cqframework · c-schuler · Oct 31, 2022 · Oct 17, 2022 · Oct 24, 2022 · Oct 25, 2022
diff --git a/_refresh.sh b/_refresh.sh
@@ -1,6 +1,7 @@
 #!/bin/bash
 #DO NOT EDIT WITH WINDOWS
 tooling_jar=tooling-1.4.1-SNAPSHOT-jar-with-dependencies.jar
+# tooling_jar=tooling-cli-2.1.0-SNAPSHOT.jar
 input_cache_path=$PWD/input-cache
 resources_path=/input/resources
 ig_ini_path=$PWD/ig.ini

diff --git a/input-cache/txcache/all-systems.cache b/input-cache/txcache/all-systems.cache
@@ -250,3 +250,12 @@ v: {
   "system" : "urn:iso:std:iso:3166"
 }
 -------------------------------------------------------------------------------------
+{"code" : {
+  "code" : "text/cql.identifier"
+}, "url": "http://hl7.org/fhir/ValueSet/mimetypes", "version": "4.0.1", "lang":"null", "useServer":"true", "useClient":"true", "guessSystem":"true", "valueSetMode":"ALL_CHECKS", "versionFlexible":"true"}####
+v: {
+  "display" : "text/cql.identifier",
+  "code" : "text/cql.identifier",
+  "system" : "urn:ietf:bcp:13"
+}
+-------------------------------------------------------------------------------------
diff --git a/input/examples/encounter-cancer-diagnosis.json b/input/examples/encounter-cancer-diagnosis.json
@@ -5,7 +5,7 @@
     "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller",
     "extension": [ {
       "url": "dateLastUpdated",
-      "valueDateTime": "2022-08-24"
+      "valueDateTime": "2022-10-10"
     }, {
       "url": "frequency",
       "valueDuration": {
@@ -28,8 +28,8 @@
     "reference": "Patient/example-opioidcds"
   },
   "period": {
-    "start": "2022-04-24",
-    "end": "2022-04-24"
+    "start": "2022-06-10",
+    "end": "2022-06-10"
   },
   "diagnosis": [ {
     "condition": {

diff --git a/input/examples/encounter-oncologist-participant.json b/input/examples/encounter-oncologist-participant.json
@@ -5,7 +5,7 @@
     "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller",
     "extension": [ {
       "url": "dateLastUpdated",
-      "valueDateTime": "2022-08-24"
+      "valueDateTime": "2022-10-10"
     }, {
       "url": "frequency",
       "valueDuration": {
@@ -40,7 +40,7 @@
     }
   } ],
   "period": {
-    "start": "2022-03-24",
-    "end": "2022-03-24"
+    "start": "2022-05-10",
+    "end": "2022-05-10"
   }
 }
diff --git a/input/examples/medicationdispense-ambulatory-opioid.json b/input/examples/medicationdispense-ambulatory-opioid.json
@@ -5,7 +5,7 @@
     "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller",
     "extension": [ {
       "url": "dateLastUpdated",
-      "valueDateTime": "2022-08-24"
+      "valueDateTime": "2022-10-10"
     }, {
       "url": "frequency",
       "valueDuration": {
@@ -34,7 +34,7 @@
   "subject": {
     "reference": "Patient/example-opioidcds"
   },
-  "whenHandedOver": "2022-07-24",
+  "whenHandedOver": "2022-09-09",
   "dosageInstruction": [ {
     "timing": {
       "repeat": {

diff --git a/input/examples/medicationrequest-ambulatory-opioid.json b/input/examples/medicationrequest-ambulatory-opioid.json
@@ -5,7 +5,7 @@
     "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller",
     "extension": [ {
       "url": "dateLastUpdated",
-      "valueDateTime": "2022-08-24"
+      "valueDateTime": "2022-10-10"
     }, {
       "url": "frequency",
       "valueDuration": {
@@ -35,7 +35,7 @@
   "subject": {
     "reference": "Patient/example-opioidcds"
   },
-  "authoredOn": "2022-07-24",
+  "authoredOn": "2022-09-09",
   "dosageInstruction": [ {
     "timing": {
       "repeat": {
@@ -54,8 +54,8 @@
   } ],
   "dispenseRequest": {
     "validityPeriod": {
-      "start": "2022-07-24",
-      "end": "2022-10-24"
+      "start": "2022-09-09T00:00:00-06:00",
+      "end": "2022-12-10T00:00:00-07:00"
     },
     "numberOfRepeatsAllowed": 1,
     "expectedSupplyDuration": {

diff --git a/input/examples/medicationrequest-example-opioidcds.xml b/input/examples/medicationrequest-example-opioidcds.xml
@@ -2,7 +2,7 @@
    <id value="example-opioidcds"></id>
    <extension url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller">
       <extension url="dateLastUpdated">
-         <valueDateTime value="2022-08-03"></valueDateTime>
+         <valueDateTime value="2022-10-10"></valueDateTime>
       </extension>
       <extension url="frequency">
          <valueDuration>
@@ -25,7 +25,7 @@
    <subject>
       <reference value="Patient/example-opioidcds"></reference>
    </subject>
-   <authoredOn value="2022-08-03"></authoredOn>
+   <authoredOn value="2022-10-10"></authoredOn>
    <reasonCode>
       <coding>
          <system value="http://snomed.info/sct"></system>

diff --git a/input/examples/observation-example-opioidcds.xml b/input/examples/observation-example-opioidcds.xml
@@ -2,7 +2,7 @@
    <id value="example-opioidcds"></id>
    <extension url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller">
       <extension url="dateLastUpdated">
-         <valueDateTime value="2022-08-03"></valueDateTime>
+         <valueDateTime value="2022-10-10"></valueDateTime>
       </extension>
       <extension url="frequency">
          <valueDuration>
@@ -23,7 +23,7 @@
    <subject>
       <reference value="Patient/example-opioidcds"></reference>
    </subject>
-   <effectiveDateTime value="2022-08-03"></effectiveDateTime>
+   <effectiveDateTime value="2022-10-10"></effectiveDateTime>
    <interpretation>
       <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"></system>

diff --git a/input/examples/patient-example-opioidcds.xml b/input/examples/patient-example-opioidcds.xml
@@ -2,7 +2,7 @@
    <id value="example-opioidcds"></id>
    <extension url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller">
       <extension url="dateLastUpdated">
-         <valueDateTime value="2022-08-03"></valueDateTime>
+         <valueDateTime value="2022-10-10"></valueDateTime>
       </extension>
       <extension url="frequency">
          <valueDuration>
@@ -18,7 +18,7 @@
       <given value="opioidcds"></given>
    </name>
    <gender value="male"></gender>
-   <birthDate value="1982-04-14"></birthDate>
+   <birthDate value="1982-06-21"></birthDate>
    <address>
       <use value="home"></use>
       <type value="postal"></type>

diff --git a/input/examples/servicerequest-palliative-care.json b/input/examples/servicerequest-palliative-care.json
@@ -5,7 +5,7 @@
     "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/dataDateRoller",
     "extension": [ {
       "url": "dateLastUpdated",
-      "valueDateTime": "2022-08-24"
+      "valueDateTime": "2022-10-10"
     }, {
       "url": "frequency",
       "valueDuration": {
@@ -28,5 +28,5 @@
   "subject": {
     "reference": "Patient/example-opioidcds"
   },
-  "authoredOn": "2022-07-24"
+  "authoredOn": "2022-09-09"
 }
diff --git a/input/pagecontent/cql/OpioidCDSCommon.cql b/input/pagecontent/cql/OpioidCDSCommon.cql
@@ -233,7 +233,7 @@ define function "Prescription Relevant Period"(prescription FHIR.MedicationReque
   )
   then Interval[
     date from prescription.authoredOn,
-    date from prescription.authoredOn + System.Quantity{ value: GetDurationInDays(prescription.dispenseRequest.expectedSupplyDuration), unit: 'days' }
+    date from prescription.authoredOn + GetDurationInDays(prescription.dispenseRequest.expectedSupplyDuration)
   ]
   else null
 
@@ -254,14 +254,14 @@ define function GetDurationInDays(value FHIR.Duration):
   if value is null then null
   else
     case
-      when value.code.value ~ 'a' then value.value.value * 365.0
-      when value.code.value ~ 'mo' then value.value.value * 30.0
-      when value.code.value ~ 'wk' then value.value.value * 7.0
-      when value.code.value ~ 'd' then value.value.value
-      when value.code.value ~ 'h' then value.value.value / 24.0
-      when value.code.value ~ 'min' then value.value.value / 60.0 / 24.0
-      when value.code.value ~ 's' then value.value.value / 60.0 / 60.0 / 24.0
-      when value.code.value ~ 'ms' then value.value.value / 60.0 / 60.0 / 24.0 / 1000.0
+      when value.code.value ~ 'a' then System.Quantity{ value: value.value.value * 365.0, unit: 'days' }
+      when value.code.value ~ 'mo' then System.Quantity{ value: value.value.value * 30.0, unit: 'days' }
+      when value.code.value ~ 'wk' then System.Quantity{ value: value.value.value * 7.0, unit: 'days' }
+      when value.code.value ~ 'd' then System.Quantity{ value: value.value.value, unit: 'days' }
+      when value.code.value ~ 'h' then System.Quantity{ value: value.value.value / 24.0, unit: 'days' }
+      when value.code.value ~ 'min' then System.Quantity{ value: value.value.value / 60.0 / 24.0, unit: 'days' }
+      when value.code.value ~ 's' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0, unit: 'days' }
+      when value.code.value ~ 'ms' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0 / 1000.0, unit: 'days' }
       when value.code.value is null then Message(1000, true, 'Undefined', 'Error', 'Duration unit code is null')
       else Message(1000, true, 'Undefined', 'Error', 'Unsupported duration unit code: ' + value.code.value)
 end

diff --git a/input/pagecontent/cql/OpioidCDSCommonConfig.cql b/input/pagecontent/cql/OpioidCDSCommonConfig.cql
@@ -61,7 +61,7 @@ define "PDMP Data Not Reviewed in Past 90 Days Criteria Enabled":
 
 // Recommendation 10
 define "Opiate Urine Screening Check Enabled":
-  false
+  true
 
 // Recommendation 12
 define "Evidence Based Treatment Criteria For Opioid Use Disorder":

diff --git a/input/pagecontent/cql/OpioidCDSREC01.cql b/input/pagecontent/cql/OpioidCDSREC01.cql
@@ -19,7 +19,7 @@ include OpioidCDSRoutines version '0.1.1' called Routines
 **
 **  When
 **    Prescription is for treating acute pain
-**    Provider is prescribing an opioid with ambulatory misuse potential in the outpatient setting
+**    Provider is prescribing an opioid with ambulatory misuse potential
 **    Opioid review is useful for this patient:
 **      Patient is 18 or over
 **      Patient does not have findings indicating limited life expectancy
@@ -51,25 +51,18 @@ define "Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptio
 define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential":
   exists( "Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )
 
-define "Is Recommendation Applicable?":
-  "Inclusion Criteria"
-    and not "Exclusion Criteria"
-
-define "Patient Age Less Than 18":
-  if (Config."Age Less than 18 Years Is Enabled") then
-    AgeInYearsAt(Today()) < 18
-  else
-    false
-
 define "Inclusion Criteria":
   "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
-    and not "Patient Age Less Than 18"
     and Routines."Is Opioid Review Useful?"
     and Routines."Is Opioid Naive?"
 
 define "Exclusion Criteria":
   false
 
+define "Is Recommendation Applicable?":
+  "Inclusion Criteria"
+    and not "Exclusion Criteria"
+
 define "Get Indicator":
   if "Is Recommendation Applicable?"
     then 'warning'

diff --git a/input/pagecontent/cql/OpioidCDSREC02.cql b/input/pagecontent/cql/OpioidCDSREC02.cql
@@ -56,22 +56,6 @@ define "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescript
 define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential":
   exists( "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )
 
-define "Is Recommendation Applicable?":
-  "Inclusion Criteria"
-
-define "Patient Age Less Than 18":
-  if (Config."Age Less than 18 Years Is Enabled") then
-    AgeInYearsAt(Today()) < 18
-  else
-    false
-
-define "Inclusion Criteria":
-  "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
-    and Routines."Is Opioid Naive?"
-    and not "Patient Age Less Than 18"
-    and Routines."Is Opioid Review Useful?"
-    and "No Opioid Treatment Plan Created, was Edited or Reviewed in Past 90 Days?"
-
 define "No Opioid Treatment Plan Created, was Edited or Reviewed in Past 90 Days?":
   Config."Opioid Treatment Plan Verification Enabled"
     and not (
@@ -102,6 +86,15 @@ define "Had Opioid Treatment Plan Reviewed in Past 90 Days":
         )
   )
 
+define "Inclusion Criteria":
+  "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
+    and Routines."Is Opioid Review Useful?"
+    and Routines."Is Opioid Naive?"
+    and "No Opioid Treatment Plan Created, was Edited or Reviewed in Past 90 Days?"
+
+define "Is Recommendation Applicable?":
+  "Inclusion Criteria"
+
 define "Get Indicator":
   if "Is Recommendation Applicable?"
     then 'warning'

diff --git a/input/pagecontent/cql/OpioidCDSREC03.cql b/input/pagecontent/cql/OpioidCDSREC03.cql
@@ -50,21 +50,6 @@ define "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescript
 define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential":
   exists( "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )
 
-define "Is Recommendation Applicable?":
-  "Inclusion Criteria"
-
-define "Patient Age Less Than 18":
-  if (Config."Age Less than 18 Years Is Enabled") then
-    AgeInYearsAt(Today()) < 18
-  else
-    false
-
-define "Inclusion Criteria":
-  "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
-    and not "Patient Age Less Than 18"
-    and Routines."Is Opioid Review Useful?"
-    and "No Documented Discussions of Opioid Harms and Risks"
-
 define "No Documented Discussions of Opioid Harms and Risks":
   Config."Opioid Harms & Risks Discussion in Past 90 Days Criteria Enabled"
     and not (
@@ -81,6 +66,14 @@ define "Ordered Discussions of Opioid Harms and Risks in Past 90 Days Excluding
   [ServiceRequest: Common."Opioid counseling procedure"] SR
     where SR.occurrence during day of "Opioid Harms & Risks Counseling Lookback Period"
 
+define "Inclusion Criteria":
+  "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
+    and Routines."Is Opioid Review Useful?"
+    and "No Documented Discussions of Opioid Harms and Risks"
+
+define "Is Recommendation Applicable?":
+  "Inclusion Criteria"
+
 define "Get Indicator":
   if "Is Recommendation Applicable?"
     then 'warning'

diff --git a/input/pagecontent/cql/OpioidCDSREC04.cql b/input/pagecontent/cql/OpioidCDSREC04.cql
@@ -12,7 +12,7 @@ include OpioidCDSRoutines version '0.1.1' called Routines
 **    Prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids
 **
 **  When
-**    Provider is prescribing an extended release opioid with ambulatory misuse potential in the outpatient setting
+**    Provider is prescribing an extended release opioid with ambulatory misuse potential
 **    Prescription is for treating chronic pain.
 **    Opioid review is useful for this patient:
 **      Patient is 18 or over
@@ -44,24 +44,18 @@ define "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Po
 define "Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential":
   exists( "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )
 
-define "Is Recommendation Applicable?":
-  "Inclusion Criteria"
-    and not "Exclusion Criteria"
-
-define "Patient Age Less Than 18":
-  if (Config."Age Less than 18 Years Is Enabled") then
-    AgeInYearsAt(Today()) < 18
-  else
-    false
-
 define "Inclusion Criteria":
-  not "Patient Age Less Than 18"
+"Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential"
     and Routines."Is Opioid Review Useful?"
     and Routines."Is Opioid Naive?"
 
 define "Exclusion Criteria":
   Common."End of Life Assessment"
 
+define "Is Recommendation Applicable?":
+  "Inclusion Criteria"
+    and not "Exclusion Criteria"
+
 define "Get Indicator":
   if "Is Recommendation Applicable?"
     then 'warning'