] }, { "localId": "73", "locator": "67:10-67:112", "type": "In", "operand": [ { "locator": "67:54-67:59", "type": "Start", "operand": { "localId": "69", "locator": "67:10-67:52", "path": "prevalencePeriod", "scope": "InitialDependenceDiagnosis", "type": "Property" } }, { "locator": "67:61-67:76", "lowClosed": false, "highClosed": true, "type": "Interval", "low": { "localId": "71", "locator": "67:84-67:112", "type": "Start", "operand": { "localId": "70", "locator": "67:93-67:112", "name": "Measurement Period", "type": "ParameterRef" } }, "high": { "locator": "67:84-67:112", "type": "Add", "operand": [ { "localId": "71", "locator": "67:84-67:112", "type": "Start", "operand": { "localId": "70", "locator": "67:93-67:112", "name": "Measurement Period", "type": "ParameterRef" } }, { "localId": "72", "locator": "67:61-67:68", "value": 319, "unit": "days", "type": "Quantity" } ] } } ] } ] } } ], "sort": { "localId": "79", "locator": "68:4-68:36", "by": [ { "localId": "78", "locator": "68:12-68:36", "direction": "asc", "type": "ByExpression", "expression": { "localId": "77", "locator": "68:12-68:36", "type": "Start", "operand": { "localId": "76", "locator": "68:21-68:36", "name": "prevalencePeriod", "type": "IdentifierRef" } } } ] } } } }, { "localId": "88", "locator": "103:1-106:47", "name": "Initial Population", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "88", "s": [ { "value": [ "define ", "\"Initial Population\"", ":\n\t" ] }, { "r": "87", "s": [ { "value": [ "exists " ] }, { "r": "86", "s": [ { "s": [ { "r": "30", "s": [ { "r": "29", "s": [ { "r": "29", "s": [ { "value": [ "[", "\"Patient Characteristic Birthdate\"", "]" ] } ] } ] }, { "value": [ " ", "BirthDate" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "85", "s": [ { "value": [ "where " ] }, { "r": "85", "s": [ { "r": "38", "s": [ { "r": "36", "s": [ { "r": "31", "s": [ { "value": [ "Global" ] } ] }, { "value": [ "." ] }, { "r": "36", "s": [ { "value": [ "\"CalendarAgeInYearsAt\"", "(" ] }, { "r": "33", "s": [ { "r": "32", "s": [ { "value": [ "BirthDate" ] } ] }, { "value": [ "." ] }, { "r": "33", "s": [ { "value": [ "birthDatetime" ] } ] } ] }, { "value": [ ", " ] }, { "r": "35", "s": [ { "value": [ "start of " ] }, { "r": "34", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] }, { "value": [ ")" ] } ] } ] }, { "value": [ ">=", " ", "13" ] } ] }, { "value": [ "\n\t\t\tand " ] }, { "r": "84", "s": [ { "r": "83", "s": [ { "value": [ "\"First Dependence Diagnosis\"" ] } ] }, { "value": [ " is not null" ] } ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "87", "locator": "104:2-106:47", "type": "Exists", "operand": { "localId": "86", "locator": "104:9-106:47", "type": "Query", "source": [ { "localId": "30", "locator": "104:9-104:54", "alias": "BirthDate", "expression": { "localId": "29", "locator": "104:9-104:44", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicBirthdate", "type": "Retrieve" } } ], "relationship": [ ], "where": { "localId": "85", "locator": "105:3-106:47", "type": "And", "operand": [ { "localId": "38", "locator": "105:9-105:98", "type": "GreaterOrEqual", "operand": [ { "localId": "36", "locator": "105:9-105:93", "name": "CalendarAgeInYearsAt", "libraryName": "Global", "type": "FunctionRef", "operand": [ { "localId": "33", "locator": "105:39-105:61", "path": "birthDatetime", "scope": "BirthDate", "type": "Property" }, { "localId": "35", "locator": "105:64-105:92", "type": "Start", "operand": { "localId": "34", "locator": "105:73-105:92", "name": "Measurement Period", "type": "ParameterRef" } } ] }, { "localId": "37", "locator": "105:97-105:98", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "13", "type": "Literal" } ] }, { "localId": "84", "locator": "106:8-106:47", "type": "Not", "operand": { "locator": "106:8-106:47", "type": "IsNull", "operand": { "localId": "83", "locator": "106:8-106:35", "name": "First Dependence Diagnosis", "type": "ExpressionRef" } } } ] } } } }, { "localId": "90", "locator": "42:1-43:21", "name": "Denominator", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "90", "s": [ { "value": [ "define ", "\"Denominator\"", ":\n\t" ] }, { "r": "89", "s": [ { "value": [ "\"Initial Population\"" ] } ] } ] } } ], "expression": { "localId": "89", "locator": "43:2-43:21", "name": "Initial Population", "type": "ExpressionRef" } }, { "localId": "110", "locator": "71:1-76:2", "name": "Treatment Initiation", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "110", "s": [ { "value": [ "define ", "\"Treatment Initiation\"", ":\n\t" ] }, { "r": "109", "s": [ { "value": [ "( " ] }, { "r": "109", "s": [ { "s": [ { "r": "98", "s": [ { "r": "97", "s": [ { "value": [ "( " ] }, { "r": "97", "s": [ { "r": "95", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Alcohol and Drug Dependence Treatment\"" ] } ] }, { "value": [ "]" ] } ] }, { "value": [ "\n\t\t\tunion " ] }, { "r": "96", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Psych Visit - Psychotherapy\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " )" ] } ] }, { "value": [ " ", "InitiatedTreatment" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "108", "s": [ { "value": [ "with " ] }, { "r": "100", "s": [ { "r": "99", "s": [ { "value": [ "( " ] }, { "r": "99", "s": [ { "value": [ "\"First Dependence Diagnosis\"" ] } ] }, { "value": [ " )" ] } ] }, { "value": [ " ", "FirstDiagnosed" ] } ] }, { "value": [ "\n\t\t\t\tsuch that " ] }, { "r": "107", "s": [ { "r": "102", "s": [ { "r": "101", "s": [ { "value": [ "InitiatedTreatment" ] } ] }, { "value": [ "." ] }, { "r": "102", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " " ] }, { "r": "107", "s": [ { "value": [ "starts " ] }, { "r": "106", "s": [ { "value": [ "14 ", "days" ] } ] }, { "value": [ " or less after day of" ] } ] }, { "value": [ " " ] }, { "r": "105", "s": [ { "value": [ "start of " ] }, { "r": "104", "s": [ { "r": "103", "s": [ { "value": [ "FirstDiagnosed" ] } ] }, { "value": [ "." ] }, { "r": "104", "s": [ { "value": [ "prevalencePeriod" ] } ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] } } ], "expression": { "localId": "109", "locator": "72:2-76:2", "type": "Query", "source": [ { "localId": "98", "locator": "72:4-73:85", "alias": "InitiatedTreatment", "expression": { "localId": "97", "locator": "72:4-73:66", "type": "Union", "operand": [ { "localId": "95", "locator": "72:6-72:70", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Alcohol and Drug Dependence Treatment", "type": "ValueSetRef" } }, { "localId": "96", "locator": "73:10-73:64", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Psych Visit - Psychotherapy", "type": "ValueSetRef" } } ] } } ], "relationship": [ { "localId": "108", "locator": "74:4-75:124", "alias": "FirstDiagnosed", "type": "With", "expression": { "localId": "99", "locator": "74:9-74:40", "name": "First Dependence Diagnosis", "type": "ExpressionRef" }, "suchThat": { "localId": "107", "locator": "75:15-75:124", "precision": "Day", "type": "In", "operand": [ { "locator": "75:49-75:54", "type": "Start", "operand": { "localId": "102", "locator": "75:15-75:47", "path": "relevantPeriod", "scope": "InitiatedTreatment", "type": "Property" } }, { "locator": "75:56-75:70", "lowClosed": false, "highClosed": true, "type": "Interval", "low": { "localId": "105", "locator": "75:85-75:124", "type": "Start", "operand": { "localId": "104", "locator": "75:94-75:124", "path": "prevalencePeriod", "scope": "FirstDiagnosed", "type": "Property" } }, "high": { "locator": "75:85-75:124", "type": "Add", "operand": [ { "localId": "105", "locator": "75:85-75:124", "type": "Start", "operand": { "localId": "104", "locator": "75:94-75:124", "path": "prevalencePeriod", "scope": "FirstDiagnosed", "type": "Property" } }, { "localId": "106", "locator": "75:56-75:62", "value": 14, "unit": "days", "type": "Quantity" } ] } } ] } } ] } }, { "localId": "125", "locator": "96:1-101:6", "name": "Has Continuation Of Treatments", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "125", "s": [ { "value": [ "define ", "\"Has Continuation Of Treatments\"", ":\n\t" ] }, { "r": "124", "s": [ { "r": "122", "s": [ { "value": [ "Count", "(" ] }, { "r": "121", "s": [ { "s": [ { "r": "94", "s": [ { "r": "93", "s": [ { "value": [ "(" ] }, { "r": "93", "s": [ { "r": "91", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Alcohol and Drug Dependence Treatment\"" ] } ] }, { "value": [ "]" ] } ] }, { "value": [ "\n\t\t\tunion " ] }, { "r": "92", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Psych Visit - Psychotherapy\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "ContinuedTreatment" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "120", "s": [ { "value": [ "with" ] }, { "r": "112", "s": [ { "r": "111", "s": [ { "value": [ "(" ] }, { "r": "111", "s": [ { "value": [ "\"Treatment Initiation\"" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "InitiatedTreatment" ] } ] }, { "value": [ "\n\t\t\t\tsuch that " ] }, { "r": "119", "s": [ { "r": "114", "s": [ { "r": "113", "s": [ { "value": [ "ContinuedTreatment" ] } ] }, { "value": [ "." ] }, { "r": "114", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " " ] }, { "r": "119", "s": [ { "value": [ "starts " ] }, { "r": "118", "s": [ { "value": [ "30 ", "days" ] } ] }, { "value": [ " or less after" ] } ] }, { "value": [ " " ] }, { "r": "117", "s": [ { "value": [ "start of " ] }, { "r": "116", "s": [ { "r": "115", "s": [ { "value": [ "InitiatedTreatment" ] } ] }, { "value": [ "." ] }, { "r": "116", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] }, { "value": [ ">=", " ", "2" ] } ] } ] } } ], "expression": { "localId": "124", "locator": "97:2-101:6", "type": "GreaterOrEqual", "operand": [ { "localId": "122", "locator": "97:2-101:2", "type": "Count", "source": { "localId": "121", "locator": "97:8-100:119", "type": "Query", "source": [ { "localId": "94", "locator": "97:8-98:83", "alias": "ContinuedTreatment", "expression": { "localId": "93", "locator": "97:8-98:65", "type": "Union", "operand": [ { "localId": "91", "locator": "97:9-97:73", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Alcohol and Drug Dependence Treatment", "type": "ValueSetRef" } }, { "localId": "92", "locator": "98:10-98:64", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Psych Visit - Psychotherapy", "type": "ValueSetRef" } } ] } } ], "relationship": [ { "localId": "120", "locator": "99:4-100:119", "alias": "InitiatedTreatment", "type": "With", "expression": { "localId": "111", "locator": "99:8-99:31", "name": "Treatment Initiation", "type": "ExpressionRef" }, "suchThat": { "localId": "119", "locator": "100:15-100:119", "type": "In", "operand": [ { "locator": "100:49-100:54", "type": "Start", "operand": { "localId": "114", "locator": "100:15-100:47", "path": "relevantPeriod", "scope": "ContinuedTreatment", "type": "Property" } }, { "locator": "100:56-100:70", "lowClosed": false, "highClosed": true, "type": "Interval", "low": { "localId": "117", "locator": "100:78-100:119", "type": "Start", "operand": { "localId": "116", "locator": "100:87-100:119", "path": "relevantPeriod", "scope": "InitiatedTreatment", "type": "Property" } }, "high": { "locator": "100:78-100:119", "type": "Add", "operand": [ { "localId": "117", "locator": "100:78-100:119", "type": "Start", "operand": { "localId": "116", "locator": "100:87-100:119", "path": "relevantPeriod", "scope": "InitiatedTreatment", "type": "Property" } }, { "localId": "118", "locator": "100:56-100:62", "value": 30, "unit": "days", "type": "Quantity" } ] } } ] } } ] } }, { "localId": "123", "locator": "101:6", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "2", "type": "Literal" } ] } }, { "localId": "127", "locator": "45:1-46:33", "name": "Numerator 2", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "127", "s": [ { "value": [ "define ", "\"Numerator 2\"", ":\n\t" ] }, { "r": "126", "s": [ { "value": [ "\"Has Continuation Of Treatments\"" ] } ] } ] } } ], "expression": { "localId": "126", "locator": "46:2-46:33", "name": "Has Continuation Of Treatments", "type": "ExpressionRef" } }, { "localId": "140", "locator": "48:1-51:2", "name": "Stratification 2", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "140", "s": [ { "value": [ "define ", "\"Stratification 2\"", ":\n\t" ] }, { "r": "139", "s": [ { "value": [ "exists " ] }, { "r": "138", "s": [ { "value": [ "( " ] }, { "r": "138", "s": [ { "s": [ { "r": "129", "s": [ { "r": "128", "s": [ { "r": "128", "s": [ { "value": [ "[", "\"Patient Characteristic Birthdate\"", "]" ] } ] } ] }, { "value": [ " ", "BirthDate" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "137", "s": [ { "value": [ "where " ] }, { "r": "137", "s": [ { "r": "135", "s": [ { "r": "130", "s": [ { "value": [ "Global" ] } ] }, { "value": [ "." ] }, { "r": "135", "s": [ { "value": [ "\"CalendarAgeInYearsAt\"", "(" ] }, { "r": "132", "s": [ { "r": "131", "s": [ { "value": [ "BirthDate" ] } ] }, { "value": [ "." ] }, { "r": "132", "s": [ { "value": [ "birthDatetime" ] } ] } ] }, { "value": [ ", " ] }, { "r": "134", "s": [ { "value": [ "start of " ] }, { "r": "133", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] }, { "value": [ ")" ] } ] } ] }, { "value": [ ">=", " ", "18" ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] } ] } } ], "expression": { "localId": "139", "locator": "49:2-51:2", "type": "Exists", "operand": { "localId": "138", "locator": "49:9-51:2", "type": "Query", "source": [ { "localId": "129", "locator": "49:11-49:56", "alias": "BirthDate", "expression": { "localId": "128", "locator": "49:11-49:46", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicBirthdate", "type": "Retrieve" } } ], "relationship": [ ], "where": { "localId": "137", "locator": "50:4-50:99", "type": "GreaterOrEqual", "operand": [ { "localId": "135", "locator": "50:10-50:94", "name": "CalendarAgeInYearsAt", "libraryName": "Global", "type": "FunctionRef", "operand": [ { "localId": "132", "locator": "50:40-50:62", "path": "birthDatetime", "scope": "BirthDate", "type": "Property" }, { "localId": "134", "locator": "50:65-50:93", "type": "Start", "operand": { "localId": "133", "locator": "50:74-50:93", "name": "Measurement Period", "type": "ParameterRef" } } ] }, { "localId": "136", "locator": "50:98-50:99", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "18", "type": "Literal" } ] } } } }, { "localId": "162", "locator": "78:1-82:2", "name": "Stratification 1", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "162", "s": [ { "value": [ "define ", "\"Stratification 1\"", ":\n\t" ] }, { "r": "161", "s": [ { "value": [ "exists " ] }, { "r": "160", "s": [ { "value": [ "( " ] }, { "r": "160", "s": [ { "s": [ { "r": "142", "s": [ { "r": "141", "s": [ { "r": "141", "s": [ { "value": [ "[", "\"Patient Characteristic Birthdate\"", "]" ] } ] } ] }, { "value": [ " ", "BirthDate" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "159", "s": [ { "value": [ "where " ] }, { "r": "159", "s": [ { "r": "150", "s": [ { "r": "148", "s": [ { "r": "143", "s": [ { "value": [ "Global" ] } ] }, { "value": [ "." ] }, { "r": "148", "s": [ { "value": [ "\"CalendarAgeInYearsAt\"", "(" ] }, { "r": "145", "s": [ { "r": "144", "s": [ { "value": [ "BirthDate" ] } ] }, { "value": [ "." ] }, { "r": "145", "s": [ { "value": [ "birthDatetime" ] } ] } ] }, { "value": [ ", " ] }, { "r": "147", "s": [ { "value": [ "start of " ] }, { "r": "146", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] }, { "value": [ ")" ] } ] } ] }, { "value": [ ">=", " ", "13" ] } ] }, { "value": [ "\n\t\t\t\tand " ] }, { "r": "158", "s": [ { "r": "156", "s": [ { "r": "151", "s": [ { "value": [ "Global" ] } ] }, { "value": [ "." ] }, { "r": "156", "s": [ { "value": [ "\"CalendarAgeInYearsAt\"", "(" ] }, { "r": "153", "s": [ { "r": "152", "s": [ { "value": [ "BirthDate" ] } ] }, { "value": [ "." ] }, { "r": "153", "s": [ { "value": [ "birthDatetime" ] } ] } ] }, { "value": [ ", " ] }, { "r": "155", "s": [ { "value": [ "start of " ] }, { "r": "154", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] }, { "value": [ ")" ] } ] } ] }, { "value": [ "<", " ", "18" ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] } ] } } ], "expression": { "localId": "161", "locator": "79:2-82:2", "type": "Exists", "operand": { "localId": "160", "locator": "79:9-82:2", "type": "Query", "source": [ { "localId": "142", "locator": "79:11-79:56", "alias": "BirthDate", "expression": { "localId": "141", "locator": "79:11-79:46", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicBirthdate", "type": "Retrieve" } } ], "relationship": [ ], "where": { "localId": "159", "locator": "80:4-81:97", "type": "And", "operand": [ { "localId": "150", "locator": "80:10-80:99", "type": "GreaterOrEqual", "operand": [ { "localId": "148", "locator": "80:10-80:94", "name": "CalendarAgeInYearsAt", "libraryName": "Global", "type": "FunctionRef", "operand": [ { "localId": "145", "locator": "80:40-80:62", "path": "birthDatetime", "scope": "BirthDate", "type": "Property" }, { "localId": "147", "locator": "80:65-80:93", "type": "Start", "operand": { "localId": "146", "locator": "80:74-80:93", "name": "Measurement Period", "type": "ParameterRef" } } ] }, { "localId": "149", "locator": "80:98-80:99", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "13", "type": "Literal" } ] }, { "localId": "158", "locator": "81:9-81:97", "type": "Less", "operand": [ { "localId": "156", "locator": "81:9-81:93", "name": "CalendarAgeInYearsAt", "libraryName": "Global", "type": "FunctionRef", "operand": [ { "localId": "153", "locator": "81:39-81:61", "path": "birthDatetime", "scope": "BirthDate", "type": "Property" }, { "localId": "155", "locator": "81:64-81:92", "type": "Start", "operand": { "localId": "154", "locator": "81:73-81:92", "name": "Measurement Period", "type": "ParameterRef" } } ] }, { "localId": "157", "locator": "81:96-81:97", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "18", "type": "Literal" } ] } ] } } } }, { "localId": "178", "locator": "91:1-94:125", "name": "Has Prior Dependence", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "178", "s": [ { "value": [ "define ", "\"Has Prior Dependence\"", ":\n\t" ] }, { "r": "177", "s": [ { "s": [ { "r": "166", "s": [ { "r": "165", "s": [ { "r": "165", "s": [ { "value": [ "[", "\"Diagnosis\"", ": " ] }, { "s": [ { "value": [ "\"Alcohol and Drug Dependence\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "PriorDependenceDiagnosis" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "176", "s": [ { "value": [ "with " ] }, { "r": "168", "s": [ { "r": "167", "s": [ { "value": [ "( " ] }, { "r": "167", "s": [ { "value": [ "\"First Dependence Diagnosis\"" ] } ] }, { "value": [ " )" ] } ] }, { "value": [ " ", "FirstDiagnosed" ] } ] }, { "value": [ "\n\t\t\tsuch that " ] }, { "r": "175", "s": [ { "r": "170", "s": [ { "r": "169", "s": [ { "value": [ "PriorDependenceDiagnosis" ] } ] }, { "value": [ "." ] }, { "r": "170", "s": [ { "value": [ "prevalencePeriod" ] } ] } ] }, { "value": [ " " ] }, { "r": "175", "s": [ { "value": [ "starts " ] }, { "r": "174", "s": [ { "value": [ "60 ", "days" ] } ] }, { "value": [ " or less before" ] } ] }, { "value": [ " " ] }, { "r": "173", "s": [ { "value": [ "start of " ] }, { "r": "172", "s": [ { "r": "171", "s": [ { "value": [ "FirstDiagnosed" ] } ] }, { "value": [ "." ] }, { "r": "172", "s": [ { "value": [ "prevalencePeriod" ] } ] } ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "177", "locator": "92:2-94:125", "type": "Query", "source": [ { "localId": "166", "locator": "92:2-92:70", "alias": "PriorDependenceDiagnosis", "expression": { "localId": "165", "locator": "92:2-92:45", "dataType": "{urn:healthit-gov:qdm:v5_3}Diagnosis", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Alcohol and Drug Dependence", "type": "ValueSetRef" } } } ], "relationship": [ { "localId": "176", "locator": "93:3-94:125", "alias": "FirstDiagnosed", "type": "With", "expression": { "localId": "167", "locator": "93:8-93:39", "name": "First Dependence Diagnosis", "type": "ExpressionRef" }, "suchThat": { "localId": "175", "locator": "94:14-94:125", "type": "In", "operand": [ { "locator": "94:56-94:61", "type": "Start", "operand": { "localId": "170", "locator": "94:14-94:54", "path": "prevalencePeriod", "scope": "PriorDependenceDiagnosis", "type": "Property" } }, { "locator": "94:63-94:77", "lowClosed": true, "highClosed": false, "type": "Interval", "low": { "locator": "94:86-94:125", "type": "Subtract", "operand": [ { "localId": "173", "locator": "94:86-94:125", "type": "Start", "operand": { "localId": "172", "locator": "94:95-94:125", "path": "prevalencePeriod", "scope": "FirstDiagnosed", "type": "Property" } }, { "localId": "174", "locator": "94:63-94:69", "value": 60, "unit": "days", "type": "Quantity" } ] }, "high": { "localId": "173", "locator": "94:86-94:125", "type": "Start", "operand": { "localId": "172", "locator": "94:95-94:125", "path": "prevalencePeriod", "scope": "FirstDiagnosed", "type": "Property" } } } ] } } ] } }, { "localId": "182", "locator": "84:1-86:34", "name": "Denominator Exclusions", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "182", "s": [ { "value": [ "define ", "\"Denominator Exclusions\"", ":\n\t" ] }, { "r": "181", "s": [ { "r": "164", "s": [ { "r": "163", "s": [ { "value": [ "Hospice" ] } ] }, { "value": [ "." ] }, { "r": "164", "s": [ { "value": [ "\"Has Hospice\"" ] } ] } ] }, { "value": [ "\n\t\tor " ] }, { "r": "180", "s": [ { "value": [ "exists " ] }, { "r": "179", "s": [ { "value": [ "\"Has Prior Dependence\"" ] } ] } ] } ] } ] } } ], "expression": { "localId": "181", "locator": "85:2-86:34", "type": "Or", "operand": [ { "localId": "164", "locator": "85:2-85:22", "name": "Has Hospice", "libraryName": "Hospice", "type": "ExpressionRef" }, { "localId": "180", "locator": "86:6-86:34", "type": "Exists", "operand": { "localId": "179", "locator": "86:13-86:34", "name": "Has Prior Dependence", "type": "ExpressionRef" } } ] } }, { "localId": "185", "locator": "88:1-89:30", "name": "Numerator", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "185", "s": [ { "value": [ "define ", "\"Numerator\"", ":\n\t" ] }, { "r": "184", "s": [ { "value": [ "exists " ] }, { "r": "183", "s": [ { "value": [ "\"Treatment Initiation\"" ] } ] } ] } ] } } ], "expression": { "localId": "184", "locator": "89:2-89:30", "type": "Exists", "operand": { "localId": "183", "locator": "89:9-89:30", "name": "Treatment Initiation", "type": "ExpressionRef" } } } ] } } }, "elm_annotations": { "statements": [ { "children": [ { "children": [ { "children": [ { "text": "define \"SDE Ethnicity\":\n " } ] }, { "children": [ { "children": [ { "text": "[\"Patient Characteristic Ethnicity\": " } ] }, { "children": [ { "children": [ { "text": "\"Ethnicity\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "21" } ], "ref_id": "22" } ], "define_name": "SDE Ethnicity" }, { "children": [ { "children": [ { "children": [ { "text": "define \"SDE Payer\":\n " } ] }, { "children": [ { "children": [ { "text": "[\"Patient Characteristic Payer\": " } ] }, { "children": [ { "children": [ { "text": "\"Payer\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "23" } ], "ref_id": "24" } ], "define_name": "SDE Payer" }, { "children": [ { "children": [ { "children": [ { "text": "define \"SDE Race\":\n " } ] }, { "children": [ { "children": [ { "text": "[\"Patient Characteristic Race\": " } ] }, { "children": [ { "children": [ { "text": "\"Race\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "25" } ], "ref_id": "26" } ], "define_name": "SDE Race" }, { "children": [ { "children": [ { "children": [ { "text": "define \"SDE Sex\":\n " } ] }, { "children": [ { "children": [ { "text": "[\"Patient Characteristic Sex\": " } ] }, { "children": [ { "children": [ { "text": "\"ONC Administrative Sex\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "27" } ], "ref_id": "28" } ], "define_name": "SDE Sex" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Qualifying Encounters\":\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Office Visit\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "41" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Emergency Department Visit\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "42" } ], "node_type": "Union", "ref_id": "43" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Detoxification Visit\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "44" } ], "node_type": "Union", "ref_id": "45" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Hospital Observation Care - Initial\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "46" } ], "node_type": "Union", "ref_id": "47" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Hospital Inpatient Visit - Initial\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "48" } ], "node_type": "Union", "ref_id": "49" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Discharge Services - Hospital Inpatient Same Day Discharge\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "50" } ], "node_type": "Union", "ref_id": "51" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Discharge Services - Hospital Inpatient\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "52" } ], "node_type": "Union", "ref_id": "53" }, { "children": [ { "text": " )" } ] } ], "node_type": "Union", "ref_id": "53" }, { "children": [ { "text": " ValidEncounters" } ] } ], "ref_id": "54" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "ValidEncounters" } ] } ], "ref_id": "55" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "56" } ], "node_type": "Property", "ref_id": "56" }, { "children": [ { "text": " during " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "57" } ], "ref_id": "58" } ], "ref_id": "58" } ], "node_type": "Query", "ref_id": "59" } ], "ref_id": "60" } ], "define_name": "Qualifying Encounters" }, { "children": [ { "children": [ { "children": [ { "text": "define \"First Dependence Diagnosis\":\n " } ] }, { "children": [ { "children": [ { "text": "First(" } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Diagnosis\": " } ] }, { "children": [ { "children": [ { "text": "\"Alcohol and Drug Dependence\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "39" } ], "node_type": "Retrieve", "ref_id": "39" }, { "children": [ { "text": " InitialDependenceDiagnosis" } ] } ], "ref_id": "40" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "with" } ] }, { "children": [ { "children": [ { "children": [ { "text": "(" } ] }, { "children": [ { "children": [ { "text": "\"Qualifying Encounters\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "61" }, { "children": [ { "text": ")" } ] } ], "node_type": "ExpressionRef", "ref_id": "61" }, { "children": [ { "text": "ValidEncounter" } ] } ], "ref_id": "62" }, { "children": [ { "text": "\n such that " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "InitialDependenceDiagnosis" } ] } ], "ref_id": "63" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "prevalencePeriod" } ] } ], "node_type": "Property", "ref_id": "64" } ], "node_type": "Property", "ref_id": "64" }, { "children": [ { "text": " starts during " } ] }, { "children": [ { "children": [ { "children": [ { "text": "ValidEncounter" } ] } ], "ref_id": "65" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "66" } ], "node_type": "Property", "ref_id": "66" } ], "node_type": "In", "ref_id": "67" }, { "children": [ { "text": "\n and " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "InitialDependenceDiagnosis" } ] } ], "ref_id": "68" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "prevalencePeriod" } ] } ], "node_type": "Property", "ref_id": "69" } ], "node_type": "Property", "ref_id": "69" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "starts " } ] }, { "children": [ { "children": [ { "text": "319 days" } ] } ], "node_type": "Quantity", "ref_id": "72" }, { "children": [ { "text": " or less after" } ] } ], "node_type": "In", "ref_id": "73" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "70" } ], "node_type": "Start", "ref_id": "71" } ], "node_type": "In", "ref_id": "73" } ], "node_type": "And", "ref_id": "74" } ], "ref_id": "75" }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "sort by " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "prevalencePeriod" } ] } ], "node_type": "IdentifierRef", "ref_id": "76" } ], "node_type": "Start", "ref_id": "77" } ], "ref_id": "78" } ], "ref_id": "79" } ], "ref_id": "80" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "First", "ref_id": "81" } ], "ref_id": "82" } ], "define_name": "First Dependence Diagnosis" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Initial Population\":\n " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Patient Characteristic Birthdate\"]" } ] } ], "node_type": "Retrieve", "ref_id": "29" } ], "node_type": "Retrieve", "ref_id": "29" }, { "children": [ { "text": " BirthDate" } ] } ], "ref_id": "30" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "Global" } ] } ], "ref_id": "31" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "\"CalendarAgeInYearsAt\"(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "BirthDate" } ] } ], "ref_id": "32" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "birthDatetime" } ] } ], "node_type": "Property", "ref_id": "33" } ], "node_type": "Property", "ref_id": "33" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "34" } ], "node_type": "Start", "ref_id": "35" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "36" } ], "node_type": "FunctionRef", "ref_id": "36" }, { "children": [ { "text": ">= 13" } ] } ], "node_type": "GreaterOrEqual", "ref_id": "38" }, { "children": [ { "text": "\n and " } ] }, { "children": [ { "children": [ { "children": [ { "text": "\"First Dependence Diagnosis\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "83" }, { "children": [ { "text": " is not null" } ] } ], "node_type": "Not", "ref_id": "84" } ], "ref_id": "85" } ], "ref_id": "85" } ], "node_type": "Query", "ref_id": "86" } ], "node_type": "Exists", "ref_id": "87" } ], "ref_id": "88" } ], "define_name": "Initial Population" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Denominator\":\n " } ] }, { "children": [ { "children": [ { "text": "\"Initial Population\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "89" } ], "ref_id": "90" } ], "define_name": "Denominator" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Treatment Initiation\":\n " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Alcohol and Drug Dependence Treatment\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "95" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Psych Visit - Psychotherapy\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "96" } ], "node_type": "Union", "ref_id": "97" }, { "children": [ { "text": " )" } ] } ], "node_type": "Union", "ref_id": "97" }, { "children": [ { "text": " InitiatedTreatment" } ] } ], "ref_id": "98" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "with " } ] }, { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "text": "\"First Dependence Diagnosis\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "99" }, { "children": [ { "text": " )" } ] } ], "node_type": "ExpressionRef", "ref_id": "99" }, { "children": [ { "text": " FirstDiagnosed" } ] } ], "ref_id": "100" }, { "children": [ { "text": "\n such that " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "InitiatedTreatment" } ] } ], "ref_id": "101" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "102" } ], "node_type": "Property", "ref_id": "102" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "starts " } ] }, { "children": [ { "children": [ { "text": "14 days" } ] } ], "node_type": "Quantity", "ref_id": "106" }, { "children": [ { "text": " or less after day of" } ] } ], "node_type": "In", "ref_id": "107" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "FirstDiagnosed" } ] } ], "ref_id": "103" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "prevalencePeriod" } ] } ], "node_type": "Property", "ref_id": "104" } ], "node_type": "Property", "ref_id": "104" } ], "node_type": "Start", "ref_id": "105" } ], "node_type": "In", "ref_id": "107" } ], "ref_id": "108" } ], "node_type": "Query", "ref_id": "109" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "109" } ], "ref_id": "110" } ], "define_name": "Treatment Initiation" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Has Continuation Of Treatments\":\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Count(" } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Alcohol and Drug Dependence Treatment\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "91" }, { "children": [ { "text": "\n union " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Psych Visit - Psychotherapy\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "92" } ], "node_type": "Union", "ref_id": "93" }, { "children": [ { "text": ")" } ] } ], "node_type": "Union", "ref_id": "93" }, { "children": [ { "text": "ContinuedTreatment" } ] } ], "ref_id": "94" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "with" } ] }, { "children": [ { "children": [ { "children": [ { "text": "(" } ] }, { "children": [ { "children": [ { "text": "\"Treatment Initiation\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "111" }, { "children": [ { "text": ")" } ] } ], "node_type": "ExpressionRef", "ref_id": "111" }, { "children": [ { "text": "InitiatedTreatment" } ] } ], "ref_id": "112" }, { "children": [ { "text": "\n such that " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "ContinuedTreatment" } ] } ], "ref_id": "113" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "114" } ], "node_type": "Property", "ref_id": "114" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "starts " } ] }, { "children": [ { "children": [ { "text": "30 days" } ] } ], "node_type": "Quantity", "ref_id": "118" }, { "children": [ { "text": " or less after" } ] } ], "node_type": "In", "ref_id": "119" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "InitiatedTreatment" } ] } ], "ref_id": "115" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "116" } ], "node_type": "Property", "ref_id": "116" } ], "node_type": "Start", "ref_id": "117" } ], "node_type": "In", "ref_id": "119" } ], "ref_id": "120" } ], "ref_id": "121" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Count", "ref_id": "122" }, { "children": [ { "text": ">= 2" } ] } ], "node_type": "GreaterOrEqual", "ref_id": "124" } ], "ref_id": "125" } ], "define_name": "Has Continuation Of Treatments" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Numerator 2\":\n " } ] }, { "children": [ { "children": [ { "text": "\"Has Continuation Of Treatments\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "126" } ], "ref_id": "127" } ], "define_name": "Numerator 2" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Stratification 2\":\n " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Patient Characteristic Birthdate\"]" } ] } ], "node_type": "Retrieve", "ref_id": "128" } ], "node_type": "Retrieve", "ref_id": "128" }, { "children": [ { "text": " BirthDate" } ] } ], "ref_id": "129" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "Global" } ] } ], "ref_id": "130" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "\"CalendarAgeInYearsAt\"(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "BirthDate" } ] } ], "ref_id": "131" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "birthDatetime" } ] } ], "node_type": "Property", "ref_id": "132" } ], "node_type": "Property", "ref_id": "132" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "133" } ], "node_type": "Start", "ref_id": "134" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "135" } ], "node_type": "FunctionRef", "ref_id": "135" }, { "children": [ { "text": ">= 18" } ] } ], "ref_id": "137" } ], "ref_id": "137" } ], "node_type": "Query", "ref_id": "138" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "138" } ], "node_type": "Exists", "ref_id": "139" } ], "ref_id": "140" } ], "define_name": "Stratification 2" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Stratification 1\":\n " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Patient Characteristic Birthdate\"]" } ] } ], "node_type": "Retrieve", "ref_id": "141" } ], "node_type": "Retrieve", "ref_id": "141" }, { "children": [ { "text": " BirthDate" } ] } ], "ref_id": "142" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "Global" } ] } ], "ref_id": "143" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "\"CalendarAgeInYearsAt\"(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "BirthDate" } ] } ], "ref_id": "144" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "birthDatetime" } ] } ], "node_type": "Property", "ref_id": "145" } ], "node_type": "Property", "ref_id": "145" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "146" } ], "node_type": "Start", "ref_id": "147" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "148" } ], "node_type": "FunctionRef", "ref_id": "148" }, { "children": [ { "text": ">= 13" } ] } ], "node_type": "GreaterOrEqual", "ref_id": "150" }, { "children": [ { "text": "\n and " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "Global" } ] } ], "ref_id": "151" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "\"CalendarAgeInYearsAt\"(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "BirthDate" } ] } ], "ref_id": "152" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "birthDatetime" } ] } ], "node_type": "Property", "ref_id": "153" } ], "node_type": "Property", "ref_id": "153" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "154" } ], "node_type": "Start", "ref_id": "155" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "156" } ], "node_type": "FunctionRef", "ref_id": "156" }, { "children": [ { "text": "< 18" } ] } ], "node_type": "Less", "ref_id": "158" } ], "ref_id": "159" } ], "ref_id": "159" } ], "node_type": "Query", "ref_id": "160" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "160" } ], "node_type": "Exists", "ref_id": "161" } ], "ref_id": "162" } ], "define_name": "Stratification 1" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Has Prior Dependence\":\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Diagnosis\": " } ] }, { "children": [ { "children": [ { "text": "\"Alcohol and Drug Dependence\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "165" } ], "node_type": "Retrieve", "ref_id": "165" }, { "children": [ { "text": " PriorDependenceDiagnosis" } ] } ], "ref_id": "166" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "with " } ] }, { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "text": "\"First Dependence Diagnosis\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "167" }, { "children": [ { "text": " )" } ] } ], "node_type": "ExpressionRef", "ref_id": "167" }, { "children": [ { "text": " FirstDiagnosed" } ] } ], "ref_id": "168" }, { "children": [ { "text": "\n such that " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "PriorDependenceDiagnosis" } ] } ], "ref_id": "169" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "prevalencePeriod" } ] } ], "node_type": "Property", "ref_id": "170" } ], "node_type": "Property", "ref_id": "170" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "starts " } ] }, { "children": [ { "children": [ { "text": "60 days" } ] } ], "node_type": "Quantity", "ref_id": "174" }, { "children": [ { "text": " or less before" } ] } ], "node_type": "In", "ref_id": "175" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "FirstDiagnosed" } ] } ], "ref_id": "171" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "prevalencePeriod" } ] } ], "node_type": "Property", "ref_id": "172" } ], "node_type": "Property", "ref_id": "172" } ], "node_type": "Start", "ref_id": "173" } ], "node_type": "In", "ref_id": "175" } ], "ref_id": "176" } ], "node_type": "Query", "ref_id": "177" } ], "ref_id": "178" } ], "define_name": "Has Prior Dependence" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Denominator Exclusions\":\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "Hospice" } ] } ], "ref_id": "163" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "\"Has Hospice\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "164" } ], "node_type": "ExpressionRef", "ref_id": "164" }, { "children": [ { "text": "\n or " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "\"Has Prior Dependence\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "179" } ], "node_type": "Exists", "ref_id": "180" } ], "node_type": "Or", "ref_id": "181" } ], "ref_id": "182" } ], "define_name": "Denominator Exclusions" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Numerator\":\n " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "\"Treatment Initiation\"" } ] } ], "node_type": "ExpressionRef", "ref_id": "183" } ], "node_type": "Exists", "ref_id": "184" } ], "ref_id": "185" } ], "define_name": "Numerator" } ], "identifier": { "id": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "version": "7.2.000" } }, "is_main_library": true, "is_top_level": true, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "library_version": "7.2.000", "statement_dependencies": [ { "statement_name": "Patient" }, { "statement_name": "SDE Ethnicity" }, { "statement_name": "SDE Payer" }, { "statement_name": "SDE Race" }, { "statement_name": "SDE Sex" }, { "statement_name": "Qualifying Encounters" }, { "statement_name": "First Dependence Diagnosis", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Qualifying Encounters" } ] }, { "statement_name": "Initial Population", "statement_references": [ { "hqmf_id": null, "library_name": "MATGlobalCommonFunctions", "statement_name": "CalendarAgeInYearsAt" }, { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "First Dependence Diagnosis" } ] }, { "statement_name": "Denominator", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Initial Population" } ] }, { "statement_name": "Treatment Initiation", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "First Dependence Diagnosis" } ] }, { "statement_name": "Has Continuation Of Treatments", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Treatment Initiation" } ] }, { "statement_name": "Numerator 2", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Has Continuation Of Treatments" } ] }, { "statement_name": "Stratification 2", "statement_references": [ { "hqmf_id": null, "library_name": "MATGlobalCommonFunctions", "statement_name": "CalendarAgeInYearsAt" } ] }, { "statement_name": "Stratification 1", "statement_references": [ { "hqmf_id": null, "library_name": "MATGlobalCommonFunctions", "statement_name": "CalendarAgeInYearsAt" }, { "hqmf_id": null, "library_name": "MATGlobalCommonFunctions", "statement_name": "CalendarAgeInYearsAt" } ] }, { "statement_name": "Has Prior Dependence", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "First Dependence Diagnosis" } ] }, { "statement_name": "Denominator Exclusions", "statement_references": [ { "hqmf_id": null, "library_name": "Hospice", "statement_name": "Has Hospice" }, { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Has Prior Dependence" } ] }, { "statement_name": "Numerator", "statement_references": [ { "hqmf_id": null, "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Treatment Initiation" } ] } ] }, { "cql": "library MATGlobalCommonFunctions version '2.0.000'\r\n\r\nusing QDM version '5.3'\r\n\r\ncodesystem \"LOINC:2.46\": 'urn:oid:2.16.840.1.113883.6.1' version 'urn:hl7:version:2.46'\r\ncodesystem \"SNOMEDCT:2016-03\": 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2016-03'\r\n\r\nvalueset \"Emergency Department Visit\": 'urn:oid:2.16.840.1.113883.3.117.1.7.1.292'\r\nvalueset \"Encounter Inpatient\": 'urn:oid:2.16.840.1.113883.3.666.5.307'\r\nvalueset \"Intensive Care Unit\": 'urn:oid:2.16.840.1.113762.1.4.1110.23'\r\n\r\ncode \"Birthdate\": '21112-8' from \"LOINC:2.46\" display 'Birth date'\r\ncode \"Dead\": '419099009' from \"SNOMEDCT:2016-03\" display 'Dead'\r\n\r\nparameter \"Measurement Period\" Interval\r\n\r\ncontext Patient\r\n\r\ndefine \"Encounter\":\r\n\t[\"Encounter, Performed\": \"Emergency Department Visit\"]\r\n\r\ndefine \"Inpatient Encounter\":\r\n\t[\"Encounter, Performed\": \"Encounter Inpatient\"] EncounterInpatient\r\n\t\twhere \"LengthInDays\"(EncounterInpatient.relevantPeriod)<= 120\r\n\t\t\tand EncounterInpatient.relevantPeriod ends during \"Measurement Period\"\n\n/*ToDate takes a given DateTime value and returns a DateTime with the time components \"zeroed\", and the timezone of the input value, for example, given the DateTime @2012-01-01T06:30:00.0Z, this function will return @2012-01-01T00:00:00.0Z.*/\r\n\r\ndefine function \"ToDate\"(Value DateTime):\r\n\tDateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)\n\n/*CalendarAgeInDaysAt calculates the calendar age (meaning the age without considering time components) in days.*/\r\n\r\ndefine function \"CalendarAgeInDaysAt\"(BirthDateTime DateTime, AsOf DateTime):\r\n\tdays between ToDate(BirthDateTime)and ToDate(AsOf)\n\n/*CalendarAgeInDays calculates the calendar age (meaning the age without considering time components) in days as of today*/\r\n\r\ndefine function \"CalendarAgeInDays\"(BirthDateTime DateTime):\r\n\tCalendarAgeInDaysAt(BirthDateTime, Today())\n\n/*CalendarAgeInMonthsAt calculates the calendar age (meaning the age without considering time components) in months.*/\r\n\r\ndefine function \"CalendarAgeInMonthsAt\"(BirthDateTime DateTime, AsOf DateTime):\r\n\tmonths between ToDate(BirthDateTime)and ToDate(AsOf)\n\n/*CalendarAgeInMonths calculates the calendar age (meaning the age without considering time components) in months as of today.*/\r\n\r\ndefine function \"CalendarAgeInMonths\"(BirthDateTime DateTime):\r\n\tCalendarAgeInMonthsAt(BirthDateTime, Today())\n\n/*CalendarAgeInYearsAt calculates the calendar age (meaning the age without considering time components) in years.*/\r\n\r\ndefine function \"CalendarAgeInYearsAt\"(BirthDateTime DateTime, AsOf DateTime):\r\n\tyears between ToDate(BirthDateTime)and ToDate(AsOf)\n\n/*CalendarAgeInYears calculates the calendar age (meaning the age without considering time components) in years as of today.*/\r\n\r\ndefine function \"CalendarAgeInYears\"(BirthDateTime DateTime):\r\n\tCalendarAgeInYearsAt(BirthDateTime, Today())\n\n/*Hospitalization returns the total interval for admission to discharge for the given encounter, or for the admission of any immediately prior emergency department visit to the discharge of the given encounter.*/\r\n\r\ndefine function \"Hospitalization\"(Encounter \"Encounter, Performed\"):\r\n\t( singleton from ( [\"Encounter, Performed\": \"Emergency Department Visit\"] EDVisit\r\n\t\t\twhere EDVisit.relevantPeriod ends 1 hour or less on or before start of Encounter.relevantPeriod\r\n\t) ) X\r\n\t\treturn if X is null then Encounter.relevantPeriod else Interval[start of X.relevantPeriod, end of Encounter.relevantPeriod]\n\n/*calculates the difference in calendar days between the start and end of the given interval.*/\r\n\r\ndefine function \"LengthInDays\"(Value Interval):\r\n\tdifference in days between start of Value and end of Value\n\n/* returns list of all locations within an encounter, including locations for immediately prior ED visit. If data contains many encounters within 1 hour before the start of encounter error will occur indicating the hospitalization cannot be determined*/\r\n\r\ndefine function \"Hospitalization Locations\"(Encounter \"Encounter, Performed\"):\r\n\t( singleton from ( [\"Encounter, Performed\": \"Emergency Department Visit\"] EDVisit\r\n\t\t\twhere EDVisit.relevantPeriod ends 1 hour or less on or before start of Encounter.relevantPeriod\r\n\t) ) EDEncounter\r\n\t\treturn if EDEncounter is null then Encounter.facilityLocations else flatten { EDEncounter.facilityLocations, Encounter.facilityLocations }\n\n/*Returns the length of stay in days (i.e. the number of days between admission and discharge) for the given encounter, or from the admission of any immediately prior emergency department visit to the discharge of the encounter*/\r\n\r\ndefine function \"Hospitalization Length of Stay\"(Encounter \"Encounter, Performed\"):\r\n\tLengthInDays(\"Hospitalization\"(Encounter))\n\n/*Returns admission time for an encounter or for immediately prior emergency department visit. If the data contain many encounters within 1 hour before the start of the encounter an error indicating hospitalization cannot be determined\n*/\r\n\r\ndefine function \"Hospital Admission Time\"(Encounter \"Encounter, Performed\"):\r\n\tstart of \"Hospitalization\"(Encounter)\n\n/*Hospital Discharge Time returns the discharge time for an encounter*/\r\n\r\ndefine function \"Hospital Discharge Time\"(Encounter \"Encounter, Performed\"):\r\n\tend of Encounter.relevantPeriod\n\n/*Returns earliest arrival time for an encounter including any prior ED visit. If the data contain multiple encounters within 1 hour before the start of the encounter, an error will occur indicating it cannot be unambiguously determined\n*/\r\n\r\ndefine function \"Hospital Arrival Time\"(Encounter \"Encounter, Performed\"):\r\n\tstart of First((\"Hospitalization Locations\"(Encounter))HospitalLocation\r\n\t\t\tsort by start of locationPeriod\r\n\t).locationPeriod\n\n/*Returns the latest departure time for encounter including any prior ED visit. If the data contain multiple encounters within 1 hour before the start of the encounter, an error will occur indicating it cannot be unambiguously determined*/\r\n\r\ndefine function \"Hospital Departure Time\"(Encounter \"Encounter, Performed\"):\r\n\tend of Last((\"Hospitalization Locations\"(Encounter))HospitalLocation\r\n\t\t\tsort by start of locationPeriod\r\n\t).locationPeriod\n\n/*Returns the arrival time in the ED for the encounter. If the data contain multiple encounters within 1 hour before the start of the encounter or multiple ED locations an error will occur indicating it cannot be determined\n*/\r\n\r\ndefine function \"Emergency Department Arrival Time\"(Encounter \"Encounter, Performed\"):\r\n\tstart of ( singleton from ( ( \"Hospitalization Locations\"(Encounter)) HospitalLocation\r\n\t\t\t\twhere HospitalLocation.code in \"Emergency Department Visit\"\r\n\t\t)\r\n\t).locationPeriod\n\n/*First Inpatient Intensive Care Unit returns the first intensive care unit for\nthe given encounter, without considering any immediately prior emergency\ndepartment visit.*/\r\n\r\ndefine function \"First Inpatient Intensive Care Unit\"(Encounter \"Encounter, Performed\"):\r\n\tFirst((Encounter.facilityLocations)HospitalLocation\r\n\t\t\twhere HospitalLocation.code in \"Intensive Care Unit\"\r\n\t\t\t\tand HospitalLocation.locationPeriod during Encounter.relevantPeriod\r\n\t\t\tsort by start of locationPeriod\r\n\t)\r\n", "elm": { "library": { "identifier": { "id": "MATGlobalCommonFunctions", "version": "2.0.000" }, "schemaIdentifier": { "id": "urn:hl7-org:elm", "version": "r1" }, "usings": { "def": [ { "localIdentifier": "System", "uri": "urn:hl7-org:elm-types:r1" }, { "localId": "1", "locator": "3:1-3:23", "localIdentifier": "QDM", "uri": "urn:healthit-gov:qdm:v5_3", "version": "5.3" } ] }, "parameters": { "def": [ { "localId": "13", "locator": "15:1-15:49", "name": "Measurement Period", "accessLevel": "Public", "parameterTypeSpecifier": { "localId": "12", "locator": "15:32-15:49", "type": "IntervalTypeSpecifier", "pointType": { "localId": "11", "locator": "15:41-15:48", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } } ] }, "codeSystems": { "def": [ { "localId": "2", "locator": "5:1-5:87", "name": "LOINC:2.46", "id": "2.16.840.1.113883.6.1", "version": "urn:hl7:version:2.46", "accessLevel": "Public" }, { "localId": "3", "locator": "6:1-6:97", "name": "SNOMEDCT:2016-03", "id": "2.16.840.1.113883.6.96", "version": "urn:hl7:version:2016-03", "accessLevel": "Public" } ] }, "valueSets": { "def": [ { "localId": "4", "locator": "8:1-8:82", "name": "Emergency Department Visit", "id": "2.16.840.1.113883.3.117.1.7.1.292", "accessLevel": "Public" }, { "localId": "5", "locator": "9:1-9:71", "name": "Encounter Inpatient", "id": "2.16.840.1.113883.3.666.5.307", "accessLevel": "Public" }, { "localId": "6", "locator": "10:1-10:71", "name": "Intensive Care Unit", "id": "2.16.840.1.113762.1.4.1110.23", "accessLevel": "Public" } ] }, "codes": { "def": [ { "localId": "8", "locator": "12:1-12:66", "name": "Birthdate", "id": "21112-8", "display": "Birth date", "accessLevel": "Public", "codeSystem": { "localId": "7", "locator": "12:34-12:45", "name": "LOINC:2.46" } }, { "localId": "10", "locator": "13:1-13:63", "name": "Dead", "id": "419099009", "display": "Dead", "accessLevel": "Public", "codeSystem": { "localId": "9", "locator": "13:31-13:48", "name": "SNOMEDCT:2016-03" } } ] }, "statements": { "def": [ { "locator": "17:1-17:15", "name": "Patient", "context": "Patient", "expression": { "type": "SingletonFrom", "operand": { "locator": "17:1-17:15", "dataType": "{urn:healthit-gov:qdm:v5_3}Patient", "templateId": "Patient", "type": "Retrieve" } } }, { "localId": "15", "locator": "19:1-20:55", "name": "Encounter", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "15", "s": [ { "value": [ "define ", "\"Encounter\"", ":\n\t" ] }, { "r": "14", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Emergency Department Visit\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "14", "locator": "20:2-20:55", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Emergency Department Visit", "type": "ValueSetRef" } } }, { "localId": "27", "locator": "63:1-64:59", "name": "LengthInDays", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "27", "s": [ { "value": [ "define function ", "\"LengthInDays\"", "(", "Value", " " ] }, { "r": "21", "s": [ { "value": [ "Interval<" ] }, { "r": "20", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ ">" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "26", "s": [ { "r": "26", "s": [ { "value": [ "difference in days between " ] }, { "r": "23", "s": [ { "value": [ "start of " ] }, { "r": "22", "s": [ { "value": [ "Value" ] } ] } ] }, { "value": [ " and " ] }, { "r": "25", "s": [ { "value": [ "end of " ] }, { "r": "24", "s": [ { "value": [ "Value" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "26", "locator": "64:2-64:59", "precision": "Day", "type": "DifferenceBetween", "operand": [ { "localId": "23", "locator": "64:29-64:42", "type": "Start", "operand": { "localId": "22", "locator": "64:38-64:42", "name": "Value", "type": "OperandRef" } }, { "localId": "25", "locator": "64:48-64:59", "type": "End", "operand": { "localId": "24", "locator": "64:55-64:59", "name": "Value", "type": "OperandRef" } } ] }, "operand": [ { "name": "Value", "operandTypeSpecifier": { "localId": "21", "locator": "63:38-63:55", "type": "IntervalTypeSpecifier", "pointType": { "localId": "20", "locator": "63:47-63:54", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } } ] }, { "localId": "37", "locator": "22:1-25:73", "name": "Inpatient Encounter", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "37", "s": [ { "value": [ "define ", "\"Inpatient Encounter\"", ":\n\t" ] }, { "r": "36", "s": [ { "s": [ { "r": "17", "s": [ { "r": "16", "s": [ { "r": "16", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Encounter Inpatient\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "EncounterInpatient" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "35", "s": [ { "value": [ "where " ] }, { "r": "35", "s": [ { "r": "30", "s": [ { "r": "28", "s": [ { "value": [ "\"LengthInDays\"", "(" ] }, { "r": "19", "s": [ { "r": "18", "s": [ { "value": [ "EncounterInpatient" ] } ] }, { "value": [ "." ] }, { "r": "19", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "<=", " ", "120" ] } ] }, { "value": [ "\n\t\t\tand " ] }, { "r": "34", "s": [ { "r": "32", "s": [ { "r": "31", "s": [ { "value": [ "EncounterInpatient" ] } ] }, { "value": [ "." ] }, { "r": "32", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " ", "ends during", " " ] }, { "r": "33", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "36", "locator": "23:2-25:73", "type": "Query", "source": [ { "localId": "17", "locator": "23:2-23:67", "alias": "EncounterInpatient", "expression": { "localId": "16", "locator": "23:2-23:48", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Encounter Inpatient", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "35", "locator": "24:3-25:73", "type": "And", "operand": [ { "localId": "30", "locator": "24:9-24:63", "type": "LessOrEqual", "operand": [ { "localId": "28", "locator": "24:9-24:57", "name": "LengthInDays", "type": "FunctionRef", "operand": [ { "localId": "19", "locator": "24:24-24:56", "path": "relevantPeriod", "scope": "EncounterInpatient", "type": "Property" } ] }, { "localId": "29", "locator": "24:61-24:63", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "120", "type": "Literal" } ] }, { "localId": "34", "locator": "25:8-25:73", "type": "In", "operand": [ { "locator": "25:42-25:45", "type": "End", "operand": { "localId": "32", "locator": "25:8-25:40", "path": "relevantPeriod", "scope": "EncounterInpatient", "type": "Property" } }, { "localId": "33", "locator": "25:54-25:73", "name": "Measurement Period", "type": "ParameterRef" } ] } ] } } }, { "localId": "52", "locator": "28:1-29:93", "name": "ToDate", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "52", "s": [ { "value": [ "define function ", "\"ToDate\"", "(", "Value", " " ] }, { "r": "38", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "51", "s": [ { "r": "51", "s": [ { "value": [ "DateTime", "(" ] }, { "r": "40", "s": [ { "value": [ "year from " ] }, { "r": "39", "s": [ { "value": [ "Value" ] } ] } ] }, { "value": [ ", " ] }, { "r": "42", "s": [ { "value": [ "month from " ] }, { "r": "41", "s": [ { "value": [ "Value" ] } ] } ] }, { "value": [ ", " ] }, { "r": "44", "s": [ { "value": [ "day from " ] }, { "r": "43", "s": [ { "value": [ "Value" ] } ] } ] }, { "value": [ ", ", "0", ", ", "0", ", ", "0", ", ", "0", ", " ] }, { "r": "50", "s": [ { "value": [ "timezone from " ] }, { "r": "49", "s": [ { "value": [ "Value" ] } ] } ] }, { "value": [ ")" ] } ] } ] } ] } } ], "expression": { "localId": "51", "locator": "29:2-29:93", "type": "DateTime", "year": { "localId": "40", "locator": "29:11-29:25", "precision": "Year", "type": "DateTimeComponentFrom", "operand": { "localId": "39", "locator": "29:21-29:25", "name": "Value", "type": "OperandRef" } }, "month": { "localId": "42", "locator": "29:28-29:43", "precision": "Month", "type": "DateTimeComponentFrom", "operand": { "localId": "41", "locator": "29:39-29:43", "name": "Value", "type": "OperandRef" } }, "day": { "localId": "44", "locator": "29:46-29:59", "precision": "Day", "type": "DateTimeComponentFrom", "operand": { "localId": "43", "locator": "29:55-29:59", "name": "Value", "type": "OperandRef" } }, "hour": { "localId": "45", "locator": "29:62", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "0", "type": "Literal" }, "minute": { "localId": "46", "locator": "29:65", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "0", "type": "Literal" }, "second": { "localId": "47", "locator": "29:68", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "0", "type": "Literal" }, "millisecond": { "localId": "48", "locator": "29:71", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "0", "type": "Literal" }, "timezoneOffset": { "localId": "50", "locator": "29:74-29:92", "type": "TimezoneFrom", "operand": { "localId": "49", "locator": "29:88-29:92", "name": "Value", "type": "OperandRef" } } }, "operand": [ { "name": "Value", "operandTypeSpecifier": { "localId": "38", "locator": "28:32-28:39", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "60", "locator": "32:1-33:51", "name": "CalendarAgeInDaysAt", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "60", "s": [ { "value": [ "define function ", "\"CalendarAgeInDaysAt\"", "(", "BirthDateTime", " " ] }, { "r": "53", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ ", ", "AsOf", " " ] }, { "r": "54", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "59", "s": [ { "r": "59", "s": [ { "value": [ "days between " ] }, { "r": "56", "s": [ { "value": [ "ToDate", "(" ] }, { "r": "55", "s": [ { "value": [ "BirthDateTime" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "and " ] }, { "r": "58", "s": [ { "value": [ "ToDate", "(" ] }, { "r": "57", "s": [ { "value": [ "AsOf" ] } ] }, { "value": [ ")" ] } ] } ] } ] } ] } } ], "expression": { "localId": "59", "locator": "33:2-33:51", "precision": "Day", "type": "DurationBetween", "operand": [ { "localId": "56", "locator": "33:15-33:35", "name": "ToDate", "type": "FunctionRef", "operand": [ { "localId": "55", "locator": "33:22-33:34", "name": "BirthDateTime", "type": "OperandRef" } ] }, { "localId": "58", "locator": "33:40-33:51", "name": "ToDate", "type": "FunctionRef", "operand": [ { "localId": "57", "locator": "33:47-33:50", "name": "AsOf", "type": "OperandRef" } ] } ] }, "operand": [ { "name": "BirthDateTime", "operandTypeSpecifier": { "localId": "53", "locator": "32:53-32:60", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } }, { "name": "AsOf", "operandTypeSpecifier": { "localId": "54", "locator": "32:68-32:75", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "65", "locator": "36:1-37:44", "name": "CalendarAgeInDays", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "65", "s": [ { "value": [ "define function ", "\"CalendarAgeInDays\"", "(", "BirthDateTime", " " ] }, { "r": "61", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "64", "s": [ { "r": "64", "s": [ { "value": [ "CalendarAgeInDaysAt", "(" ] }, { "r": "62", "s": [ { "value": [ "BirthDateTime" ] } ] }, { "value": [ ", " ] }, { "r": "63", "s": [ { "value": [ "Today", "()" ] } ] }, { "value": [ ")" ] } ] } ] } ] } } ], "expression": { "localId": "64", "locator": "37:2-37:44", "name": "CalendarAgeInDaysAt", "type": "FunctionRef", "operand": [ { "localId": "62", "locator": "37:22-37:34", "name": "BirthDateTime", "type": "OperandRef" }, { "localId": "63", "locator": "37:37-37:43", "type": "Today" } ] }, "operand": [ { "name": "BirthDateTime", "operandTypeSpecifier": { "localId": "61", "locator": "36:51-36:58", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "73", "locator": "40:1-41:53", "name": "CalendarAgeInMonthsAt", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "73", "s": [ { "value": [ "define function ", "\"CalendarAgeInMonthsAt\"", "(", "BirthDateTime", " " ] }, { "r": "66", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ ", ", "AsOf", " " ] }, { "r": "67", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "72", "s": [ { "r": "72", "s": [ { "value": [ "months between " ] }, { "r": "69", "s": [ { "value": [ "ToDate", "(" ] }, { "r": "68", "s": [ { "value": [ "BirthDateTime" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "and " ] }, { "r": "71", "s": [ { "value": [ "ToDate", "(" ] }, { "r": "70", "s": [ { "value": [ "AsOf" ] } ] }, { "value": [ ")" ] } ] } ] } ] } ] } } ], "expression": { "localId": "72", "locator": "41:2-41:53", "precision": "Month", "type": "DurationBetween", "operand": [ { "localId": "69", "locator": "41:17-41:37", "name": "ToDate", "type": "FunctionRef", "operand": [ { "localId": "68", "locator": "41:24-41:36", "name": "BirthDateTime", "type": "OperandRef" } ] }, { "localId": "71", "locator": "41:42-41:53", "name": "ToDate", "type": "FunctionRef", "operand": [ { "localId": "70", "locator": "41:49-41:52", "name": "AsOf", "type": "OperandRef" } ] } ] }, "operand": [ { "name": "BirthDateTime", "operandTypeSpecifier": { "localId": "66", "locator": "40:55-40:62", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } }, { "name": "AsOf", "operandTypeSpecifier": { "localId": "67", "locator": "40:70-40:77", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "78", "locator": "44:1-45:46", "name": "CalendarAgeInMonths", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "78", "s": [ { "value": [ "define function ", "\"CalendarAgeInMonths\"", "(", "BirthDateTime", " " ] }, { "r": "74", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "77", "s": [ { "r": "77", "s": [ { "value": [ "CalendarAgeInMonthsAt", "(" ] }, { "r": "75", "s": [ { "value": [ "BirthDateTime" ] } ] }, { "value": [ ", " ] }, { "r": "76", "s": [ { "value": [ "Today", "()" ] } ] }, { "value": [ ")" ] } ] } ] } ] } } ], "expression": { "localId": "77", "locator": "45:2-45:46", "name": "CalendarAgeInMonthsAt", "type": "FunctionRef", "operand": [ { "localId": "75", "locator": "45:24-45:36", "name": "BirthDateTime", "type": "OperandRef" }, { "localId": "76", "locator": "45:39-45:45", "type": "Today" } ] }, "operand": [ { "name": "BirthDateTime", "operandTypeSpecifier": { "localId": "74", "locator": "44:53-44:60", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "86", "locator": "48:1-49:52", "name": "CalendarAgeInYearsAt", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "86", "s": [ { "value": [ "define function ", "\"CalendarAgeInYearsAt\"", "(", "BirthDateTime", " " ] }, { "r": "79", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ ", ", "AsOf", " " ] }, { "r": "80", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "85", "s": [ { "r": "85", "s": [ { "value": [ "years between " ] }, { "r": "82", "s": [ { "value": [ "ToDate", "(" ] }, { "r": "81", "s": [ { "value": [ "BirthDateTime" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "and " ] }, { "r": "84", "s": [ { "value": [ "ToDate", "(" ] }, { "r": "83", "s": [ { "value": [ "AsOf" ] } ] }, { "value": [ ")" ] } ] } ] } ] } ] } } ], "expression": { "localId": "85", "locator": "49:2-49:52", "precision": "Year", "type": "DurationBetween", "operand": [ { "localId": "82", "locator": "49:16-49:36", "name": "ToDate", "type": "FunctionRef", "operand": [ { "localId": "81", "locator": "49:23-49:35", "name": "BirthDateTime", "type": "OperandRef" } ] }, { "localId": "84", "locator": "49:41-49:52", "name": "ToDate", "type": "FunctionRef", "operand": [ { "localId": "83", "locator": "49:48-49:51", "name": "AsOf", "type": "OperandRef" } ] } ] }, "operand": [ { "name": "BirthDateTime", "operandTypeSpecifier": { "localId": "79", "locator": "48:54-48:61", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } }, { "name": "AsOf", "operandTypeSpecifier": { "localId": "80", "locator": "48:69-48:76", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "91", "locator": "52:1-53:45", "name": "CalendarAgeInYears", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "91", "s": [ { "value": [ "define function ", "\"CalendarAgeInYears\"", "(", "BirthDateTime", " " ] }, { "r": "87", "s": [ { "value": [ "DateTime" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "90", "s": [ { "r": "90", "s": [ { "value": [ "CalendarAgeInYearsAt", "(" ] }, { "r": "88", "s": [ { "value": [ "BirthDateTime" ] } ] }, { "value": [ ", " ] }, { "r": "89", "s": [ { "value": [ "Today", "()" ] } ] }, { "value": [ ")" ] } ] } ] } ] } } ], "expression": { "localId": "90", "locator": "53:2-53:45", "name": "CalendarAgeInYearsAt", "type": "FunctionRef", "operand": [ { "localId": "88", "locator": "53:23-53:35", "name": "BirthDateTime", "type": "OperandRef" }, { "localId": "89", "locator": "53:38-53:44", "type": "Today" } ] }, "operand": [ { "name": "BirthDateTime", "operandTypeSpecifier": { "localId": "87", "locator": "52:52-52:59", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } ] }, { "localId": "119", "locator": "56:1-60:125", "name": "Hospitalization", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "119", "s": [ { "value": [ "define function ", "\"Hospitalization\"", "(", "Encounter", " " ] }, { "r": "92", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "118", "s": [ { "r": "118", "s": [ { "s": [ { "r": "104", "s": [ { "r": "103", "s": [ { "value": [ "( " ] }, { "r": "103", "s": [ { "value": [ "singleton from " ] }, { "r": "102", "s": [ { "value": [ "( " ] }, { "r": "102", "s": [ { "s": [ { "r": "94", "s": [ { "r": "93", "s": [ { "r": "93", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Emergency Department Visit\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "EDVisit" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "101", "s": [ { "value": [ "where " ] }, { "r": "101", "s": [ { "r": "96", "s": [ { "r": "95", "s": [ { "value": [ "EDVisit" ] } ] }, { "value": [ "." ] }, { "r": "96", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " " ] }, { "r": "101", "s": [ { "value": [ "ends " ] }, { "r": "100", "s": [ { "value": [ "1 ", "hour" ] } ] }, { "value": [ " or less on or before" ] } ] }, { "value": [ " " ] }, { "r": "99", "s": [ { "value": [ "start of " ] }, { "r": "98", "s": [ { "r": "97", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "98", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] }, { "value": [ " )" ] } ] }, { "value": [ " ", "X" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "117", "s": [ { "value": [ "return " ] }, { "r": "116", "s": [ { "value": [ "if " ] }, { "r": "106", "s": [ { "r": "105", "s": [ { "value": [ "X" ] } ] }, { "value": [ " is null" ] } ] }, { "value": [ " then " ] }, { "r": "108", "s": [ { "r": "107", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "108", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " else " ] }, { "r": "115", "s": [ { "value": [ "Interval[" ] }, { "r": "111", "s": [ { "value": [ "start of " ] }, { "r": "110", "s": [ { "r": "109", "s": [ { "value": [ "X" ] } ] }, { "value": [ "." ] }, { "r": "110", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] }, { "value": [ ", " ] }, { "r": "114", "s": [ { "value": [ "end of " ] }, { "r": "113", "s": [ { "r": "112", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "113", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] }, { "value": [ "]" ] } ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "118", "locator": "57:2-60:125", "type": "Query", "source": [ { "localId": "104", "locator": "57:2-59:6", "alias": "X", "expression": { "localId": "103", "locator": "57:2-59:4", "type": "SingletonFrom", "operand": { "localId": "102", "locator": "57:19-59:2", "type": "Query", "source": [ { "localId": "94", "locator": "57:21-57:82", "alias": "EDVisit", "expression": { "localId": "93", "locator": "57:21-57:74", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Emergency Department Visit", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "101", "locator": "58:4-58:98", "type": "In", "operand": [ { "locator": "58:33-58:36", "type": "End", "operand": { "localId": "96", "locator": "58:10-58:31", "path": "relevantPeriod", "scope": "EDVisit", "type": "Property" } }, { "locator": "58:38-58:51", "lowClosed": true, "highClosed": true, "type": "Interval", "low": { "locator": "58:66-58:98", "type": "Subtract", "operand": [ { "localId": "99", "locator": "58:66-58:98", "type": "Start", "operand": { "localId": "98", "locator": "58:75-58:98", "path": "relevantPeriod", "type": "Property", "source": { "localId": "97", "locator": "58:75-58:83", "name": "Encounter", "type": "OperandRef" } } }, { "localId": "100", "locator": "58:38-58:43", "value": 1, "unit": "hour", "type": "Quantity" } ] }, "high": { "localId": "99", "locator": "58:66-58:98", "type": "Start", "operand": { "localId": "98", "locator": "58:75-58:98", "path": "relevantPeriod", "type": "Property", "source": { "localId": "97", "locator": "58:75-58:83", "name": "Encounter", "type": "OperandRef" } } } } ] } } } } ], "relationship": [ ], "return": { "localId": "117", "locator": "60:3-60:125", "expression": { "localId": "116", "locator": "60:10-60:125", "type": "If", "condition": { "asType": "{urn:hl7-org:elm-types:r1}Boolean", "type": "As", "operand": { "localId": "106", "locator": "60:13-60:21", "type": "IsNull", "operand": { "localId": "105", "locator": "60:13", "name": "X", "type": "AliasRef" } }, "asTypeSpecifier": { "name": "{urn:hl7-org:elm-types:r1}Boolean", "type": "NamedTypeSpecifier" } }, "then": { "localId": "108", "locator": "60:28-60:51", "path": "relevantPeriod", "type": "Property", "source": { "localId": "107", "locator": "60:28-60:36", "name": "Encounter", "type": "OperandRef" } }, "else": { "localId": "115", "locator": "60:58-60:125", "lowClosed": true, "highClosed": true, "type": "Interval", "low": { "localId": "111", "locator": "60:67-60:91", "type": "Start", "operand": { "localId": "110", "locator": "60:76-60:91", "path": "relevantPeriod", "scope": "X", "type": "Property" } }, "high": { "localId": "114", "locator": "60:94-60:124", "type": "End", "operand": { "localId": "113", "locator": "60:101-60:124", "path": "relevantPeriod", "type": "Property", "source": { "localId": "112", "locator": "60:101-60:109", "name": "Encounter", "type": "OperandRef" } } } } } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "92", "locator": "56:45-56:66", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "149", "locator": "67:1-71:140", "name": "Hospitalization Locations", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "149", "s": [ { "value": [ "define function ", "\"Hospitalization Locations\"", "(", "Encounter", " " ] }, { "r": "123", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "148", "s": [ { "r": "148", "s": [ { "s": [ { "r": "135", "s": [ { "r": "134", "s": [ { "value": [ "( " ] }, { "r": "134", "s": [ { "value": [ "singleton from " ] }, { "r": "133", "s": [ { "value": [ "( " ] }, { "r": "133", "s": [ { "s": [ { "r": "125", "s": [ { "r": "124", "s": [ { "r": "124", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Emergency Department Visit\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "EDVisit" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "132", "s": [ { "value": [ "where " ] }, { "r": "132", "s": [ { "r": "127", "s": [ { "r": "126", "s": [ { "value": [ "EDVisit" ] } ] }, { "value": [ "." ] }, { "r": "127", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " " ] }, { "r": "132", "s": [ { "value": [ "ends " ] }, { "r": "131", "s": [ { "value": [ "1 ", "hour" ] } ] }, { "value": [ " or less on or before" ] } ] }, { "value": [ " " ] }, { "r": "130", "s": [ { "value": [ "start of " ] }, { "r": "129", "s": [ { "r": "128", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "129", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] }, { "value": [ " )" ] } ] }, { "value": [ " ", "EDEncounter" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "147", "s": [ { "value": [ "return " ] }, { "r": "146", "s": [ { "value": [ "if " ] }, { "r": "137", "s": [ { "r": "136", "s": [ { "value": [ "EDEncounter" ] } ] }, { "value": [ " is null" ] } ] }, { "value": [ " then " ] }, { "r": "139", "s": [ { "r": "138", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "139", "s": [ { "value": [ "facilityLocations" ] } ] } ] }, { "value": [ " else " ] }, { "r": "145", "s": [ { "value": [ "flatten " ] }, { "r": "144", "s": [ { "value": [ "{ " ] }, { "r": "141", "s": [ { "r": "140", "s": [ { "value": [ "EDEncounter" ] } ] }, { "value": [ "." ] }, { "r": "141", "s": [ { "value": [ "facilityLocations" ] } ] } ] }, { "value": [ ", " ] }, { "r": "143", "s": [ { "r": "142", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "143", "s": [ { "value": [ "facilityLocations" ] } ] } ] }, { "value": [ " }" ] } ] } ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "148", "locator": "68:2-71:140", "type": "Query", "source": [ { "localId": "135", "locator": "68:2-70:16", "alias": "EDEncounter", "expression": { "localId": "134", "locator": "68:2-70:4", "type": "SingletonFrom", "operand": { "localId": "133", "locator": "68:19-70:2", "type": "Query", "source": [ { "localId": "125", "locator": "68:21-68:82", "alias": "EDVisit", "expression": { "localId": "124", "locator": "68:21-68:74", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Emergency Department Visit", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "132", "locator": "69:4-69:98", "type": "In", "operand": [ { "locator": "69:33-69:36", "type": "End", "operand": { "localId": "127", "locator": "69:10-69:31", "path": "relevantPeriod", "scope": "EDVisit", "type": "Property" } }, { "locator": "69:38-69:51", "lowClosed": true, "highClosed": true, "type": "Interval", "low": { "locator": "69:66-69:98", "type": "Subtract", "operand": [ { "localId": "130", "locator": "69:66-69:98", "type": "Start", "operand": { "localId": "129", "locator": "69:75-69:98", "path": "relevantPeriod", "type": "Property", "source": { "localId": "128", "locator": "69:75-69:83", "name": "Encounter", "type": "OperandRef" } } }, { "localId": "131", "locator": "69:38-69:43", "value": 1, "unit": "hour", "type": "Quantity" } ] }, "high": { "localId": "130", "locator": "69:66-69:98", "type": "Start", "operand": { "localId": "129", "locator": "69:75-69:98", "path": "relevantPeriod", "type": "Property", "source": { "localId": "128", "locator": "69:75-69:83", "name": "Encounter", "type": "OperandRef" } } } } ] } } } } ], "relationship": [ ], "return": { "localId": "147", "locator": "71:3-71:140", "expression": { "localId": "146", "locator": "71:10-71:140", "type": "If", "condition": { "asType": "{urn:hl7-org:elm-types:r1}Boolean", "type": "As", "operand": { "localId": "137", "locator": "71:13-71:31", "type": "IsNull", "operand": { "localId": "136", "locator": "71:13-71:23", "name": "EDEncounter", "type": "AliasRef" } }, "asTypeSpecifier": { "name": "{urn:hl7-org:elm-types:r1}Boolean", "type": "NamedTypeSpecifier" } }, "then": { "localId": "139", "locator": "71:38-71:64", "path": "facilityLocations", "type": "Property", "source": { "localId": "138", "locator": "71:38-71:46", "name": "Encounter", "type": "OperandRef" } }, "else": { "localId": "145", "locator": "71:71-71:140", "type": "Flatten", "operand": { "localId": "144", "locator": "71:79-71:140", "type": "List", "element": [ { "localId": "141", "locator": "71:81-71:109", "path": "facilityLocations", "scope": "EDEncounter", "type": "Property" }, { "localId": "143", "locator": "71:112-71:138", "path": "facilityLocations", "type": "Property", "source": { "localId": "142", "locator": "71:112-71:120", "name": "Encounter", "type": "OperandRef" } } ] } } } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "123", "locator": "67:55-67:76", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "154", "locator": "74:1-75:43", "name": "Hospitalization Length of Stay", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "154", "s": [ { "value": [ "define function ", "\"Hospitalization Length of Stay\"", "(", "Encounter", " " ] }, { "r": "150", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "153", "s": [ { "r": "153", "s": [ { "value": [ "LengthInDays", "(" ] }, { "r": "152", "s": [ { "value": [ "\"Hospitalization\"", "(" ] }, { "r": "151", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ ")" ] } ] } ] } ] } } ], "expression": { "localId": "153", "locator": "75:2-75:43", "name": "LengthInDays", "type": "FunctionRef", "operand": [ { "localId": "152", "locator": "75:15-75:42", "name": "Hospitalization", "type": "FunctionRef", "operand": [ { "localId": "151", "locator": "75:33-75:41", "name": "Encounter", "type": "OperandRef" } ] } ] }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "150", "locator": "74:60-74:81", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "159", "locator": "79:1-80:38", "name": "Hospital Admission Time", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "159", "s": [ { "value": [ "define function ", "\"Hospital Admission Time\"", "(", "Encounter", " " ] }, { "r": "155", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "158", "s": [ { "r": "158", "s": [ { "value": [ "start of " ] }, { "r": "157", "s": [ { "value": [ "\"Hospitalization\"", "(" ] }, { "r": "156", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ ")" ] } ] } ] } ] } ] } } ], "expression": { "localId": "158", "locator": "80:2-80:38", "type": "Start", "operand": { "localId": "157", "locator": "80:11-80:38", "name": "Hospitalization", "type": "FunctionRef", "operand": [ { "localId": "156", "locator": "80:29-80:37", "name": "Encounter", "type": "OperandRef" } ] } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "155", "locator": "79:53-79:74", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "164", "locator": "83:1-84:32", "name": "Hospital Discharge Time", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "164", "s": [ { "value": [ "define function ", "\"Hospital Discharge Time\"", "(", "Encounter", " " ] }, { "r": "160", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "163", "s": [ { "r": "163", "s": [ { "value": [ "end of " ] }, { "r": "162", "s": [ { "r": "161", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "162", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "163", "locator": "84:2-84:32", "type": "End", "operand": { "localId": "162", "locator": "84:9-84:32", "path": "relevantPeriod", "type": "Property", "source": { "localId": "161", "locator": "84:9-84:17", "name": "Encounter", "type": "OperandRef" } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "160", "locator": "83:53-83:74", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "177", "locator": "88:1-91:17", "name": "Hospital Arrival Time", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "177", "s": [ { "value": [ "define function ", "\"Hospital Arrival Time\"", "(", "Encounter", " " ] }, { "r": "165", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "176", "s": [ { "r": "176", "s": [ { "value": [ "start of " ] }, { "r": "175", "s": [ { "r": "174", "s": [ { "value": [ "First", "(" ] }, { "r": "173", "s": [ { "s": [ { "r": "168", "s": [ { "r": "167", "s": [ { "value": [ "(" ] }, { "r": "167", "s": [ { "value": [ "\"Hospitalization Locations\"", "(" ] }, { "r": "166", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "HospitalLocation" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "172", "s": [ { "value": [ "sort by " ] }, { "r": "171", "s": [ { "r": "170", "s": [ { "value": [ "start of " ] }, { "r": "169", "s": [ { "value": [ "locationPeriod" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] }, { "value": [ "." ] }, { "r": "175", "s": [ { "value": [ "locationPeriod" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "176", "locator": "89:2-91:17", "type": "Start", "operand": { "localId": "175", "locator": "89:11-91:17", "path": "locationPeriod", "type": "Property", "source": { "localId": "174", "locator": "89:11-91:2", "type": "First", "source": { "localId": "173", "locator": "89:17-90:34", "type": "Query", "source": [ { "localId": "168", "locator": "89:17-89:72", "alias": "HospitalLocation", "expression": { "localId": "167", "locator": "89:17-89:56", "name": "Hospitalization Locations", "type": "FunctionRef", "operand": [ { "localId": "166", "locator": "89:46-89:54", "name": "Encounter", "type": "OperandRef" } ] } } ], "relationship": [ ], "sort": { "localId": "172", "locator": "90:4-90:34", "by": [ { "localId": "171", "locator": "90:12-90:34", "direction": "asc", "type": "ByExpression", "expression": { "localId": "170", "locator": "90:12-90:34", "type": "Start", "operand": { "localId": "169", "locator": "90:21-90:34", "name": "locationPeriod", "type": "IdentifierRef" } } } ] } } } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "165", "locator": "88:51-88:72", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "190", "locator": "94:1-97:17", "name": "Hospital Departure Time", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "190", "s": [ { "value": [ "define function ", "\"Hospital Departure Time\"", "(", "Encounter", " " ] }, { "r": "178", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "189", "s": [ { "r": "189", "s": [ { "value": [ "end of " ] }, { "r": "188", "s": [ { "r": "187", "s": [ { "value": [ "Last", "(" ] }, { "r": "186", "s": [ { "s": [ { "r": "181", "s": [ { "r": "180", "s": [ { "value": [ "(" ] }, { "r": "180", "s": [ { "value": [ "\"Hospitalization Locations\"", "(" ] }, { "r": "179", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "HospitalLocation" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "185", "s": [ { "value": [ "sort by " ] }, { "r": "184", "s": [ { "r": "183", "s": [ { "value": [ "start of " ] }, { "r": "182", "s": [ { "value": [ "locationPeriod" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] }, { "value": [ "." ] }, { "r": "188", "s": [ { "value": [ "locationPeriod" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "189", "locator": "95:2-97:17", "type": "End", "operand": { "localId": "188", "locator": "95:9-97:17", "path": "locationPeriod", "type": "Property", "source": { "localId": "187", "locator": "95:9-97:2", "type": "Last", "source": { "localId": "186", "locator": "95:14-96:34", "type": "Query", "source": [ { "localId": "181", "locator": "95:14-95:69", "alias": "HospitalLocation", "expression": { "localId": "180", "locator": "95:14-95:53", "name": "Hospitalization Locations", "type": "FunctionRef", "operand": [ { "localId": "179", "locator": "95:43-95:51", "name": "Encounter", "type": "OperandRef" } ] } } ], "relationship": [ ], "sort": { "localId": "185", "locator": "96:4-96:34", "by": [ { "localId": "184", "locator": "96:12-96:34", "direction": "asc", "type": "ByExpression", "expression": { "localId": "183", "locator": "96:12-96:34", "type": "Start", "operand": { "localId": "182", "locator": "96:21-96:34", "name": "locationPeriod", "type": "IdentifierRef" } } } ] } } } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "178", "locator": "94:53-94:74", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "203", "locator": "101:1-105:17", "name": "Emergency Department Arrival Time", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "203", "s": [ { "value": [ "define function ", "\"Emergency Department Arrival Time\"", "(", "Encounter", " " ] }, { "r": "191", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "202", "s": [ { "r": "202", "s": [ { "value": [ "start of " ] }, { "r": "201", "s": [ { "r": "200", "s": [ { "value": [ "( " ] }, { "r": "200", "s": [ { "value": [ "singleton from " ] }, { "r": "199", "s": [ { "value": [ "( " ] }, { "r": "199", "s": [ { "s": [ { "r": "194", "s": [ { "r": "193", "s": [ { "value": [ "( " ] }, { "r": "193", "s": [ { "value": [ "\"Hospitalization Locations\"", "(" ] }, { "r": "192", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ ")" ] } ] }, { "value": [ " ", "HospitalLocation" ] } ] } ] }, { "value": [ "\n\t\t\t\t" ] }, { "r": "198", "s": [ { "value": [ "where " ] }, { "r": "198", "s": [ { "r": "196", "s": [ { "r": "195", "s": [ { "value": [ "HospitalLocation" ] } ] }, { "value": [ "." ] }, { "r": "196", "s": [ { "value": [ "code" ] } ] } ] }, { "value": [ " in " ] }, { "r": "197", "s": [ { "value": [ "\"Emergency Department Visit\"" ] } ] } ] } ] } ] }, { "value": [ "\n\t\t)" ] } ] } ] }, { "value": [ "\n\t)" ] } ] }, { "value": [ "." ] }, { "r": "201", "s": [ { "value": [ "locationPeriod" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "202", "locator": "102:2-105:17", "type": "Start", "operand": { "localId": "201", "locator": "102:11-105:17", "path": "locationPeriod", "type": "Property", "source": { "localId": "200", "locator": "102:11-105:2", "type": "SingletonFrom", "operand": { "localId": "199", "locator": "102:28-104:3", "type": "Query", "source": [ { "localId": "194", "locator": "102:30-102:87", "alias": "HospitalLocation", "expression": { "localId": "193", "locator": "102:30-102:70", "name": "Hospitalization Locations", "type": "FunctionRef", "operand": [ { "localId": "192", "locator": "102:60-102:68", "name": "Encounter", "type": "OperandRef" } ] } } ], "relationship": [ ], "where": { "localId": "198", "locator": "103:5-103:63", "type": "InValueSet", "code": { "localId": "196", "locator": "103:11-103:31", "path": "code", "scope": "HospitalLocation", "type": "Property" }, "valueset": { "localId": "197", "locator": "103:36-103:63", "name": "Emergency Department Visit" } } } } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "191", "locator": "101:63-101:84", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] }, { "localId": "224", "locator": "110:1-115:2", "name": "First Inpatient Intensive Care Unit", "context": "Patient", "accessLevel": "Public", "type": "FunctionDef", "annotation": [ { "type": "Annotation", "s": { "r": "224", "s": [ { "value": [ "define function ", "\"First Inpatient Intensive Care Unit\"", "(", "Encounter", " " ] }, { "r": "204", "s": [ { "value": [ "\"Encounter, Performed\"" ] } ] }, { "value": [ " ):\n\t" ] }, { "r": "223", "s": [ { "r": "223", "s": [ { "value": [ "First", "(" ] }, { "r": "222", "s": [ { "s": [ { "r": "207", "s": [ { "r": "206", "s": [ { "value": [ "(" ] }, { "r": "206", "s": [ { "r": "205", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "206", "s": [ { "value": [ "facilityLocations" ] } ] } ] }, { "value": [ ")" ] } ] }, { "value": [ "HospitalLocation" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "217", "s": [ { "value": [ "where " ] }, { "r": "217", "s": [ { "r": "211", "s": [ { "r": "209", "s": [ { "r": "208", "s": [ { "value": [ "HospitalLocation" ] } ] }, { "value": [ "." ] }, { "r": "209", "s": [ { "value": [ "code" ] } ] } ] }, { "value": [ " in " ] }, { "r": "210", "s": [ { "value": [ "\"Intensive Care Unit\"" ] } ] } ] }, { "value": [ "\n\t\t\t\tand " ] }, { "r": "216", "s": [ { "r": "213", "s": [ { "r": "212", "s": [ { "value": [ "HospitalLocation" ] } ] }, { "value": [ "." ] }, { "r": "213", "s": [ { "value": [ "locationPeriod" ] } ] } ] }, { "value": [ " ", "during", " " ] }, { "r": "215", "s": [ { "r": "214", "s": [ { "value": [ "Encounter" ] } ] }, { "value": [ "." ] }, { "r": "215", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "221", "s": [ { "value": [ "sort by " ] }, { "r": "220", "s": [ { "r": "219", "s": [ { "value": [ "start of " ] }, { "r": "218", "s": [ { "value": [ "locationPeriod" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] } ] } } ], "expression": { "localId": "223", "locator": "111:2-115:2", "type": "First", "source": { "localId": "222", "locator": "111:8-114:34", "type": "Query", "source": [ { "localId": "207", "locator": "111:8-111:52", "alias": "HospitalLocation", "expression": { "localId": "206", "locator": "111:8-111:36", "path": "facilityLocations", "type": "Property", "source": { "localId": "205", "locator": "111:9-111:17", "name": "Encounter", "type": "OperandRef" } } } ], "relationship": [ ], "where": { "localId": "217", "locator": "112:4-113:71", "type": "And", "operand": [ { "localId": "211", "locator": "112:10-112:55", "type": "InValueSet", "code": { "localId": "209", "locator": "112:10-112:30", "path": "code", "scope": "HospitalLocation", "type": "Property" }, "valueset": { "localId": "210", "locator": "112:35-112:55", "name": "Intensive Care Unit" } }, { "localId": "216", "locator": "113:9-113:71", "type": "IncludedIn", "operand": [ { "localId": "213", "locator": "113:9-113:39", "path": "locationPeriod", "scope": "HospitalLocation", "type": "Property" }, { "localId": "215", "locator": "113:48-113:71", "path": "relevantPeriod", "type": "Property", "source": { "localId": "214", "locator": "113:48-113:56", "name": "Encounter", "type": "OperandRef" } } ] } ] }, "sort": { "localId": "221", "locator": "114:4-114:34", "by": [ { "localId": "220", "locator": "114:12-114:34", "direction": "asc", "type": "ByExpression", "expression": { "localId": "219", "locator": "114:12-114:34", "type": "Start", "operand": { "localId": "218", "locator": "114:21-114:34", "name": "locationPeriod", "type": "IdentifierRef" } } } ] } } }, "operand": [ { "name": "Encounter", "operandTypeSpecifier": { "localId": "204", "locator": "110:65-110:86", "name": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "type": "NamedTypeSpecifier" } } ] } ] } } }, "elm_annotations": { "statements": [ { "children": [ { "children": [ { "children": [ { "text": "define \"Encounter\":\n " } ] }, { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Emergency Department Visit\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "14" } ], "ref_id": "15" } ], "define_name": "Encounter" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"LengthInDays\"(Value " } ] }, { "children": [ { "children": [ { "text": "Interval<" } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "20" }, { "children": [ { "text": ">" } ] } ], "ref_id": "21" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "difference in days between " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "Value" } ] } ], "node_type": "OperandRef", "ref_id": "22" } ], "node_type": "Start", "ref_id": "23" }, { "children": [ { "text": " and " } ] }, { "children": [ { "children": [ { "text": "end of " } ] }, { "children": [ { "children": [ { "text": "Value" } ] } ], "node_type": "OperandRef", "ref_id": "24" } ], "node_type": "End", "ref_id": "25" } ], "node_type": "DifferenceBetween", "ref_id": "26" } ], "node_type": "DifferenceBetween", "ref_id": "26" } ], "ref_id": "27" } ], "define_name": "LengthInDays" }, { "children": [ { "children": [ { "children": [ { "text": "define \"Inpatient Encounter\":\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Encounter Inpatient\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "16" } ], "node_type": "Retrieve", "ref_id": "16" }, { "children": [ { "text": " EncounterInpatient" } ] } ], "ref_id": "17" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "\"LengthInDays\"(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "EncounterInpatient" } ] } ], "ref_id": "18" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "19" } ], "node_type": "Property", "ref_id": "19" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "28" }, { "children": [ { "text": "<= 120" } ] } ], "node_type": "LessOrEqual", "ref_id": "30" }, { "children": [ { "text": "\n and " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "EncounterInpatient" } ] } ], "ref_id": "31" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "32" } ], "node_type": "Property", "ref_id": "32" }, { "children": [ { "text": " ends during " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "33" } ], "node_type": "In", "ref_id": "34" } ], "ref_id": "35" } ], "ref_id": "35" } ], "node_type": "Query", "ref_id": "36" } ], "ref_id": "37" } ], "define_name": "Inpatient Encounter" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"ToDate\"(Value " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "38" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "DateTime(" } ] }, { "children": [ { "children": [ { "text": "year from " } ] }, { "children": [ { "children": [ { "text": "Value" } ] } ], "node_type": "OperandRef", "ref_id": "39" } ], "ref_id": "40" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "month from " } ] }, { "children": [ { "children": [ { "text": "Value" } ] } ], "node_type": "OperandRef", "ref_id": "41" } ], "ref_id": "42" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "day from " } ] }, { "children": [ { "children": [ { "text": "Value" } ] } ], "node_type": "OperandRef", "ref_id": "43" } ], "ref_id": "44" }, { "children": [ { "text": ", 0, 0, 0, 0, " } ] }, { "children": [ { "children": [ { "text": "timezone from " } ] }, { "children": [ { "children": [ { "text": "Value" } ] } ], "node_type": "OperandRef", "ref_id": "49" } ], "ref_id": "50" }, { "children": [ { "text": ")" } ] } ], "node_type": "DateTime", "ref_id": "51" } ], "node_type": "DateTime", "ref_id": "51" } ], "ref_id": "52" } ], "define_name": "ToDate" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"CalendarAgeInDaysAt\"(BirthDateTime " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "53" }, { "children": [ { "text": ", AsOf " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "54" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "days between " } ] }, { "children": [ { "children": [ { "text": "ToDate(" } ] }, { "children": [ { "children": [ { "text": "BirthDateTime" } ] } ], "node_type": "OperandRef", "ref_id": "55" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "56" }, { "children": [ { "text": "and " } ] }, { "children": [ { "children": [ { "text": "ToDate(" } ] }, { "children": [ { "children": [ { "text": "AsOf" } ] } ], "node_type": "OperandRef", "ref_id": "57" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "58" } ], "node_type": "DurationBetween", "ref_id": "59" } ], "node_type": "DurationBetween", "ref_id": "59" } ], "ref_id": "60" } ], "define_name": "CalendarAgeInDaysAt" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"CalendarAgeInDays\"(BirthDateTime " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "61" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "CalendarAgeInDaysAt(" } ] }, { "children": [ { "children": [ { "text": "BirthDateTime" } ] } ], "node_type": "OperandRef", "ref_id": "62" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "Today()" } ] } ], "node_type": "Today", "ref_id": "63" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "64" } ], "node_type": "FunctionRef", "ref_id": "64" } ], "ref_id": "65" } ], "define_name": "CalendarAgeInDays" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"CalendarAgeInMonthsAt\"(BirthDateTime " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "66" }, { "children": [ { "text": ", AsOf " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "67" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "months between " } ] }, { "children": [ { "children": [ { "text": "ToDate(" } ] }, { "children": [ { "children": [ { "text": "BirthDateTime" } ] } ], "node_type": "OperandRef", "ref_id": "68" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "69" }, { "children": [ { "text": "and " } ] }, { "children": [ { "children": [ { "text": "ToDate(" } ] }, { "children": [ { "children": [ { "text": "AsOf" } ] } ], "node_type": "OperandRef", "ref_id": "70" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "71" } ], "node_type": "DurationBetween", "ref_id": "72" } ], "node_type": "DurationBetween", "ref_id": "72" } ], "ref_id": "73" } ], "define_name": "CalendarAgeInMonthsAt" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"CalendarAgeInMonths\"(BirthDateTime " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "74" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "CalendarAgeInMonthsAt(" } ] }, { "children": [ { "children": [ { "text": "BirthDateTime" } ] } ], "node_type": "OperandRef", "ref_id": "75" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "Today()" } ] } ], "node_type": "Today", "ref_id": "76" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "77" } ], "node_type": "FunctionRef", "ref_id": "77" } ], "ref_id": "78" } ], "define_name": "CalendarAgeInMonths" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"CalendarAgeInYearsAt\"(BirthDateTime " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "79" }, { "children": [ { "text": ", AsOf " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "80" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "years between " } ] }, { "children": [ { "children": [ { "text": "ToDate(" } ] }, { "children": [ { "children": [ { "text": "BirthDateTime" } ] } ], "node_type": "OperandRef", "ref_id": "81" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "82" }, { "children": [ { "text": "and " } ] }, { "children": [ { "children": [ { "text": "ToDate(" } ] }, { "children": [ { "children": [ { "text": "AsOf" } ] } ], "node_type": "OperandRef", "ref_id": "83" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "84" } ], "node_type": "DurationBetween", "ref_id": "85" } ], "node_type": "DurationBetween", "ref_id": "85" } ], "ref_id": "86" } ], "define_name": "CalendarAgeInYearsAt" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"CalendarAgeInYears\"(BirthDateTime " } ] }, { "children": [ { "children": [ { "text": "DateTime" } ] } ], "ref_id": "87" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "CalendarAgeInYearsAt(" } ] }, { "children": [ { "children": [ { "text": "BirthDateTime" } ] } ], "node_type": "OperandRef", "ref_id": "88" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "Today()" } ] } ], "node_type": "Today", "ref_id": "89" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "90" } ], "node_type": "FunctionRef", "ref_id": "90" } ], "ref_id": "91" } ], "define_name": "CalendarAgeInYears" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospitalization\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "92" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "text": "singleton from " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Emergency Department Visit\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "93" } ], "node_type": "Retrieve", "ref_id": "93" }, { "children": [ { "text": " EDVisit" } ] } ], "ref_id": "94" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "EDVisit" } ] } ], "ref_id": "95" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "96" } ], "node_type": "Property", "ref_id": "96" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "ends " } ] }, { "children": [ { "children": [ { "text": "1 hour" } ] } ], "node_type": "Quantity", "ref_id": "100" }, { "children": [ { "text": " or less on or before" } ] } ], "ref_id": "101" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "97" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "98" } ], "node_type": "Property", "ref_id": "98" } ], "node_type": "Start", "ref_id": "99" } ], "ref_id": "101" } ], "ref_id": "101" } ], "node_type": "Query", "ref_id": "102" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "102" } ], "node_type": "SingletonFrom", "ref_id": "103" }, { "children": [ { "text": " )" } ] } ], "node_type": "SingletonFrom", "ref_id": "103" }, { "children": [ { "text": " X" } ] } ], "ref_id": "104" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "return " } ] }, { "children": [ { "children": [ { "text": "if " } ] }, { "children": [ { "children": [ { "children": [ { "text": "X" } ] } ], "node_type": "AliasRef", "ref_id": "105" }, { "children": [ { "text": " is null" } ] } ], "node_type": "IsNull", "ref_id": "106" }, { "children": [ { "text": " then " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "107" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "ref_id": "108" } ], "ref_id": "108" }, { "children": [ { "text": " else " } ] }, { "children": [ { "children": [ { "text": "Interval[" } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "X" } ] } ], "ref_id": "109" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "110" } ], "node_type": "Property", "ref_id": "110" } ], "ref_id": "111" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "text": "end of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "112" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "113" } ], "node_type": "Property", "ref_id": "113" } ], "ref_id": "114" }, { "children": [ { "text": "]" } ] } ], "ref_id": "115" } ], "node_type": "If", "ref_id": "116" } ], "ref_id": "117" } ], "node_type": "Query", "ref_id": "118" } ], "node_type": "Query", "ref_id": "118" } ], "ref_id": "119" } ], "define_name": "Hospitalization" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospitalization Locations\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "123" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "text": "singleton from " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Emergency Department Visit\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "124" } ], "node_type": "Retrieve", "ref_id": "124" }, { "children": [ { "text": " EDVisit" } ] } ], "ref_id": "125" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "EDVisit" } ] } ], "ref_id": "126" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "127" } ], "node_type": "Property", "ref_id": "127" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "ends " } ] }, { "children": [ { "children": [ { "text": "1 hour" } ] } ], "node_type": "Quantity", "ref_id": "131" }, { "children": [ { "text": " or less on or before" } ] } ], "ref_id": "132" }, { "children": [ { "text": " " } ] }, { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "128" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "129" } ], "node_type": "Property", "ref_id": "129" } ], "node_type": "Start", "ref_id": "130" } ], "ref_id": "132" } ], "ref_id": "132" } ], "node_type": "Query", "ref_id": "133" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "133" } ], "node_type": "SingletonFrom", "ref_id": "134" }, { "children": [ { "text": " )" } ] } ], "node_type": "SingletonFrom", "ref_id": "134" }, { "children": [ { "text": " EDEncounter" } ] } ], "ref_id": "135" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "return " } ] }, { "children": [ { "children": [ { "text": "if " } ] }, { "children": [ { "children": [ { "children": [ { "text": "EDEncounter" } ] } ], "node_type": "AliasRef", "ref_id": "136" }, { "children": [ { "text": " is null" } ] } ], "node_type": "IsNull", "ref_id": "137" }, { "children": [ { "text": " then " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "138" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "facilityLocations" } ] } ], "ref_id": "139" } ], "ref_id": "139" }, { "children": [ { "text": " else " } ] }, { "children": [ { "children": [ { "text": "flatten " } ] }, { "children": [ { "children": [ { "text": "{ " } ] }, { "children": [ { "children": [ { "children": [ { "text": "EDEncounter" } ] } ], "ref_id": "140" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "facilityLocations" } ] } ], "ref_id": "141" } ], "ref_id": "141" }, { "children": [ { "text": ", " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "142" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "facilityLocations" } ] } ], "ref_id": "143" } ], "ref_id": "143" }, { "children": [ { "text": " }" } ] } ], "node_type": "List", "ref_id": "144" } ], "ref_id": "145" } ], "node_type": "If", "ref_id": "146" } ], "ref_id": "147" } ], "node_type": "Query", "ref_id": "148" } ], "node_type": "Query", "ref_id": "148" } ], "ref_id": "149" } ], "define_name": "Hospitalization Locations" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospitalization Length of Stay\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "150" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "LengthInDays(" } ] }, { "children": [ { "children": [ { "text": "\"Hospitalization\"(" } ] }, { "children": [ { "children": [ { "text": "Encounter" } ] } ], "node_type": "OperandRef", "ref_id": "151" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "152" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "153" } ], "node_type": "FunctionRef", "ref_id": "153" } ], "ref_id": "154" } ], "define_name": "Hospitalization Length of Stay" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospital Admission Time\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "155" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "\"Hospitalization\"(" } ] }, { "children": [ { "children": [ { "text": "Encounter" } ] } ], "node_type": "OperandRef", "ref_id": "156" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "157" } ], "node_type": "Start", "ref_id": "158" } ], "node_type": "Start", "ref_id": "158" } ], "ref_id": "159" } ], "define_name": "Hospital Admission Time" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospital Discharge Time\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "160" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "end of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "161" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "162" } ], "node_type": "Property", "ref_id": "162" } ], "node_type": "End", "ref_id": "163" } ], "node_type": "End", "ref_id": "163" } ], "ref_id": "164" } ], "define_name": "Hospital Discharge Time" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospital Arrival Time\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "165" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "First(" } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "(" } ] }, { "children": [ { "children": [ { "text": "\"Hospitalization Locations\"(" } ] }, { "children": [ { "children": [ { "text": "Encounter" } ] } ], "node_type": "OperandRef", "ref_id": "166" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "167" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "167" }, { "children": [ { "text": "HospitalLocation" } ] } ], "ref_id": "168" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "sort by " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "IdentifierRef", "ref_id": "169" } ], "node_type": "Start", "ref_id": "170" } ], "ref_id": "171" } ], "ref_id": "172" } ], "ref_id": "173" }, { "children": [ { "text": "\n )" } ] } ], "ref_id": "174" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "Property", "ref_id": "175" } ], "node_type": "Property", "ref_id": "175" } ], "node_type": "Start", "ref_id": "176" } ], "node_type": "Start", "ref_id": "176" } ], "ref_id": "177" } ], "define_name": "Hospital Arrival Time" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Hospital Departure Time\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "178" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "end of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Last(" } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "(" } ] }, { "children": [ { "children": [ { "text": "\"Hospitalization Locations\"(" } ] }, { "children": [ { "children": [ { "text": "Encounter" } ] } ], "node_type": "OperandRef", "ref_id": "179" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "180" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "180" }, { "children": [ { "text": "HospitalLocation" } ] } ], "ref_id": "181" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "sort by " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "IdentifierRef", "ref_id": "182" } ], "node_type": "Start", "ref_id": "183" } ], "ref_id": "184" } ], "ref_id": "185" } ], "ref_id": "186" }, { "children": [ { "text": "\n )" } ] } ], "ref_id": "187" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "Property", "ref_id": "188" } ], "node_type": "Property", "ref_id": "188" } ], "node_type": "End", "ref_id": "189" } ], "node_type": "End", "ref_id": "189" } ], "ref_id": "190" } ], "define_name": "Hospital Departure Time" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"Emergency Department Arrival Time\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "191" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "text": "singleton from " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "text": "\"Hospitalization Locations\"(" } ] }, { "children": [ { "children": [ { "text": "Encounter" } ] } ], "node_type": "OperandRef", "ref_id": "192" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "193" }, { "children": [ { "text": ")" } ] } ], "node_type": "FunctionRef", "ref_id": "193" }, { "children": [ { "text": " HospitalLocation" } ] } ], "ref_id": "194" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "HospitalLocation" } ] } ], "ref_id": "195" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "code" } ] } ], "ref_id": "196" } ], "ref_id": "196" }, { "children": [ { "text": " in " } ] }, { "children": [ { "children": [ { "text": "\"Emergency Department Visit\"" } ] } ], "ref_id": "197" } ], "ref_id": "198" } ], "ref_id": "198" } ], "node_type": "Query", "ref_id": "199" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "199" } ], "ref_id": "200" }, { "children": [ { "text": "\n )" } ] } ], "ref_id": "200" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "Property", "ref_id": "201" } ], "node_type": "Property", "ref_id": "201" } ], "node_type": "Start", "ref_id": "202" } ], "node_type": "Start", "ref_id": "202" } ], "ref_id": "203" } ], "define_name": "Emergency Department Arrival Time" }, { "children": [ { "children": [ { "children": [ { "text": "define function \"First Inpatient Intensive Care Unit\"(Encounter " } ] }, { "children": [ { "children": [ { "text": "\"Encounter, Performed\"" } ] } ], "ref_id": "204" }, { "children": [ { "text": " ):\n " } ] }, { "children": [ { "children": [ { "children": [ { "text": "First(" } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "(" } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "205" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "facilityLocations" } ] } ], "node_type": "Property", "ref_id": "206" } ], "node_type": "Property", "ref_id": "206" }, { "children": [ { "text": ")" } ] } ], "node_type": "Property", "ref_id": "206" }, { "children": [ { "text": "HospitalLocation" } ] } ], "ref_id": "207" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "HospitalLocation" } ] } ], "ref_id": "208" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "code" } ] } ], "ref_id": "209" } ], "ref_id": "209" }, { "children": [ { "text": " in " } ] }, { "children": [ { "children": [ { "text": "\"Intensive Care Unit\"" } ] } ], "ref_id": "210" } ], "node_type": "InValueSet", "ref_id": "211" }, { "children": [ { "text": "\n and " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "HospitalLocation" } ] } ], "ref_id": "212" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "Property", "ref_id": "213" } ], "node_type": "Property", "ref_id": "213" }, { "children": [ { "text": " during " } ] }, { "children": [ { "children": [ { "children": [ { "text": "Encounter" } ] } ], "ref_id": "214" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "215" } ], "node_type": "Property", "ref_id": "215" } ], "node_type": "IncludedIn", "ref_id": "216" } ], "ref_id": "217" } ], "ref_id": "217" }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "sort by " } ] }, { "children": [ { "children": [ { "children": [ { "text": "start of " } ] }, { "children": [ { "children": [ { "text": "locationPeriod" } ] } ], "node_type": "IdentifierRef", "ref_id": "218" } ], "node_type": "Start", "ref_id": "219" } ], "ref_id": "220" } ], "ref_id": "221" } ], "ref_id": "222" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "First", "ref_id": "223" } ], "node_type": "First", "ref_id": "223" } ], "ref_id": "224" } ], "define_name": "First Inpatient Intensive Care Unit" } ], "identifier": { "id": "MATGlobalCommonFunctions", "version": "2.0.000" } }, "is_main_library": false, "is_top_level": true, "library_name": "MATGlobalCommonFunctions", "library_version": "2.0.000", "statement_dependencies": [ { "statement_name": "CalendarAgeInYearsAt", "statement_references": [ { "hqmf_id": null, "library_name": "MATGlobalCommonFunctions", "statement_name": "ToDate" } ] }, { "statement_name": "ToDate" } ] }, { "cql": "library Hospice version '1.0.000'\r\n\r\nusing QDM version '5.3'\r\n\r\ncodesystem \"LOINC:2.46\": 'urn:oid:2.16.840.1.113883.6.1' version 'urn:hl7:version:2.46'\r\ncodesystem \"SNOMEDCT:2016-03\": 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2016-03'\r\ncodesystem \"SNOMEDCT:2017-03\": 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2017-03'\r\ncodesystem \"SNOMEDCT:2017-09\": 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2017-09'\r\n\r\nvalueset \"Encounter Inpatient\": 'urn:oid:2.16.840.1.113883.3.666.5.307'\r\nvalueset \"Hospice care ambulatory\": 'urn:oid:2.16.840.1.113762.1.4.1108.15'\r\n\r\ncode \"Birthdate\": '21112-8' from \"LOINC:2.46\" display 'Birth date'\r\ncode \"Dead\": '419099009' from \"SNOMEDCT:2016-03\" display 'Dead'\r\ncode \"Discharge to healthcare facility for hospice care (procedure)\": '428371000124100' from \"SNOMEDCT:2017-09\" display 'Discharge to healthcare facility for hospice care (procedure)'\r\ncode \"Discharge to home for hospice care (procedure)\": '428361000124107' from \"SNOMEDCT:2017-09\" display 'Discharge to home for hospice care (procedure)'\r\n\r\nparameter \"Measurement Period\" Interval\r\n\r\ncontext Patient\r\n\r\ndefine \"Has Hospice\":\r\n\texists ( [\"Encounter, Performed\": \"Encounter Inpatient\"] DischargeHospice\r\n\t\t\twhere ( DischargeHospice.dischargeDisposition as Code ~ \"Discharge to home for hospice care (procedure)\"\r\n\t\t\t\t\tor DischargeHospice.dischargeDisposition as Code ~ \"Discharge to healthcare facility for hospice care (procedure)\"\r\n\t\t\t)\r\n\t\t\t\tand DischargeHospice.relevantPeriod ends during \"Measurement Period\"\r\n\t)\r\n\t\tor exists ( [\"Intervention, Order\": \"Hospice care ambulatory\"] HospiceOrder\r\n\t\t\t\twhere HospiceOrder.authorDatetime during \"Measurement Period\"\r\n\t\t)\r\n\t\tor exists ( [\"Intervention, Performed\": \"Hospice care ambulatory\"] HospicePerformed\r\n\t\t\t\twhere HospicePerformed.relevantPeriod overlaps \"Measurement Period\"\r\n\t\t)\r\n", "elm": { "library": { "identifier": { "id": "Hospice", "version": "1.0.000" }, "schemaIdentifier": { "id": "urn:hl7-org:elm", "version": "r1" }, "usings": { "def": [ { "localIdentifier": "System", "uri": "urn:hl7-org:elm-types:r1" }, { "localId": "1", "locator": "3:1-3:23", "localIdentifier": "QDM", "uri": "urn:healthit-gov:qdm:v5_3", "version": "5.3" } ] }, "parameters": { "def": [ { "localId": "18", "locator": "18:1-18:49", "name": "Measurement Period", "accessLevel": "Public", "parameterTypeSpecifier": { "localId": "17", "locator": "18:32-18:49", "type": "IntervalTypeSpecifier", "pointType": { "localId": "16", "locator": "18:41-18:48", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } } ] }, "codeSystems": { "def": [ { "localId": "2", "locator": "5:1-5:87", "name": "LOINC:2.46", "id": "2.16.840.1.113883.6.1", "version": "urn:hl7:version:2.46", "accessLevel": "Public" }, { "localId": "3", "locator": "6:1-6:97", "name": "SNOMEDCT:2016-03", "id": "2.16.840.1.113883.6.96", "version": "urn:hl7:version:2016-03", "accessLevel": "Public" }, { "localId": "4", "locator": "7:1-7:97", "name": "SNOMEDCT:2017-03", "id": "2.16.840.1.113883.6.96", "version": "urn:hl7:version:2017-03", "accessLevel": "Public" }, { "localId": "5", "locator": "8:1-8:97", "name": "SNOMEDCT:2017-09", "id": "2.16.840.1.113883.6.96", "version": "urn:hl7:version:2017-09", "accessLevel": "Public" } ] }, "valueSets": { "def": [ { "localId": "6", "locator": "10:1-10:71", "name": "Encounter Inpatient", "id": "2.16.840.1.113883.3.666.5.307", "accessLevel": "Public" }, { "localId": "7", "locator": "11:1-11:75", "name": "Hospice care ambulatory", "id": "2.16.840.1.113762.1.4.1108.15", "accessLevel": "Public" } ] }, "codes": { "def": [ { "localId": "9", "locator": "13:1-13:66", "name": "Birthdate", "id": "21112-8", "display": "Birth date", "accessLevel": "Public", "codeSystem": { "localId": "8", "locator": "13:34-13:45", "name": "LOINC:2.46" } }, { "localId": "11", "locator": "14:1-14:63", "name": "Dead", "id": "419099009", "display": "Dead", "accessLevel": "Public", "codeSystem": { "localId": "10", "locator": "14:31-14:48", "name": "SNOMEDCT:2016-03" } }, { "localId": "13", "locator": "15:1-15:183", "name": "Discharge to healthcare facility for hospice care (procedure)", "id": "428371000124100", "display": "Discharge to healthcare facility for hospice care (procedure)", "accessLevel": "Public", "codeSystem": { "localId": "12", "locator": "15:94-15:111", "name": "SNOMEDCT:2017-09" } }, { "localId": "15", "locator": "16:1-16:153", "name": "Discharge to home for hospice care (procedure)", "id": "428361000124107", "display": "Discharge to home for hospice care (procedure)", "accessLevel": "Public", "codeSystem": { "localId": "14", "locator": "16:79-16:96", "name": "SNOMEDCT:2017-09" } } ] }, "statements": { "def": [ { "locator": "20:1-20:15", "name": "Patient", "context": "Patient", "expression": { "type": "SingletonFrom", "operand": { "locator": "20:1-20:15", "dataType": "{urn:healthit-gov:qdm:v5_3}Patient", "templateId": "Patient", "type": "Retrieve" } } }, { "localId": "59", "locator": "22:1-34:3", "name": "Has Hospice", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "59", "s": [ { "value": [ "define ", "\"Has Hospice\"", ":\n\t" ] }, { "r": "58", "s": [ { "r": "49", "s": [ { "r": "40", "s": [ { "value": [ "exists " ] }, { "r": "39", "s": [ { "value": [ "( " ] }, { "r": "39", "s": [ { "s": [ { "r": "20", "s": [ { "r": "19", "s": [ { "r": "19", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Encounter Inpatient\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "DischargeHospice" ] } ] } ] }, { "value": [ "\n\t\t\t" ] }, { "r": "38", "s": [ { "value": [ "where " ] }, { "r": "38", "s": [ { "r": "33", "s": [ { "value": [ "( " ] }, { "r": "33", "s": [ { "r": "26", "s": [ { "r": "24", "s": [ { "r": "22", "s": [ { "r": "21", "s": [ { "value": [ "DischargeHospice" ] } ] }, { "value": [ "." ] }, { "r": "22", "s": [ { "value": [ "dischargeDisposition" ] } ] } ] }, { "value": [ " as " ] }, { "r": "23", "s": [ { "value": [ "Code" ] } ] } ] }, { "value": [ " ", "~", " " ] }, { "r": "25", "s": [ { "value": [ "\"Discharge to home for hospice care (procedure)\"" ] } ] } ] }, { "value": [ "\n\t\t\t\t\tor " ] }, { "r": "32", "s": [ { "r": "30", "s": [ { "r": "28", "s": [ { "r": "27", "s": [ { "value": [ "DischargeHospice" ] } ] }, { "value": [ "." ] }, { "r": "28", "s": [ { "value": [ "dischargeDisposition" ] } ] } ] }, { "value": [ " as " ] }, { "r": "29", "s": [ { "value": [ "Code" ] } ] } ] }, { "value": [ " ", "~", " " ] }, { "r": "31", "s": [ { "value": [ "\"Discharge to healthcare facility for hospice care (procedure)\"" ] } ] } ] } ] }, { "value": [ "\n\t\t\t)" ] } ] }, { "value": [ "\n\t\t\t\tand " ] }, { "r": "37", "s": [ { "r": "35", "s": [ { "r": "34", "s": [ { "value": [ "DischargeHospice" ] } ] }, { "value": [ "." ] }, { "r": "35", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " ", "ends during", " " ] }, { "r": "36", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] } ] }, { "value": [ "\n\t)" ] } ] } ] }, { "value": [ "\n\t\tor " ] }, { "r": "48", "s": [ { "value": [ "exists " ] }, { "r": "47", "s": [ { "value": [ "( " ] }, { "r": "47", "s": [ { "s": [ { "r": "42", "s": [ { "r": "41", "s": [ { "r": "41", "s": [ { "value": [ "[", "\"Intervention, Order\"", ": " ] }, { "s": [ { "value": [ "\"Hospice care ambulatory\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "HospiceOrder" ] } ] } ] }, { "value": [ "\n\t\t\t\t" ] }, { "r": "46", "s": [ { "value": [ "where " ] }, { "r": "46", "s": [ { "r": "44", "s": [ { "r": "43", "s": [ { "value": [ "HospiceOrder" ] } ] }, { "value": [ "." ] }, { "r": "44", "s": [ { "value": [ "authorDatetime" ] } ] } ] }, { "value": [ " ", "during", " " ] }, { "r": "45", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] }, { "value": [ "\n\t\t)" ] } ] } ] } ] }, { "value": [ "\n\t\tor " ] }, { "r": "57", "s": [ { "value": [ "exists " ] }, { "r": "56", "s": [ { "value": [ "( " ] }, { "r": "56", "s": [ { "s": [ { "r": "51", "s": [ { "r": "50", "s": [ { "r": "50", "s": [ { "value": [ "[", "\"Intervention, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Hospice care ambulatory\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "HospicePerformed" ] } ] } ] }, { "value": [ "\n\t\t\t\t" ] }, { "r": "55", "s": [ { "value": [ "where " ] }, { "r": "55", "s": [ { "r": "53", "s": [ { "r": "52", "s": [ { "value": [ "HospicePerformed" ] } ] }, { "value": [ "." ] }, { "r": "53", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " ", "overlaps", " " ] }, { "r": "54", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] }, { "value": [ "\n\t\t)" ] } ] } ] } ] } ] } } ], "expression": { "localId": "58", "locator": "23:2-34:3", "type": "Or", "operand": [ { "localId": "49", "locator": "23:2-31:3", "type": "Or", "operand": [ { "localId": "40", "locator": "23:2-28:2", "type": "Exists", "operand": { "localId": "39", "locator": "23:9-28:2", "type": "Query", "source": [ { "localId": "20", "locator": "23:11-23:74", "alias": "DischargeHospice", "expression": { "localId": "19", "locator": "23:11-23:57", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Encounter Inpatient", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "38", "locator": "24:4-27:72", "type": "And", "operand": [ { "localId": "33", "locator": "24:10-26:4", "type": "Or", "operand": [ { "localId": "26", "locator": "24:12-24:107", "type": "Equivalent", "operand": [ { "localId": "24", "locator": "24:12-24:56", "strict": false, "type": "As", "operand": { "localId": "22", "locator": "24:12-24:48", "path": "dischargeDisposition", "scope": "DischargeHospice", "type": "Property" }, "asTypeSpecifier": { "localId": "23", "locator": "24:53-24:56", "name": "{urn:hl7-org:elm-types:r1}Code", "type": "NamedTypeSpecifier" } }, { "localId": "25", "locator": "24:60-24:107", "name": "Discharge to home for hospice care (procedure)", "type": "CodeRef" } ] }, { "localId": "32", "locator": "25:9-25:119", "type": "Equivalent", "operand": [ { "localId": "30", "locator": "25:9-25:53", "strict": false, "type": "As", "operand": { "localId": "28", "locator": "25:9-25:45", "path": "dischargeDisposition", "scope": "DischargeHospice", "type": "Property" }, "asTypeSpecifier": { "localId": "29", "locator": "25:50-25:53", "name": "{urn:hl7-org:elm-types:r1}Code", "type": "NamedTypeSpecifier" } }, { "localId": "31", "locator": "25:57-25:119", "name": "Discharge to healthcare facility for hospice care (procedure)", "type": "CodeRef" } ] } ] }, { "localId": "37", "locator": "27:9-27:72", "type": "In", "operand": [ { "locator": "27:41-27:44", "type": "End", "operand": { "localId": "35", "locator": "27:9-27:39", "path": "relevantPeriod", "scope": "DischargeHospice", "type": "Property" } }, { "localId": "36", "locator": "27:53-27:72", "name": "Measurement Period", "type": "ParameterRef" } ] } ] } } }, { "localId": "48", "locator": "29:6-31:3", "type": "Exists", "operand": { "localId": "47", "locator": "29:13-31:3", "type": "Query", "source": [ { "localId": "42", "locator": "29:15-29:77", "alias": "HospiceOrder", "expression": { "localId": "41", "locator": "29:15-29:64", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveInterventionOrder", "templateId": "PositiveInterventionOrder", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Hospice care ambulatory", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "46", "locator": "30:5-30:65", "type": "In", "operand": [ { "localId": "44", "locator": "30:11-30:37", "path": "authorDatetime", "scope": "HospiceOrder", "type": "Property" }, { "localId": "45", "locator": "30:46-30:65", "name": "Measurement Period", "type": "ParameterRef" } ] } } } ] }, { "localId": "57", "locator": "32:6-34:3", "type": "Exists", "operand": { "localId": "56", "locator": "32:13-34:3", "type": "Query", "source": [ { "localId": "51", "locator": "32:15-32:85", "alias": "HospicePerformed", "expression": { "localId": "50", "locator": "32:15-32:68", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveInterventionPerformed", "templateId": "PositiveInterventionPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Hospice care ambulatory", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "55", "locator": "33:5-33:71", "type": "Overlaps", "operand": [ { "localId": "53", "locator": "33:11-33:41", "path": "relevantPeriod", "scope": "HospicePerformed", "type": "Property" }, { "localId": "54", "locator": "33:52-33:71", "name": "Measurement Period", "type": "ParameterRef" } ] } } } ] } } ] } } }, "elm_annotations": { "statements": [ { "children": [ { "children": [ { "children": [ { "text": "define \"Has Hospice\":\n " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Encounter, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Encounter Inpatient\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "19" } ], "node_type": "Retrieve", "ref_id": "19" }, { "children": [ { "text": " DischargeHospice" } ] } ], "ref_id": "20" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "DischargeHospice" } ] } ], "ref_id": "21" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "dischargeDisposition" } ] } ], "node_type": "Property", "ref_id": "22" } ], "node_type": "Property", "ref_id": "22" }, { "children": [ { "text": " as " } ] }, { "children": [ { "children": [ { "text": "Code" } ] } ], "ref_id": "23" } ], "node_type": "As", "ref_id": "24" }, { "children": [ { "text": " ~ " } ] }, { "children": [ { "children": [ { "text": "\"Discharge to home for hospice care (procedure)\"" } ] } ], "node_type": "CodeRef", "ref_id": "25" } ], "node_type": "Equivalent", "ref_id": "26" }, { "children": [ { "text": "\n or " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "DischargeHospice" } ] } ], "ref_id": "27" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "dischargeDisposition" } ] } ], "node_type": "Property", "ref_id": "28" } ], "node_type": "Property", "ref_id": "28" }, { "children": [ { "text": " as " } ] }, { "children": [ { "children": [ { "text": "Code" } ] } ], "ref_id": "29" } ], "node_type": "As", "ref_id": "30" }, { "children": [ { "text": " ~ " } ] }, { "children": [ { "children": [ { "text": "\"Discharge to healthcare facility for hospice care (procedure)\"" } ] } ], "node_type": "CodeRef", "ref_id": "31" } ], "node_type": "Equivalent", "ref_id": "32" } ], "node_type": "Or", "ref_id": "33" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Or", "ref_id": "33" }, { "children": [ { "text": "\n and " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "DischargeHospice" } ] } ], "ref_id": "34" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "35" } ], "node_type": "Property", "ref_id": "35" }, { "children": [ { "text": " ends during " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "36" } ], "node_type": "In", "ref_id": "37" } ], "ref_id": "38" } ], "ref_id": "38" } ], "node_type": "Query", "ref_id": "39" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "39" } ], "node_type": "Exists", "ref_id": "40" }, { "children": [ { "text": "\n or " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Intervention, Order\": " } ] }, { "children": [ { "children": [ { "text": "\"Hospice care ambulatory\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "41" } ], "node_type": "Retrieve", "ref_id": "41" }, { "children": [ { "text": " HospiceOrder" } ] } ], "ref_id": "42" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "HospiceOrder" } ] } ], "ref_id": "43" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "authorDatetime" } ] } ], "node_type": "Property", "ref_id": "44" } ], "node_type": "Property", "ref_id": "44" }, { "children": [ { "text": " during " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "45" } ], "ref_id": "46" } ], "ref_id": "46" } ], "node_type": "Query", "ref_id": "47" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "47" } ], "node_type": "Exists", "ref_id": "48" } ], "node_type": "Or", "ref_id": "49" }, { "children": [ { "text": "\n or " } ] }, { "children": [ { "children": [ { "text": "exists " } ] }, { "children": [ { "children": [ { "text": "( " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "children": [ { "text": "[\"Intervention, Performed\": " } ] }, { "children": [ { "children": [ { "text": "\"Hospice care ambulatory\"" } ] } ] }, { "children": [ { "text": "]" } ] } ], "node_type": "Retrieve", "ref_id": "50" } ], "node_type": "Retrieve", "ref_id": "50" }, { "children": [ { "text": " HospicePerformed" } ] } ], "ref_id": "51" } ] }, { "children": [ { "text": "\n " } ] }, { "children": [ { "children": [ { "text": "where " } ] }, { "children": [ { "children": [ { "children": [ { "children": [ { "text": "HospicePerformed" } ] } ], "ref_id": "52" }, { "children": [ { "text": "." } ] }, { "children": [ { "children": [ { "text": "relevantPeriod" } ] } ], "node_type": "Property", "ref_id": "53" } ], "node_type": "Property", "ref_id": "53" }, { "children": [ { "text": " overlaps " } ] }, { "children": [ { "children": [ { "text": "\"Measurement Period\"" } ] } ], "node_type": "ParameterRef", "ref_id": "54" } ], "ref_id": "55" } ], "ref_id": "55" } ], "node_type": "Query", "ref_id": "56" }, { "children": [ { "text": "\n )" } ] } ], "node_type": "Query", "ref_id": "56" } ], "node_type": "Exists", "ref_id": "57" } ], "node_type": "Or", "ref_id": "58" } ], "ref_id": "59" } ], "define_name": "Has Hospice" } ], "identifier": { "id": "Hospice", "version": "1.0.000" } }, "is_main_library": false, "is_top_level": true, "library_name": "Hospice", "library_version": "1.0.000", "statement_dependencies": [ { "statement_name": "Has Hospice" } ] } ], "created_at": null, "description": "Percentage of patients 13 years of age and older with a new episode of alcohol or other drug abuse or (AOD) dependence who received the following. Two rates are reported.\na. Percentage of patients who initiated treatment within 14 days of the diagnosis.\nb. Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.", "hqmf_id": "40280382-6258-7581-0162-92A37A9B15DF", "hqmf_set_id": "C3657D72-21B4-4675-820A-86C7FE293BF5", "hqmf_version_number": "7", "main_cql_library": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "measure_attributes": [ { "code": "OTH", "value": "137", "name": "eCQM Identifier (Measure Authoring Tool)", "code_obj": { "type": "CD", "null_flavor": "OTH", "original_text": "eCQM Identifier (Measure Authoring Tool)" }, "value_obj": { "type": "ED", "value": "137", "media_type": "text/plain" } }, { "code": "OTH", "value": "0004", "name": "NQF Number", "code_obj": { "type": "CD", "null_flavor": "OTH", "original_text": "NQF Number" }, "value_obj": { "type": "ED", "value": "0004", "media_type": "text/plain" } }, { "code": "COPY", "value": "This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R] ) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved.", "name": "Copyright", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "COPY", "title": "Copyright" }, "value_obj": { "type": "ED", "value": "This Physician Performance Measure (Measure) and related data specifications were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (eg, use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2017 National Committee for Quality Assurance. All Rights Reserved. \n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications.\n\nCPT(R) contained in the Measure specifications is copyright 2004-2017 American Medical Association. LOINC(R) copyright 2004-2017 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R] ) copyright 2004-2017 International Health Terminology Standards Development Organisation. ICD-10 copyright 2017 World Health Organization. All Rights Reserved.", "media_type": "text/plain" } }, { "code": "DISC", "value": "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.\n \nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].", "name": "Disclaimer", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "DISC", "title": "Disclaimer" }, "value_obj": { "type": "ED", "value": "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.\n \nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].", "media_type": "text/plain" } }, { "code": "MSRSCORE", "name": "Measure Scoring", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "MSRSCORE", "title": "Measure Scoring" }, "value_obj": { "type": "CD", "system": "2.16.840.1.113883.1.11.20367", "code": "PROPOR", "title": "Proportion" } }, { "code": "MSRTYPE", "name": "Measure Type", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "MSRTYPE", "title": "Measure Type" }, "value_obj": { "type": "CD", "system": "2.16.840.1.113883.1.11.20368", "code": "PROCESS", "title": "PROCESS" } }, { "code": "STRAT", "value": "Report a total score, and each of the following strata:\nStratum 1: Patients age 13-17 \nStratum 2: Patients age >=18", "name": "Stratification", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "STRAT", "title": "Stratification" }, "value_obj": { "type": "ED", "value": "Report a total score, and each of the following strata:\nStratum 1: Patients age 13-17 \nStratum 2: Patients age >=18", "media_type": "text/plain" } }, { "code": "MSRADJ", "value": "None", "name": "Risk Adjustment", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "MSRADJ", "title": "Risk Adjustment" }, "value_obj": { "type": "ED", "value": "None", "media_type": "text/plain" } }, { "code": "MSRAGG", "value": "None", "name": "Rate Aggregation", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "MSRAGG", "title": "Rate Aggregation" }, "value_obj": { "type": "ED", "value": "None", "media_type": "text/plain" } }, { "code": "RAT", "value": "There are more deaths, illnesses and disabilities from substance abuse than from any other preventable health condition. Treatment of medical problems caused by substance use and abuse places a huge burden on the health care system (Schneider Institute 2001). According to a report from the 2001 National Household Survey on Drug Abuse (NHSDA), an estimated 16.6 million Americans aged 12 or older in 2001 were classified with dependence on or abuse of either alcohol or illicit drugs (7.3 percent of the total population) (Substance Abuse and Mental Health Services Administration 2008). Of these, 2.4 million were classified with dependence on or abuse of both alcohol and illicit drugs, 3.2 million were dependent on or abused illicit drugs but not alcohol, and 11.0 million were dependent on or abused alcohol but not illicit drugs (Substance Abuse and Mental Health Services Administration 2008).", "name": "Rationale", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "RAT", "title": "Rationale" }, "value_obj": { "type": "ED", "value": "There are more deaths, illnesses and disabilities from substance abuse than from any other preventable health condition. Treatment of medical problems caused by substance use and abuse places a huge burden on the health care system (Schneider Institute 2001). According to a report from the 2001 National Household Survey on Drug Abuse (NHSDA), an estimated 16.6 million Americans aged 12 or older in 2001 were classified with dependence on or abuse of either alcohol or illicit drugs (7.3 percent of the total population) (Substance Abuse and Mental Health Services Administration 2008). Of these, 2.4 million were classified with dependence on or abuse of both alcohol and illicit drugs, 3.2 million were dependent on or abused illicit drugs but not alcohol, and 11.0 million were dependent on or abused alcohol but not illicit drugs (Substance Abuse and Mental Health Services Administration 2008).", "media_type": "text/plain" } }, { "code": "CRS", "value": "American Psychiatric Association (2006)\n* Because many substance use disorders are chronic, patients usually require long-term treatment, although the intensity and specific components of treatment may vary over time [I rating]. \n* It is important to intensify the monitoring for substance use during periods when the patient is at a high risk of relapsing, including during the early stages of treatment, times of transition to less intensive levels of care, and the first year after active treatment has ceased [I rating].\n* Outpatient treatment of substance use disorders is appropriate for patients whose clinical condition or environmental circumstances do not require a more intensive level of care [I rating]. As in other treatment settings, a comprehensive approach is optimal, using, where indicated, a variety of psychotherapeutic and pharmacological interventions along with behavioral monitoring [I rating ].\n* Naltrexone, injectable naltrexone, acamprosate, a y-aminobutyric acid (GABA) are recommended for patients with alcohol dependence [I rating]. Disulfiram is also recommended for patients with alcohol dependence [II rating]. \n* Methadone and buprenorphine are recommended for patients with opioid dependence [I rating]. Naltrexone is an alternative strategy [I rating].\n\nMichigan Quality Improvement Consortium (2013)\n* Patient Education and Brief Intervention by Primary Care Physician (PCP) or Trained Staff (eg, RN, MSW) [A rating]\n* Assess patient's risk, understanding, and readiness to change. \n* Discuss the relationship of substance use to presenting medical concerns or psychosocial problems. \n* Negotiate goals and strategies for reducing consumption and other change. \n* Involve family members as appropriate. \n\nReferral\n* Refer to a substance abuse health specialist, an addiction physician specialist, or a physician experienced in pharmacologic management of addiction [D rating] \n* Initiate treatment within 14 days \n* Frequent follow-up is helpful to support behavior change; preferably 2 visits within 30 days \n* Also consider referrals to community-based services (eg, Alcoholics Anonymous [AA], Narcotics Anonymous [NA], etc.), or an Employee Assistance Program", "name": "Clinical Recommendation Statement", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "CRS", "title": "Clinical Recommendation Statement" }, "value_obj": { "type": "ED", "value": "American Psychiatric Association (2006)\n* Because many substance use disorders are chronic, patients usually require long-term treatment, although the intensity and specific components of treatment may vary over time [I rating]. \n* It is important to intensify the monitoring for substance use during periods when the patient is at a high risk of relapsing, including during the early stages of treatment, times of transition to less intensive levels of care, and the first year after active treatment has ceased [I rating].\n* Outpatient treatment of substance use disorders is appropriate for patients whose clinical condition or environmental circumstances do not require a more intensive level of care [I rating]. As in other treatment settings, a comprehensive approach is optimal, using, where indicated, a variety of psychotherapeutic and pharmacological interventions along with behavioral monitoring [I rating ].\n* Naltrexone, injectable naltrexone, acamprosate, a y-aminobutyric acid (GABA) are recommended for patients with alcohol dependence [I rating]. Disulfiram is also recommended for patients with alcohol dependence [II rating]. \n* Methadone and buprenorphine are recommended for patients with opioid dependence [I rating]. Naltrexone is an alternative strategy [I rating].\n\nMichigan Quality Improvement Consortium (2013)\n* Patient Education and Brief Intervention by Primary Care Physician (PCP) or Trained Staff (eg, RN, MSW) [A rating]\n* Assess patient's risk, understanding, and readiness to change. \n* Discuss the relationship of substance use to presenting medical concerns or psychosocial problems. \n* Negotiate goals and strategies for reducing consumption and other change. \n* Involve family members as appropriate. \n\nReferral\n* Refer to a substance abuse health specialist, an addiction physician specialist, or a physician experienced in pharmacologic management of addiction [D rating] \n* Initiate treatment within 14 days \n* Frequent follow-up is helpful to support behavior change; preferably 2 visits within 30 days \n* Also consider referrals to community-based services (eg, Alcoholics Anonymous [AA], Narcotics Anonymous [NA], etc.), or an Employee Assistance Program", "media_type": "text/plain" } }, { "code": "IDUR", "value": "Higher score indicates better quality", "name": "Improvement Notation", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "IDUR", "title": "Improvement Notation" }, "value_obj": { "type": "ED", "value": "Higher score indicates better quality", "media_type": "text/plain" } }, { "code": "REF", "value": "Schneider Institute for Health Policy, Brandeis University. 2001. Substance Abuse: The Nation's Number One Health Problem. Princeton: Robert Wood Johnson Foundation.", "name": "Reference", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "REF", "title": "Reference" }, "value_obj": { "type": "ED", "value": "Schneider Institute for Health Policy, Brandeis University. 2001. Substance Abuse: The Nation's Number One Health Problem. Princeton: Robert Wood Johnson Foundation.", "media_type": "text/plain" } }, { "code": "REF", "value": "Substance Abuse and Mental Health Services Administration, Office of Applied Studies. 2008. Results from the 2007 National Survey on Drug Use and Health: National Finding. NSDUH Series H-34, DHHS Publication No. SMA 08-4343. Rockville, MD.", "name": "Reference", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "REF", "title": "Reference" }, "value_obj": { "type": "ED", "value": "Substance Abuse and Mental Health Services Administration, Office of Applied Studies. 2008. Results from the 2007 National Survey on Drug Use and Health: National Finding. NSDUH Series H-34, DHHS Publication No. SMA 08-4343. Rockville, MD.", "media_type": "text/plain" } }, { "code": "REF", "value": "Work Group on Substance Use Disorders, Kleber H.D., R.D. Weiss, R.F. Anton, B.J. Rounsaville, T.P. George, E.C. Strain, S.F. Greenfield, D.M. Ziedonis, T.R. Kosten, G. Hennessy, C.P. O'Brien, H.S. Connery HS, American Psychiatric Association Steering Committee on Practice Guidelines, McIntyre J.S., S.C. Charles, D.J. Anzia, J.E. Nininger, I.A. Cook, P. Summergrad, M.T. Finnerty, S.M. Woods, B.R. Johnson, J. Yager, R. Pyles, L. Lurie, C.D. Cross, R.D. Walker, R. Peele, M.A. Barnovitz, S.H. Gray, J.P. Shemo, S. Saxena, T. Tonnu, R. Kunkle, A.B. Albert, L.J. Fochtmann, C. Hart, D. Regier. 2006. Treatment of patients with substance use disorders, second edition. American Psychiatric Association. Am J Psychiatry 163(8 Suppl):5-82.", "name": "Reference", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "REF", "title": "Reference" }, "value_obj": { "type": "ED", "value": "Work Group on Substance Use Disorders, Kleber H.D., R.D. Weiss, R.F. Anton, B.J. Rounsaville, T.P. George, E.C. Strain, S.F. Greenfield, D.M. Ziedonis, T.R. Kosten, G. Hennessy, C.P. O'Brien, H.S. Connery HS, American Psychiatric Association Steering Committee on Practice Guidelines, McIntyre J.S., S.C. Charles, D.J. Anzia, J.E. Nininger, I.A. Cook, P. Summergrad, M.T. Finnerty, S.M. Woods, B.R. Johnson, J. Yager, R. Pyles, L. Lurie, C.D. Cross, R.D. Walker, R. Peele, M.A. Barnovitz, S.H. Gray, J.P. Shemo, S. Saxena, T. Tonnu, R. Kunkle, A.B. Albert, L.J. Fochtmann, C. Hart, D. Regier. 2006. Treatment of patients with substance use disorders, second edition. American Psychiatric Association. Am J Psychiatry 163(8 Suppl):5-82.", "media_type": "text/plain" } }, { "code": "REF", "value": "Michigan Quality Improvement Consortium. 2013. Screening, diagnosis and referral for substance use disorders. Southfield (MI): Michigan Quality Improvement Consortium.", "name": "Reference", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "REF", "title": "Reference" }, "value_obj": { "type": "ED", "value": "Michigan Quality Improvement Consortium. 2013. Screening, diagnosis and referral for substance use disorders. Southfield (MI): Michigan Quality Improvement Consortium.", "media_type": "text/plain" } }, { "code": "DEF", "value": "The initiation visit is the first visit for alcohol or other drug dependence treatment within 14 days after a diagnosis of alcohol or other drug dependence.\n\nTreatment includes inpatient AOD admissions, outpatient visits, intensive outpatient encounters or partial hospitalization.\n\nThe Intake Period: January 1-November 15 of the measurement year. The Intake Period is used to capture new episodes of Alcohol or Drug Dependence. The November 15 cut-off date ensures that all services can occur before the measurement period ends.", "name": "Definition", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "DEF", "title": "Definition" }, "value_obj": { "type": "ED", "value": "The initiation visit is the first visit for alcohol or other drug dependence treatment within 14 days after a diagnosis of alcohol or other drug dependence.\n\nTreatment includes inpatient AOD admissions, outpatient visits, intensive outpatient encounters or partial hospitalization.\n\nThe Intake Period: January 1-November 15 of the measurement year. The Intake Period is used to capture new episodes of Alcohol or Drug Dependence. The November 15 cut-off date ensures that all services can occur before the measurement period ends.", "media_type": "text/plain" } }, { "code": "GUIDE", "value": "The new episode of alcohol and other drug dependence should be the first episode of the measurement period that is not preceded in the 60 days prior by another episode of alcohol or other drug dependence.", "name": "Guidance", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "GUIDE", "title": "Guidance" }, "value_obj": { "type": "ED", "value": "The new episode of alcohol and other drug dependence should be the first episode of the measurement period that is not preceded in the 60 days prior by another episode of alcohol or other drug dependence.", "media_type": "text/plain" } }, { "code": "TRANF", "value": "TBD", "name": "Transmission Format", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "TRANF", "title": "Transmission Format" }, "value_obj": { "type": "ED", "value": "TBD", "media_type": "text/plain" } }, { "code": "IPOP", "value": "Patients age 13 years of age and older who were diagnosed with a new episode of alcohol, opioid, or other drug abuse or dependency during a visit between January 1 and November 15 of the measurement period", "name": "Initial Population", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "IPOP", "title": "Initial Population" }, "value_obj": { "type": "ED", "value": "Patients age 13 years of age and older who were diagnosed with a new episode of alcohol, opioid, or other drug abuse or dependency during a visit between January 1 and November 15 of the measurement period", "media_type": "text/plain" } }, { "code": "DENOM", "value": "Equals Initial Population", "name": "Denominator", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "DENOM", "title": "Denominator" }, "value_obj": { "type": "ED", "value": "Equals Initial Population", "media_type": "text/plain" } }, { "code": "DENEX", "value": "Patients with a previous active diagnosis of alcohol, opioid or other drug abuse or dependence in the 60 days prior to the first episode of alcohol or drug dependence\n\nExclude patients whose hospice care overlaps the measurement period.", "name": "Denominator Exclusions", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "DENEX", "title": "Denominator Exclusions" }, "value_obj": { "type": "ED", "value": "Patients with a previous active diagnosis of alcohol, opioid or other drug abuse or dependence in the 60 days prior to the first episode of alcohol or drug dependence\n\nExclude patients whose hospice care overlaps the measurement period.", "media_type": "text/plain" } }, { "code": "NUMER", "value": "Numerator 1: Patients who initiated treatment within 14 days of the diagnosis\n\nNumerator 2: Patients who initiated treatment and who had two or more additional services with an alcohol, opioid, or other drug abuse or dependence diagnosis within 30 days of the initiation visit", "name": "Numerator", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "NUMER", "title": "Numerator" }, "value_obj": { "type": "ED", "value": "Numerator 1: Patients who initiated treatment within 14 days of the diagnosis\n\nNumerator 2: Patients who initiated treatment and who had two or more additional services with an alcohol, opioid, or other drug abuse or dependence diagnosis within 30 days of the initiation visit", "media_type": "text/plain" } }, { "code": "NUMEX", "value": "Not Applicable", "name": "Numerator Exclusions", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "NUMEX", "title": "Numerator Exclusions" }, "value_obj": { "type": "ED", "value": "Not Applicable", "media_type": "text/plain" } }, { "code": "DENEXCEP", "value": "None", "name": "Denominator Exceptions", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "DENEXCEP", "title": "Denominator Exceptions" }, "value_obj": { "type": "ED", "value": "None", "media_type": "text/plain" } }, { "code": "SDE", "value": "For every patient evaluated by this measure also identify payer, race, ethnicity and sex", "name": "Supplemental Data Elements", "code_obj": { "type": "CD", "system": "2.16.840.1.113883.5.4", "code": "SDE", "title": "Supplemental Data Elements" }, "value_obj": { "type": "ED", "value": "For every patient evaluated by this measure also identify payer, race, ethnicity and sex", "media_type": "text/plain" } } ], "measure_period": { "type": "IVL_TS", "low": { "type": "TS", "value": "201201010000", "inclusive?": true, "derived?": false }, "high": { "type": "TS", "value": "201212312359", "inclusive?": true, "derived?": false }, "width": { "type": "PQ", "unit": "a", "value": "1", "inclusive?": true, "derived?": false } }, "measure_scoring": "PROPORTION", "population_criteria": { "IPP": { "conjunction?": true, "type": "IPP", "hqmf_id": "452021F9-5466-45A8-9528-0F92E70C95DD", "preconditions": [ { "id": 2, "preconditions": [ { "id": 1, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Initial_Population__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "DENOM": { "conjunction?": true, "type": "DENOM", "hqmf_id": "39C79E71-7369-46C3-AD5F-1C5D83BA474A", "preconditions": [ { "id": 4, "preconditions": [ { "id": 3, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Denominator__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "NUMER": { "conjunction?": true, "type": "NUMER", "hqmf_id": "22DE67FC-79C0-4725-BDE3-3C9B0A1ACAF7", "preconditions": [ { "id": 6, "preconditions": [ { "id": 5, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Numerator__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "DENEX": { "conjunction?": true, "type": "DENEX", "hqmf_id": "B0687FEA-DC33-40B2-95F7-279E11E3AB28", "preconditions": [ { "id": 8, "preconditions": [ { "id": 7, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Denominator_Exclusions__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "atLeastOneTrue" } ] }, "STRAT": { "conjunction?": true, "type": "STRAT", "hqmf_id": "F7764C47-6BAE-4359-A3DF-9C452DC95A33", "preconditions": [ { "id": 12, "preconditions": [ { "id": 11, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Stratification_1__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "STRAT_1": { "conjunction?": true, "type": "STRAT", "hqmf_id": "44729C98-B535-4C78-8BC3-A716323B9965", "preconditions": [ { "id": 16, "preconditions": [ { "id": 15, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Stratification_2__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "IPP_1": { "conjunction?": true, "type": "IPP", "hqmf_id": "C7127400-8034-45D1-8227-6C244349AB6E", "preconditions": [ { "id": 18, "preconditions": [ { "id": 17, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Initial_Population__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "DENOM_1": { "conjunction?": true, "type": "DENOM", "hqmf_id": "B636C467-23C5-4A23-8709-C71641B1A3AE", "preconditions": [ { "id": 20, "preconditions": [ { "id": 19, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Denominator__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "NUMER_1": { "conjunction?": true, "type": "NUMER", "hqmf_id": "C3D3C7F3-CADA-45E9-A5AA-A05A3C04A76A", "preconditions": [ { "id": 22, "preconditions": [ { "id": 21, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Numerator_2__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "DENEX_1": { "conjunction?": true, "type": "DENEX", "hqmf_id": "089CFF04-2838-4B37-8BDA-647E7B94C709", "preconditions": [ { "id": 24, "preconditions": [ { "id": 23, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Denominator_Exclusions__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "atLeastOneTrue" } ] }, "STRAT_2": { "conjunction?": true, "type": "STRAT", "hqmf_id": "2A93884C-D881-447F-BA9B-F2EA0A2F30F4", "preconditions": [ { "id": 28, "preconditions": [ { "id": 27, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Stratification_1__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] }, "STRAT_3": { "conjunction?": true, "type": "STRAT", "hqmf_id": "7ECED382-8389-4028-9623-36ED3537E010", "preconditions": [ { "id": 32, "preconditions": [ { "id": 31, "reference": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment__Stratification_2__AFF126DD_D43A_4987_8EF9_A2E2CAE6AD0E" } ], "conjunction_code": "allTrue" } ] } }, "population_sets": [ { "population_set_id": "PopulationCriteria1", "populations": { "DENEX": { "hqmf_id": "B0687FEA-DC33-40B2-95F7-279E11E3AB28", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Denominator Exclusions" }, "DENOM": { "hqmf_id": "39C79E71-7369-46C3-AD5F-1C5D83BA474A", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Denominator" }, "IPP": { "hqmf_id": "452021F9-5466-45A8-9528-0F92E70C95DD", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Initial Population" }, "NUMER": { "hqmf_id": "22DE67FC-79C0-4725-BDE3-3C9B0A1ACAF7", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Numerator" }, "_type": "CQM::ProportionPopulationMap" }, "stratifications": [ { "hqmf_id": "F7764C47-6BAE-4359-A3DF-9C452DC95A33", "statement": { "hqmf_id": "F7764C47-6BAE-4359-A3DF-9C452DC95A33", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Stratification 1" }, "stratification_id": "PopulationCriteria1 - Stratification 1", "title": "Stratification 1" }, { "hqmf_id": "44729C98-B535-4C78-8BC3-A716323B9965", "statement": { "hqmf_id": "44729C98-B535-4C78-8BC3-A716323B9965", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Stratification 2" }, "stratification_id": "PopulationCriteria1 - Stratification 2", "title": "Stratification 2" } ], "title": "Population Criteria Section 1" }, { "population_set_id": "PopulationCriteria2", "populations": { "DENEX": { "hqmf_id": "089CFF04-2838-4B37-8BDA-647E7B94C709", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Denominator Exclusions" }, "DENOM": { "hqmf_id": "B636C467-23C5-4A23-8709-C71641B1A3AE", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Denominator" }, "IPP": { "hqmf_id": "C7127400-8034-45D1-8227-6C244349AB6E", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Initial Population" }, "NUMER": { "hqmf_id": "C3D3C7F3-CADA-45E9-A5AA-A05A3C04A76A", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Numerator 2" }, "_type": "CQM::ProportionPopulationMap" }, "stratifications": [ { "hqmf_id": "2A93884C-D881-447F-BA9B-F2EA0A2F30F4", "statement": { "hqmf_id": "2A93884C-D881-447F-BA9B-F2EA0A2F30F4", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Stratification 1" }, "stratification_id": "PopulationCriteria2 - Stratification 1", "title": "Stratification 1" }, { "hqmf_id": "7ECED382-8389-4028-9623-36ED3537E010", "statement": { "hqmf_id": "7ECED382-8389-4028-9623-36ED3537E010", "library_name": "InitiationandEngagementofAlcoholandOtherDrugDependenceTreatment", "statement_name": "Stratification 2" }, "stratification_id": "PopulationCriteria2 - Stratification 2", "title": "Stratification 2" } ], "title": "Population Criteria Section 2" } ], "source_data_criteria": [ { "codeListId": "2.16.840.1.114222.4.11.3591", "dataElementCodes": [ ], "description": "Patient Characteristic Payer: Payer", "hqmfOid": "2.16.840.1.113883.10.20.28.4.58", "id": "5d289cbf31fe5f8b54b9ceb2", "qdmCategory": "patient_characteristic", "qdmStatus": "payer", "qdmTitle": "Patient Characteristic Payer", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::PatientCharacteristicPayer" }, { "codeListId": "2.16.840.1.113762.1.4.1", "dataElementCodes": [ ], "description": "Patient Characteristic Sex: ONCAdministrativeSex", "hqmfOid": "2.16.840.1.113883.10.20.28.4.55", "id": "5d289cbf31fe5f8b54b9ceb3", "qdmCategory": "patient_characteristic", "qdmStatus": "gender", "qdmTitle": "Patient Characteristic Sex", "qdmVersion": "5.5", "_type": "QDM::PatientCharacteristicSex" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.526.3.1496", "dataElementCodes": [ ], "description": "Encounter, Performed: PsychVisit-Psychotherapy", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9ceb4", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "anatomicalLocationSite": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.106.12.1001", "dataElementCodes": [ ], "description": "Diagnosis: AlcoholandDrugDependence", "hqmfOid": "2.16.840.1.113883.10.20.28.4.110", "id": "5d289cbf31fe5f8b54b9ceb5", "prevalencePeriod": null, "qdmCategory": "condition", "qdmTitle": "Diagnosis", "qdmVersion": "5.5", "qrdaOid": "2.16.840.1.113883.10.20.24.3.135", "recorder": null, "severity": null, "_type": "QDM::Diagnosis" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.666.5.307", "dataElementCodes": [ ], "description": "Encounter, Performed: EncounterInpatient", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9ceb6", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1059", "dataElementCodes": [ ], "description": "Encounter, Performed: DetoxificationVisit", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9ceb7", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "authorDatetime": null, "codeListId": "2.16.840.1.113762.1.4.1108.15", "dataElementCodes": [ ], "description": "Intervention, Order: Hospicecareambulatory", "hqmfOid": "2.16.840.1.113883.10.20.28.4.35", "id": "5d289cbf31fe5f8b54b9ceb8", "negationRationale": null, "qdmCategory": "intervention", "qdmStatus": "order", "qdmTitle": "Intervention, Order", "qdmVersion": "5.5", "reason": null, "requester": null, "_type": "QDM::InterventionOrder" }, { "authorDatetime": null, "codeListId": "2.16.840.1.113762.1.4.1108.15", "dataElementCodes": [ ], "description": "Intervention, Performed: Hospicecareambulatory", "hqmfOid": "2.16.840.1.113883.10.20.28.4.36", "id": "5d289cbf31fe5f8b54b9ceb9", "negationRationale": null, "performer": null, "qdmCategory": "intervention", "qdmStatus": "performed", "qdmTitle": "Intervention, Performed", "qdmVersion": "5.5", "reason": null, "relevantDatetime": null, "relevantPeriod": null, "result": null, "status": null, "_type": "QDM::InterventionPerformed" }, { "codeListId": "2.16.840.1.114222.4.11.837", "dataElementCodes": [ ], "description": "Patient Characteristic Ethnicity: Ethnicity", "hqmfOid": "2.16.840.1.113883.10.20.28.4.56", "id": "5d289cbf31fe5f8b54b9ceba", "qdmCategory": "patient_characteristic", "qdmStatus": "ethnicity", "qdmTitle": "Patient Characteristic Ethnicity", "qdmVersion": "5.5", "_type": "QDM::PatientCharacteristicEthnicity" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1007", "dataElementCodes": [ ], "description": "Encounter, Performed: DischargeServices-HospitalInpatient", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cebb", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1002", "dataElementCodes": [ ], "description": "Encounter, Performed: HospitalObservationCare-Initial", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cebc", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "codeListId": "2.16.840.1.114222.4.11.836", "dataElementCodes": [ ], "description": "Patient Characteristic Race: Race", "hqmfOid": "2.16.840.1.113883.10.20.28.4.59", "id": "5d289cbf31fe5f8b54b9cebd", "qdmCategory": "patient_characteristic", "qdmStatus": "race", "qdmTitle": "Patient Characteristic Race", "qdmVersion": "5.5", "_type": "QDM::PatientCharacteristicRace" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1006", "dataElementCodes": [ ], "description": "Encounter, Performed: DischargeServices-HospitalInpatientSameDayDischarge", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cebe", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1010", "dataElementCodes": [ ], "description": "Encounter, Performed: EmergencyDepartmentVisit", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cebf", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1004", "dataElementCodes": [ ], "description": "Encounter, Performed: HospitalInpatientVisit-Initial", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cec0", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.106.12.1005", "dataElementCodes": [ ], "description": "Encounter, Performed: AlcoholandDrugDependenceTreatment", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cec1", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" }, { "admissionSource": null, "authorDatetime": null, "codeListId": "2.16.840.1.113883.3.464.1003.101.12.1001", "dataElementCodes": [ ], "description": "Encounter, Performed: OfficeVisit", "diagnoses": null, "dischargeDisposition": null, "facilityLocations": [ ], "hqmfOid": "2.16.840.1.113883.10.20.28.4.5", "id": "5d289cbf31fe5f8b54b9cec2", "lengthOfStay": null, "negationRationale": null, "participant": null, "priority": null, "qdmCategory": "encounter", "qdmStatus": "performed", "qdmTitle": "Encounter, Performed", "qdmVersion": "5.5", "relevantPeriod": null, "_type": "QDM::EncounterPerformed" } ], "title": "Initiation and Engagement of Alcohol and Other Drug Dependence Treatment", "updated_at": null, "value_set_ids": [ "5d289cbf31fe5f8b54b9ce9c", "5d289cbf31fe5f8b54b9ce9d", "5d289cbf31fe5f8b54b9ce9e", "5d289cbf31fe5f8b54b9ce9f", "5d289cbf31fe5f8b54b9cea0", "5d289cbf31fe5f8b54b9cea1", "5d289cbf31fe5f8b54b9cea2", "5d289cbf31fe5f8b54b9cea3", "5d289cbf31fe5f8b54b9cea4", "5d289cbf31fe5f8b54b9cea5", "5d289cbf31fe5f8b54b9cea6", "5d289cbf31fe5f8b54b9cea7", "5d289cbf31fe5f8b54b9cea8", "5d289cbf31fe5f8b54b9cea9", "5d289cbf31fe5f8b54b9ceaa", "5d289cbf31fe5f8b54b9ceab", "5d289cbf31fe5f8b54b9ceac", "5d289cbf31fe5f8b54b9cead", "5d289cbf31fe5f8b54b9ceae", "5d289cbf31fe5f8b54b9ceaf", "5d289cbf31fe5f8b54b9ceb0", "5d289cbf31fe5f8b54b9ceb1" ] }