bonnie_bundler 2.0.0

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Files changed (57) hide show
  1. checksums.yaml +7 -0
  2. data/.gitignore +3 -0
  3. data/.travis.yml +12 -0
  4. data/Gemfile +29 -0
  5. data/Gemfile.lock +267 -0
  6. data/README.md +4 -0
  7. data/Rakefile +29 -0
  8. data/bonnie-bundler.gemspec +29 -0
  9. data/config/initializers/mongo.rb +1 -0
  10. data/config/measures/measures_2_4_0.yml +719 -0
  11. data/config/mongoid.yml +6 -0
  12. data/lib/bonnie_bundler.rb +39 -0
  13. data/lib/ext/hash.rb +28 -0
  14. data/lib/ext/railtie.rb +11 -0
  15. data/lib/ext/valueset.rb +11 -0
  16. data/lib/measures/cql_to_elm_helper.rb +90 -0
  17. data/lib/measures/elm_parser.rb +74 -0
  18. data/lib/measures/loading/base_loader_definition.rb +61 -0
  19. data/lib/measures/loading/cql_loader.rb +420 -0
  20. data/lib/measures/loading/exceptions.rb +10 -0
  21. data/lib/measures/loading/loader.rb +178 -0
  22. data/lib/measures/loading/value_set_loader.rb +137 -0
  23. data/lib/measures/logic_extractor.rb +552 -0
  24. data/lib/measures/mongo_hash_key_wrapper.rb +44 -0
  25. data/lib/models/cql_measure.rb +160 -0
  26. data/lib/models/measure.rb +330 -0
  27. data/test/fixtures/BCS_v5_0_Artifacts.zip +0 -0
  28. data/test/fixtures/CMS158_v5_4_Artifacts.zip +0 -0
  29. data/test/fixtures/CMS158_v5_4_Artifacts_Update.zip +0 -0
  30. data/test/fixtures/DRAFT_CMS2_CQL.zip +0 -0
  31. data/test/fixtures/bonnienesting01_fixed.zip +0 -0
  32. data/test/fixtures/vcr_cassettes/mat_5-4_cql_export_vsac_response.yml +4723 -0
  33. data/test/fixtures/vcr_cassettes/multi_library_webcalls.yml +1892 -0
  34. data/test/fixtures/vcr_cassettes/valid_translation_response.yml +1120 -0
  35. data/test/fixtures/vcr_cassettes/valid_vsac_response.yml +1678 -0
  36. data/test/fixtures/vcr_cassettes/valid_vsac_response_158.yml +1670 -0
  37. data/test/fixtures/vcr_cassettes/valid_vsac_response_158_update.yml +1670 -0
  38. data/test/fixtures/vcr_cassettes/valid_vsac_response_includes_draft.yml +3480 -0
  39. data/test/fixtures/vcr_cassettes/vs_loading_draft_no_profile_version.yml +1198 -0
  40. data/test/fixtures/vcr_cassettes/vs_loading_draft_profile.yml +1198 -0
  41. data/test/fixtures/vcr_cassettes/vs_loading_draft_verion.yml +1198 -0
  42. data/test/fixtures/vcr_cassettes/vs_loading_no_profile_version.yml +1198 -0
  43. data/test/fixtures/vcr_cassettes/vs_loading_profile.yml +1196 -0
  44. data/test/fixtures/vcr_cassettes/vs_loading_version.yml +20331 -0
  45. data/test/fixtures/vs_loading/DocofMeds_v5_1_Artifacts.zip +0 -0
  46. data/test/fixtures/vs_loading/DocofMeds_v5_1_Artifacts_Version.zip +0 -0
  47. data/test/fixtures/vs_loading/DocofMeds_v5_1_Artifacts_With_Profiles.zip +0 -0
  48. data/test/simplecov_init.rb +18 -0
  49. data/test/test_helper.rb +44 -0
  50. data/test/unit/load_mat_export_test.rb +181 -0
  51. data/test/unit/measure_complexity_test.rb +32 -0
  52. data/test/unit/measure_diff_test.rb +68 -0
  53. data/test/unit/mongo_hash_key_wrapper_test.rb +247 -0
  54. data/test/unit/storing_mat_export_package_test.rb +45 -0
  55. data/test/unit/value_set_loading_test.rb +109 -0
  56. data/test/vcr_setup.rb +20 -0
  57. metadata +258 -0
data/test/fixtures/vcr_cassettes/valid_translation_response.yml ADDED
@@ -0,0 +1,1120 @@
1
+ ---
2
+ http_interactions:
3
+ - request:
4
+ method: post
5
+ uri: http://localhost:8080/cql/translator
6
+ body:
7
+ encoding: ASCII-8BIT
8
+ string: "--646210\r\nContent-Disposition: form-data; name=\"file[]\"\r\n\r\nlibrary
9
+ BCSTest version '0.0.001'\n\nusing QDM version '5.0'\n\ncodesystem \"LOINC:2.46\":
10
+ 'urn:oid:2.16.840.1.113883.6.1' version 'urn:hl7:version:2.46'\n\ncodesystem
11
+ \"SNOMEDCT:2016-03\": 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2016-03'\n\ncodesystem
12
+ \"CPT:2016\": 'urn:oid:2.16.840.1.113883.6.12' version 'urn:hl7:version:2016'\n\ncodesystem
13
+ \"AdministrativeGender:HL7V3.0_2015-07\": 'urn:oid:2.16.840.1.113883.5.1'
14
+ version 'urn:hl7:version:HL7V3.0_2015-07'\n\ncodesystem \"SNOMEDCT:2016-09\":
15
+ 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2016-09'\n\ncodesystem
16
+ \"LOINC:2.56\": 'urn:oid:2.16.840.1.113883.6.1' version 'urn:hl7:version:2.56'\n\ncodesystem
17
+ \"HCPCS:2016\": 'urn:oid:2.16.840.1.113883.6.285' version 'urn:hl7:version:2016'\n\ncodesystem
18
+ \"CDCREC:1.0\": 'urn:oid:2.16.840.1.113883.6.238' version 'urn:hl7:version:1.0'\n\ncodesystem
19
+ \"SOP:6.0\": 'urn:oid:2.16.840.1.113883.3.221.5' version 'urn:hl7:version:6.0'\n\nvalueset
20
+ \"ONC Administrative Sex\": 'urn:oid:2.16.840.1.113762.1.4.1' codesystems
21
+ {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nvalueset \"Race\": 'urn:oid:2.16.840.1.114222.4.11.836'
22
+ codesystems {\"CDCREC:1.0\"}\n\nvalueset \"Ethnicity\": 'urn:oid:2.16.840.1.114222.4.11.837'
23
+ codesystems {\"CDCREC:1.0\"}\n\nvalueset \"Payer\": 'urn:oid:2.16.840.1.114222.4.11.3591'
24
+ codesystems {\"SOP:6.0\"}\n\nvalueset \"Mammogram\": 'urn:oid:2.16.840.1.113883.3.464.1003.108.12.1018'
25
+ codesystems {\"LOINC:2.56\", \"HCPCS:2016\"}\n\nvalueset \"Face-to-Face Interaction\":
26
+ 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1048' codesystems {\"SNOMEDCT:2016-09\"}\n\nvalueset
27
+ \"Home Healthcare Services\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1016'
28
+ codesystems {\"CPT:2016\"}\n\nvalueset \"Office Visit\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1001'
29
+ codesystems {\"CPT:2016\"}\n\nvalueset \"Bilateral Mastectomy\": 'urn:oid:2.16.840.1.113883.3.464.1003.198.12.1005'
30
+ codesystems {\"SNOMEDCT:2016-09\"}\n\nvalueset \"Unilateral Mastectomy\":
31
+ 'urn:oid:2.16.840.1.113883.3.464.1003.198.12.1020' codesystems {\"SNOMEDCT:2016-09\",
32
+ \"CPT:2016\"}\n\nvalueset \"Female\": 'urn:oid:2.16.840.1.113883.3.560.100.2'
33
+ codesystems {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nparameter \"Measurement
34
+ Period\" Interval<DateTime>\n\ncontext Patient\n\ndefine \"SDE Ethnicity\":
35
+ [\"Patient Characteristic Ethnicity\": \"Ethnicity\"]\n\ndefine \"SDE Payer\":
36
+ [\"Patient Characteristic Payer\": \"Payer\"]\n\ndefine \"SDE Race\": [\"Patient
37
+ Characteristic Race\": \"Race\"]\n\ndefine \"SDE Sex\": [\"Patient Characteristic
38
+ Sex\": \"ONC Administrative Sex\"]\n\ndefine \"Initial Pop\": ([\"Encounter,
39
+ Performed\": \"Office Visit\"]\nunion [\"Encounter, Performed\": \"Face-to-Face
40
+ Interaction\"]\nunion [\"Encounter, Performed\": \"Home Healthcare Services\"])Enc\nwhere
41
+ Enc.relevantPeriod during \"Measurement Period\"\nand AgeInYearsAt(start of
42
+ \"Measurement Period\")>=65\n\ndefine \"Num\": [\"Diagnostic Study, Performed\":
43
+ \"Mammogram\"]Mam\nwhere Mam.relevantPeriod 26 months or less before end of
44
+ \"Measurement Period\"\n\ndefine \"Double Unilateral Mastectomy\": Count([\"Procedure,
45
+ Performed\": \"Unilateral Mastectomy\"]P\nwhere P.relevantPeriod before end
46
+ of \"Measurement Period\")=2\n\ndefine \"Denom\": exists(\"Initial Pop\")
47
+ and\nAgeInYearsAt(start of \"Measurement Period\")<74\nand exists([\"Patient
48
+ Characteristic Sex\": \"Female\"])\n\ndefine \"Denom Excl\": exists([\"Procedure,
49
+ Performed\": \"Bilateral Mastectomy\"]BIM\nwhere BIM.relevantPeriod before
50
+ end of \"Measurement Period\") or \"Double Unilateral Mastectomy\"\n\r\n--646210--\r\n"
51
+ headers:
52
+ Accept:
53
+ - "*/*; q=0.5, application/xml"
54
+ Accept-Encoding:
55
+ - gzip, deflate
56
+ Content-Length:
57
+ - '3432'
58
+ Content-Type:
59
+ - multipart/form-data; boundary=646210
60
+ User-Agent:
61
+ - Ruby
62
+ response:
63
+ status:
64
+ code: 200
65
+ message: OK
66
+ headers:
67
+ Mime-Version:
68
+ - '1.0'
69
+ Content-Type:
70
+ - multipart/form-data;boundary=Boundary_301_382515094_1504886314908
71
+ Date:
72
+ - Fri, 08 Sep 2017 15:58:34 GMT
73
+ Transfer-Encoding:
74
+ - chunked
75
+ body:
76
+ encoding: UTF-8
77
+ string: "--Boundary_301_382515094_1504886314908\r\nContent-Type: application/elm+json\r\nContent-Disposition:
78
+ form-data; name=\"file[]\"\r\n\r\n{\n \"library\" : {\n \"annotation\"
79
+ : [ {\n \"startLine\" : 49,\n \"startChar\" : 25,\n \"endLine\"
80
+ : 49,\n \"endChar\" : 73,\n \"message\" : \"Retrieve has a
81
+ terminology target but does not specify a code path and the type of the retrieve
82
+ does not have a primary code path defined.\",\n \"errorType\" : \"semantic\",\n
83
+ \ \"errorSeverity\" : \"warning\",\n \"type\" : \"CqlToElmError\"\n
84
+ \ }, {\n \"startLine\" : 49,\n \"startChar\" : 25,\n \"endLine\"
85
+ : 49,\n \"endChar\" : 73,\n \"message\" : \"Could not resolve
86
+ membership operator for terminology target of the retrieve.\",\n \"errorType\"
87
+ : \"semantic\",\n \"errorSeverity\" : \"warning\",\n \"type\"
88
+ : \"CqlToElmError\"\n }, {\n \"startLine\" : 51,\n \"startChar\"
89
+ : 21,\n \"endLine\" : 51,\n \"endChar\" : 61,\n \"message\"
90
+ : \"Retrieve has a terminology target but does not specify a code path and
91
+ the type of the retrieve does not have a primary code path defined.\",\n \"errorType\"
92
+ : \"semantic\",\n \"errorSeverity\" : \"warning\",\n \"type\"
93
+ : \"CqlToElmError\"\n }, {\n \"startLine\" : 51,\n \"startChar\"
94
+ : 21,\n \"endLine\" : 51,\n \"endChar\" : 61,\n \"message\"
95
+ : \"Could not resolve membership operator for terminology target of the retrieve.\",\n
96
+ \ \"errorType\" : \"semantic\",\n \"errorSeverity\" : \"warning\",\n
97
+ \ \"type\" : \"CqlToElmError\"\n }, {\n \"startLine\"
98
+ : 53,\n \"startChar\" : 20,\n \"endLine\" : 53,\n \"endChar\"
99
+ : 58,\n \"message\" : \"Retrieve has a terminology target but does
100
+ not specify a code path and the type of the retrieve does not have a primary
101
+ code path defined.\",\n \"errorType\" : \"semantic\",\n \"errorSeverity\"
102
+ : \"warning\",\n \"type\" : \"CqlToElmError\"\n }, {\n \"startLine\"
103
+ : 53,\n \"startChar\" : 20,\n \"endLine\" : 53,\n \"endChar\"
104
+ : 58,\n \"message\" : \"Could not resolve membership operator for
105
+ terminology target of the retrieve.\",\n \"errorType\" : \"semantic\",\n
106
+ \ \"errorSeverity\" : \"warning\",\n \"type\" : \"CqlToElmError\"\n
107
+ \ }, {\n \"startLine\" : 55,\n \"startChar\" : 19,\n \"endLine\"
108
+ : 55,\n \"endChar\" : 74,\n \"message\" : \"Retrieve has a
109
+ terminology target but does not specify a code path and the type of the retrieve
110
+ does not have a primary code path defined.\",\n \"errorType\" : \"semantic\",\n
111
+ \ \"errorSeverity\" : \"warning\",\n \"type\" : \"CqlToElmError\"\n
112
+ \ }, {\n \"startLine\" : 55,\n \"startChar\" : 19,\n \"endLine\"
113
+ : 55,\n \"endChar\" : 74,\n \"message\" : \"Could not resolve
114
+ membership operator for terminology target of the retrieve.\",\n \"errorType\"
115
+ : \"semantic\",\n \"errorSeverity\" : \"warning\",\n \"type\"
116
+ : \"CqlToElmError\"\n }, {\n \"startLine\" : 71,\n \"startChar\"
117
+ : 12,\n \"endLine\" : 71,\n \"endChar\" : 51,\n \"message\"
118
+ : \"Retrieve has a terminology target but does not specify a code path and
119
+ the type of the retrieve does not have a primary code path defined.\",\n \"errorType\"
120
+ : \"semantic\",\n \"errorSeverity\" : \"warning\",\n \"type\"
121
+ : \"CqlToElmError\"\n }, {\n \"startLine\" : 71,\n \"startChar\"
122
+ : 12,\n \"endLine\" : 71,\n \"endChar\" : 51,\n \"message\"
123
+ : \"Could not resolve membership operator for terminology target of the retrieve.\",\n
124
+ \ \"errorType\" : \"semantic\",\n \"errorSeverity\" : \"warning\",\n
125
+ \ \"type\" : \"CqlToElmError\"\n } ],\n \"identifier\" :
126
+ {\n \"id\" : \"BCSTest\",\n \"version\" : \"0.0.001\"\n },\n
127
+ \ \"schemaIdentifier\" : {\n \"id\" : \"urn:hl7-org:elm\",\n \"version\"
128
+ : \"r1\"\n },\n \"usings\" : {\n \"def\" : [ {\n \"localIdentifier\"
129
+ : \"System\",\n \"uri\" : \"urn:hl7-org:elm-types:r1\"\n },
130
+ {\n \"localId\" : \"1\",\n \"localIdentifier\" : \"QDM\",\n
131
+ \ \"uri\" : \"urn:healthit-gov:qdm:v5_0_draft\",\n \"version\"
132
+ : \"5.0\"\n } ]\n },\n \"parameters\" : {\n \"def\"
133
+ : [ {\n \"localId\" : \"37\",\n \"name\" : \"Measurement
134
+ Period\",\n \"accessLevel\" : \"Public\",\n \"parameterTypeSpecifier\"
135
+ : {\n \"localId\" : \"36\",\n \"type\" : \"IntervalTypeSpecifier\",\n
136
+ \ \"pointType\" : {\n \"localId\" : \"35\",\n
137
+ \ \"name\" : \"{urn:hl7-org:elm-types:r1}DateTime\",\n \"type\"
138
+ : \"NamedTypeSpecifier\"\n }\n }\n } ]\n
139
+ \ },\n \"codeSystems\" : {\n \"def\" : [ {\n \"localId\"
140
+ : \"2\",\n \"name\" : \"LOINC:2.46\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.1\",\n
141
+ \ \"version\" : \"urn:hl7:version:2.46\",\n \"accessLevel\"
142
+ : \"Public\"\n }, {\n \"localId\" : \"3\",\n \"name\"
143
+ : \"SNOMEDCT:2016-03\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.96\",\n
144
+ \ \"version\" : \"urn:hl7:version:2016-03\",\n \"accessLevel\"
145
+ : \"Public\"\n }, {\n \"localId\" : \"4\",\n \"name\"
146
+ : \"CPT:2016\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.12\",\n
147
+ \ \"version\" : \"urn:hl7:version:2016\",\n \"accessLevel\"
148
+ : \"Public\"\n }, {\n \"localId\" : \"5\",\n \"name\"
149
+ : \"AdministrativeGender:HL7V3.0_2015-07\",\n \"id\" : \"urn:oid:2.16.840.1.113883.5.1\",\n
150
+ \ \"version\" : \"urn:hl7:version:HL7V3.0_2015-07\",\n \"accessLevel\"
151
+ : \"Public\"\n }, {\n \"localId\" : \"6\",\n \"name\"
152
+ : \"SNOMEDCT:2016-09\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.96\",\n
153
+ \ \"version\" : \"urn:hl7:version:2016-09\",\n \"accessLevel\"
154
+ : \"Public\"\n }, {\n \"localId\" : \"7\",\n \"name\"
155
+ : \"LOINC:2.56\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.1\",\n
156
+ \ \"version\" : \"urn:hl7:version:2.56\",\n \"accessLevel\"
157
+ : \"Public\"\n }, {\n \"localId\" : \"8\",\n \"name\"
158
+ : \"HCPCS:2016\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.285\",\n
159
+ \ \"version\" : \"urn:hl7:version:2016\",\n \"accessLevel\"
160
+ : \"Public\"\n }, {\n \"localId\" : \"9\",\n \"name\"
161
+ : \"CDCREC:1.0\",\n \"id\" : \"urn:oid:2.16.840.1.113883.6.238\",\n
162
+ \ \"version\" : \"urn:hl7:version:1.0\",\n \"accessLevel\"
163
+ : \"Public\"\n }, {\n \"localId\" : \"10\",\n \"name\"
164
+ : \"SOP:6.0\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.221.5\",\n
165
+ \ \"version\" : \"urn:hl7:version:6.0\",\n \"accessLevel\"
166
+ : \"Public\"\n } ]\n },\n \"valueSets\" : {\n \"def\"
167
+ : [ {\n \"localId\" : \"12\",\n \"name\" : \"ONC Administrative
168
+ Sex\",\n \"id\" : \"urn:oid:2.16.840.1.113762.1.4.1\",\n \"accessLevel\"
169
+ : \"Public\",\n \"codeSystem\" : [ {\n \"localId\"
170
+ : \"11\",\n \"name\" : \"AdministrativeGender:HL7V3.0_2015-07\"\n
171
+ \ } ]\n }, {\n \"localId\" : \"14\",\n \"name\"
172
+ : \"Race\",\n \"id\" : \"urn:oid:2.16.840.1.114222.4.11.836\",\n
173
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
174
+ {\n \"localId\" : \"13\",\n \"name\" : \"CDCREC:1.0\"\n
175
+ \ } ]\n }, {\n \"localId\" : \"16\",\n \"name\"
176
+ : \"Ethnicity\",\n \"id\" : \"urn:oid:2.16.840.1.114222.4.11.837\",\n
177
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
178
+ {\n \"localId\" : \"15\",\n \"name\" : \"CDCREC:1.0\"\n
179
+ \ } ]\n }, {\n \"localId\" : \"18\",\n \"name\"
180
+ : \"Payer\",\n \"id\" : \"urn:oid:2.16.840.1.114222.4.11.3591\",\n
181
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
182
+ {\n \"localId\" : \"17\",\n \"name\" : \"SOP:6.0\"\n
183
+ \ } ]\n }, {\n \"localId\" : \"21\",\n \"name\"
184
+ : \"Mammogram\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.108.12.1018\",\n
185
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
186
+ {\n \"localId\" : \"19\",\n \"name\" : \"LOINC:2.56\"\n
187
+ \ }, {\n \"localId\" : \"20\",\n \"name\"
188
+ : \"HCPCS:2016\"\n } ]\n }, {\n \"localId\"
189
+ : \"23\",\n \"name\" : \"Face-to-Face Interaction\",\n \"id\"
190
+ : \"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1048\",\n \"accessLevel\"
191
+ : \"Public\",\n \"codeSystem\" : [ {\n \"localId\"
192
+ : \"22\",\n \"name\" : \"SNOMEDCT:2016-09\"\n } ]\n
193
+ \ }, {\n \"localId\" : \"25\",\n \"name\" : \"Home
194
+ Healthcare Services\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1016\",\n
195
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
196
+ {\n \"localId\" : \"24\",\n \"name\" : \"CPT:2016\"\n
197
+ \ } ]\n }, {\n \"localId\" : \"27\",\n \"name\"
198
+ : \"Office Visit\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1001\",\n
199
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
200
+ {\n \"localId\" : \"26\",\n \"name\" : \"CPT:2016\"\n
201
+ \ } ]\n }, {\n \"localId\" : \"29\",\n \"name\"
202
+ : \"Bilateral Mastectomy\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.198.12.1005\",\n
203
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
204
+ {\n \"localId\" : \"28\",\n \"name\" : \"SNOMEDCT:2016-09\"\n
205
+ \ } ]\n }, {\n \"localId\" : \"32\",\n \"name\"
206
+ : \"Unilateral Mastectomy\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.198.12.1020\",\n
207
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
208
+ {\n \"localId\" : \"30\",\n \"name\" : \"SNOMEDCT:2016-09\"\n
209
+ \ }, {\n \"localId\" : \"31\",\n \"name\"
210
+ : \"CPT:2016\"\n } ]\n }, {\n \"localId\" :
211
+ \"34\",\n \"name\" : \"Female\",\n \"id\" : \"urn:oid:2.16.840.1.113883.3.560.100.2\",\n
212
+ \ \"accessLevel\" : \"Public\",\n \"codeSystem\" : [
213
+ {\n \"localId\" : \"33\",\n \"name\" : \"AdministrativeGender:HL7V3.0_2015-07\"\n
214
+ \ } ]\n } ]\n },\n \"statements\" : {\n \"def\"
215
+ : [ {\n \"name\" : \"Patient\",\n \"context\" : \"Patient\",\n
216
+ \ \"expression\" : {\n \"type\" : \"SingletonFrom\",\n
217
+ \ \"operand\" : {\n \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}Patient\",\n
218
+ \ \"templateId\" : \"Patient\",\n \"type\"
219
+ : \"Retrieve\"\n }\n }\n }, {\n \"localId\"
220
+ : \"39\",\n \"name\" : \"SDE Ethnicity\",\n \"context\"
221
+ : \"Patient\",\n \"accessLevel\" : \"Public\",\n \"annotation\"
222
+ : [ {\n \"type\" : \"Annotation\",\n \"s\" : {\n
223
+ \ \"r\" : \"39\",\n \"s\" : [ {\n \"value\"
224
+ : [ \"define \",\"\\\"SDE Ethnicity\\\"\",\": \" ]\n }, {\n
225
+ \ \"r\" : \"38\",\n \"s\" : [ {\n \"value\"
226
+ : [ \"[\",\"\\\"Patient Characteristic Ethnicity\\\"\",\": \" ]\n },
227
+ {\n \"s\" : [ {\n \"value\"
228
+ : [ \"\\\"Ethnicity\\\"\" ]\n } ]\n },
229
+ {\n \"value\" : [ \"]\" ]\n } ]\n
230
+ \ } ]\n }\n } ],\n \"expression\"
231
+ : {\n \"localId\" : \"38\",\n \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicEthnicity\",\n
232
+ \ \"type\" : \"Retrieve\",\n \"codes\" : {\n \"name\"
233
+ : \"Ethnicity\",\n \"type\" : \"ValueSetRef\"\n }\n
234
+ \ }\n }, {\n \"localId\" : \"41\",\n \"name\"
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+ : \"SDE Payer\",\n \"context\" : \"Patient\",\n \"accessLevel\"
236
+ : \"Public\",\n \"annotation\" : [ {\n \"type\" :
237
+ \"Annotation\",\n \"s\" : {\n \"r\" : \"41\",\n
238
+ \ \"s\" : [ {\n \"value\" : [ \"define
239
+ \",\"\\\"SDE Payer\\\"\",\": \" ]\n }, {\n \"r\"
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+ : \"40\",\n \"s\" : [ {\n \"value\"
241
+ : [ \"[\",\"\\\"Patient Characteristic Payer\\\"\",\": \" ]\n },
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+ {\n \"s\" : [ {\n \"value\"
243
+ : [ \"\\\"Payer\\\"\" ]\n } ]\n },
244
+ {\n \"value\" : [ \"]\" ]\n } ]\n
245
+ \ } ]\n }\n } ],\n \"expression\"
246
+ : {\n \"localId\" : \"40\",\n \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicPayer\",\n
247
+ \ \"type\" : \"Retrieve\",\n \"codes\" : {\n \"name\"
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+ : \"Payer\",\n \"type\" : \"ValueSetRef\"\n }\n
249
+ \ }\n }, {\n \"localId\" : \"43\",\n \"name\"
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+ : \"SDE Race\",\n \"context\" : \"Patient\",\n \"accessLevel\"
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+ : \"Public\",\n \"annotation\" : [ {\n \"type\" :
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+ \"Annotation\",\n \"s\" : {\n \"r\" : \"43\",\n
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+ \ \"s\" : [ {\n \"value\" : [ \"define
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+ \",\"\\\"SDE Race\\\"\",\": \" ]\n }, {\n \"r\"
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+ : \"42\",\n \"s\" : [ {\n \"value\"
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+ : [ \"[\",\"\\\"Patient Characteristic Race\\\"\",\": \" ]\n },
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+ {\n \"s\" : [ {\n \"value\"
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+ : [ \"\\\"Race\\\"\" ]\n } ]\n },
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+ {\n \"value\" : [ \"]\" ]\n } ]\n
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+ \ } ]\n }\n } ],\n \"expression\"
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+ : {\n \"localId\" : \"42\",\n \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicRace\",\n
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+ \ \"type\" : \"Retrieve\",\n \"codes\" : {\n \"name\"
263
+ : \"Race\",\n \"type\" : \"ValueSetRef\"\n }\n
264
+ \ }\n }, {\n \"localId\" : \"45\",\n \"name\"
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+ : \"SDE Sex\",\n \"context\" : \"Patient\",\n \"accessLevel\"
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+ : \"Public\",\n \"annotation\" : [ {\n \"type\" :
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+ \"Annotation\",\n \"s\" : {\n \"r\" : \"45\",\n
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+ \ \"s\" : [ {\n \"value\" : [ \"define
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+ \",\"\\\"SDE Sex\\\"\",\": \" ]\n }, {\n \"r\"
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+ : \"44\",\n \"s\" : [ {\n \"value\"
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+ : [ \"[\",\"\\\"Patient Characteristic Sex\\\"\",\": \" ]\n },
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+ {\n \"s\" : [ {\n \"value\"
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+ : [ \"\\\"ONC Administrative Sex\\\"\" ]\n } ]\n },
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+ {\n \"value\" : [ \"]\" ]\n } ]\n
275
+ \ } ]\n }\n } ],\n \"expression\"
276
+ : {\n \"localId\" : \"44\",\n \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicSex\",\n
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+ \ \"type\" : \"Retrieve\",\n \"codes\" : {\n \"name\"
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+ : \"ONC Administrative Sex\",\n \"type\" : \"ValueSetRef\"\n
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+ \ }\n }\n }, {\n \"localId\" :
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+ \"63\",\n \"name\" : \"Initial Pop\",\n \"context\"
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+ : \"Patient\",\n \"accessLevel\" : \"Public\",\n \"annotation\"
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+ : [ {\n \"type\" : \"Annotation\",\n \"s\" : {\n
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+ \ \"r\" : \"63\",\n \"s\" : [ {\n \"value\"
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+ \ \"templateId\" : \"PositiveEncounterPerformed\",\n
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+ \ \"codeProperty\" : \"code\",\n \"type\"
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+ : \"Retrieve\",\n \"codes\" : {\n \"name\"
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+ : \"Office Visit\",\n \"type\" : \"ValueSetRef\"\n
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+ \ }\n }, {\n \"localId\"
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+ : \"47\",\n \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PositiveEncounterPerformed\",\n
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+ \ \"templateId\" : \"PositiveEncounterPerformed\",\n
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+ \ \"codeProperty\" : \"code\",\n \"type\"
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+ : \"Retrieve\",\n \"codes\" : {\n \"name\"
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+ : \"Face-to-Face Interaction\",\n \"type\" :
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+ \"ValueSetRef\"\n }\n } ]\n
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+ \ }, {\n \"localId\" : \"49\",\n
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+ \ \"templateId\" : \"PositiveEncounterPerformed\",\n
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+ \ \"codeProperty\" : \"code\",\n \"type\"
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+ : \"Retrieve\",\n \"codes\" : {\n \"name\"
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+ : \"Home Healthcare Services\",\n \"type\" : \"ValueSetRef\"\n
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+ \ }\n } ]\n }\n
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+ \ }\n }, {\n \"localId\"
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540
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+ \ \"r\" : \"109\",\n \"s\" : [ {\n \"value\"
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+ : \"Bilateral Mastectomy\",\n \"type\" : \"ValueSetRef\"\n
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+ : \"Before\",\n \"operand\" : [ {\n \"localId\"
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+ \"ONC Administrative Sex\": 'urn:oid:2.16.840.1.113762.1.4.1' codesystems
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+ codesystems {\"CPT:2016\"}\n\nvalueset \"Bilateral Mastectomy\": 'urn:oid:2.16.840.1.113883.3.464.1003.198.12.1005'
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+ codesystems {\"SNOMEDCT:2016-09\"}\n\nvalueset \"Unilateral Mastectomy\":
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+ \"CPT:2016\"}\n\nvalueset \"Female\": 'urn:oid:2.16.840.1.113883.3.560.100.2'
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+ codesystems {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nparameter \"Measurement
714
+ Period\" Interval<DateTime>\n\ncontext Patient\n\ndefine \"SDE Ethnicity\":
715
+ [\"Patient Characteristic Ethnicity\": \"Ethnicity\"]\n\ndefine \"SDE Payer\":
716
+ [\"Patient Characteristic Payer\": \"Payer\"]\n\ndefine \"SDE Race\": [\"Patient
717
+ Characteristic Race\": \"Race\"]\n\ndefine \"SDE Sex\": [\"Patient Characteristic
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+ Sex\": \"ONC Administrative Sex\"]\n\ndefine \"Initial Pop\": ([\"Encounter,
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+ Performed\": \"Office Visit\"]\nunion [\"Encounter, Performed\": \"Face-to-Face
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+ Interaction\"]\nunion [\"Encounter, Performed\": \"Home Healthcare Services\"])Enc\nwhere
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+ Enc.relevantPeriod during \"Measurement Period\"\nand AgeInYearsAt(start of
722
+ \"Measurement Period\")>=65\n\ndefine \"Num\": [\"Diagnostic Study, Performed\":
723
+ \"Mammogram\"]Mam\nwhere Mam.relevantPeriod 26 months or less before end of
724
+ \"Measurement Period\"\n\ndefine \"Double Unilateral Mastectomy\": Count([\"Procedure,
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+ Performed\": \"Unilateral Mastectomy\"]P\nwhere P.relevantPeriod before end
726
+ of \"Measurement Period\")=2\n\ndefine \"Denom\": exists(\"Initial Pop\")
727
+ and\nAgeInYearsAt(start of \"Measurement Period\")<74\nand exists([\"Patient
728
+ Characteristic Sex\": \"Female\"])\n\ndefine \"Denom Excl\": exists([\"Procedure,
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+ Performed\": \"Bilateral Mastectomy\"]BIM\nwhere BIM.relevantPeriod before
730
+ end of \"Measurement Period\") or \"Double Unilateral Mastectomy\"\n\r\n--953383--\r\n"
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+ form-data; name=\"file[]\"\r\n\r\n<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<library
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+ xmlns=\"urn:hl7-org:elm:r1\" xmlns:t=\"urn:hl7-org:elm-types:r1\" xmlns:xsi=\"http://www.w3.org/2001/XMLSchema-instance\"
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+ but does not specify a code path and the type of the retrieve does not have
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+ name=\"Measurement Period\" accessLevel=\"Public\">\n <parameterTypeSpecifier
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+ localId=\"36\" xsi:type=\"IntervalTypeSpecifier\">\n <pointType
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+ localId=\"35\" name=\"t:DateTime\" xsi:type=\"NamedTypeSpecifier\"/>\n </parameterTypeSpecifier>\n
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+ accessLevel=\"Public\">\n <codeSystem localId=\"22\" name=\"SNOMEDCT:2016-09\"/>\n
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+ \ </def>\n <def localId=\"25\" name=\"Home Healthcare Services\"
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+ \ <codeSystem localId=\"24\" name=\"CPT:2016\"/>\n </def>\n <def
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+ localId=\"27\" name=\"Office Visit\" id=\"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1001\"
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+ accessLevel=\"Public\">\n <codeSystem localId=\"26\" name=\"CPT:2016\"/>\n
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+ \ </def>\n <def localId=\"29\" name=\"Bilateral Mastectomy\" id=\"urn:oid:2.16.840.1.113883.3.464.1003.198.12.1005\"
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+ accessLevel=\"Public\">\n <codeSystem localId=\"28\" name=\"SNOMEDCT:2016-09\"/>\n
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+ \ </def>\n <def localId=\"32\" name=\"Unilateral Mastectomy\" id=\"urn:oid:2.16.840.1.113883.3.464.1003.198.12.1020\"
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+ accessLevel=\"Public\">\n <codeSystem localId=\"30\" name=\"SNOMEDCT:2016-09\"/>\n
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+ \ <codeSystem localId=\"31\" name=\"CPT:2016\"/>\n </def>\n <def
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+ localId=\"34\" name=\"Female\" id=\"urn:oid:2.16.840.1.113883.3.560.100.2\"
847
+ accessLevel=\"Public\">\n <codeSystem localId=\"33\" name=\"AdministrativeGender:HL7V3.0_2015-07\"/>\n
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+ \ </def>\n </valueSets>\n <statements>\n <def name=\"Patient\"
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+ context=\"Patient\">\n <expression xsi:type=\"SingletonFrom\">\n <operand
850
+ xmlns:ns0=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns0:Patient\" templateId=\"Patient\"
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+ xsi:type=\"Retrieve\"/>\n </expression>\n </def>\n <def
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+ localId=\"39\" name=\"SDE Ethnicity\" context=\"Patient\" accessLevel=\"Public\">\n
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+ \ <annotation xsi:type=\"a:Annotation\">\n <a:s r=\"39\">\n
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+ \ <a:s>define &quot;SDE Ethnicity&quot;: </a:s>\n <a:s
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+ r=\"38\">\n <a:s>[&quot;Patient Characteristic Ethnicity&quot;:
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+ </a:s>\n <a:s>\n <a:s>&quot;Ethnicity&quot;</a:s>\n
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+ \ </a:s>\n <a:s>]</a:s>\n </a:s>\n
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+ \ </a:s>\n </annotation>\n <expression localId=\"38\"
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+ xmlns:ns1=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns1:PatientCharacteristicEthnicity\"
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+ xsi:type=\"Retrieve\">\n <codes name=\"Ethnicity\" xsi:type=\"ValueSetRef\"/>\n
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+ \ </expression>\n </def>\n <def localId=\"41\" name=\"SDE
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+ Payer\" context=\"Patient\" accessLevel=\"Public\">\n <annotation
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+ xsi:type=\"a:Annotation\">\n <a:s r=\"41\">\n <a:s>define
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+ &quot;SDE Payer&quot;: </a:s>\n <a:s r=\"40\">\n <a:s>[&quot;Patient
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+ Characteristic Payer&quot;: </a:s>\n <a:s>\n <a:s>&quot;Payer&quot;</a:s>\n
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+ \ </a:s>\n <a:s>]</a:s>\n </a:s>\n
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+ \ </a:s>\n </annotation>\n <expression localId=\"40\"
868
+ xmlns:ns2=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns2:PatientCharacteristicPayer\"
869
+ xsi:type=\"Retrieve\">\n <codes name=\"Payer\" xsi:type=\"ValueSetRef\"/>\n
870
+ \ </expression>\n </def>\n <def localId=\"43\" name=\"SDE
871
+ Race\" context=\"Patient\" accessLevel=\"Public\">\n <annotation xsi:type=\"a:Annotation\">\n
872
+ \ <a:s r=\"43\">\n <a:s>define &quot;SDE Race&quot;:
873
+ </a:s>\n <a:s r=\"42\">\n <a:s>[&quot;Patient
874
+ Characteristic Race&quot;: </a:s>\n <a:s>\n <a:s>&quot;Race&quot;</a:s>\n
875
+ \ </a:s>\n <a:s>]</a:s>\n </a:s>\n
876
+ \ </a:s>\n </annotation>\n <expression localId=\"42\"
877
+ xmlns:ns3=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns3:PatientCharacteristicRace\"
878
+ xsi:type=\"Retrieve\">\n <codes name=\"Race\" xsi:type=\"ValueSetRef\"/>\n
879
+ \ </expression>\n </def>\n <def localId=\"45\" name=\"SDE
880
+ Sex\" context=\"Patient\" accessLevel=\"Public\">\n <annotation xsi:type=\"a:Annotation\">\n
881
+ \ <a:s r=\"45\">\n <a:s>define &quot;SDE Sex&quot;:
882
+ </a:s>\n <a:s r=\"44\">\n <a:s>[&quot;Patient
883
+ Characteristic Sex&quot;: </a:s>\n <a:s>\n <a:s>&quot;ONC
884
+ Administrative Sex&quot;</a:s>\n </a:s>\n <a:s>]</a:s>\n
885
+ \ </a:s>\n </a:s>\n </annotation>\n <expression
886
+ localId=\"44\" xmlns:ns4=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns4:PatientCharacteristicSex\"
887
+ xsi:type=\"Retrieve\">\n <codes name=\"ONC Administrative Sex\"
888
+ xsi:type=\"ValueSetRef\"/>\n </expression>\n </def>\n <def
889
+ localId=\"63\" name=\"Initial Pop\" context=\"Patient\" accessLevel=\"Public\">\n
890
+ \ <annotation xsi:type=\"a:Annotation\">\n <a:s r=\"63\">\n
891
+ \ <a:s>define &quot;Initial Pop&quot;: </a:s>\n <a:s
892
+ r=\"62\">\n <a:s>\n <a:s r=\"51\">\n
893
+ \ <a:s r=\"50\">\n <a:s>(</a:s>\n
894
+ \ <a:s r=\"50\">\n <a:s
895
+ r=\"48\">\n <a:s r=\"46\">\n <a:s>[&quot;Encounter,
896
+ Performed&quot;: </a:s>\n <a:s>\n <a:s>&quot;Office
897
+ Visit&quot;</a:s>\n </a:s>\n <a:s>]</a:s>\n
898
+ \ </a:s>\n <a:s>\nunion
899
+ </a:s>\n <a:s r=\"47\">\n <a:s>[&quot;Encounter,
900
+ Performed&quot;: </a:s>\n <a:s>\n <a:s>&quot;Face-to-Face
901
+ Interaction&quot;</a:s>\n </a:s>\n <a:s>]</a:s>\n
902
+ \ </a:s>\n </a:s>\n
903
+ \ <a:s>\nunion </a:s>\n <a:s
904
+ r=\"49\">\n <a:s>[&quot;Encounter, Performed&quot;:
905
+ </a:s>\n <a:s>\n <a:s>&quot;Home
906
+ Healthcare Services&quot;</a:s>\n </a:s>\n
907
+ \ <a:s>]</a:s>\n </a:s>\n
908
+ \ </a:s>\n <a:s>)</a:s>\n
909
+ \ </a:s>\n <a:s>Enc</a:s>\n </a:s>\n
910
+ \ </a:s>\n <a:s>\n</a:s>\n <a:s
911
+ r=\"61\">\n <a:s>where </a:s>\n <a:s
912
+ r=\"61\">\n <a:s r=\"55\">\n <a:s
913
+ r=\"53\">\n <a:s r=\"52\">\n <a:s>Enc</a:s>\n
914
+ \ </a:s>\n <a:s>.</a:s>\n
915
+ \ <a:s r=\"53\">\n <a:s>relevantPeriod</a:s>\n
916
+ \ </a:s>\n </a:s>\n
917
+ \ <a:s> during </a:s>\n <a:s
918
+ r=\"54\">\n <a:s>&quot;Measurement Period&quot;</a:s>\n
919
+ \ </a:s>\n </a:s>\n <a:s>\nand
920
+ </a:s>\n <a:s r=\"60\">\n <a:s
921
+ r=\"58\">\n <a:s>AgeInYearsAt(</a:s>\n <a:s
922
+ r=\"57\">\n <a:s>start of </a:s>\n <a:s
923
+ r=\"56\">\n <a:s>&quot;Measurement Period&quot;</a:s>\n
924
+ \ </a:s>\n </a:s>\n
925
+ \ <a:s>)</a:s>\n </a:s>\n
926
+ \ <a:s>>=65</a:s>\n </a:s>\n
927
+ \ </a:s>\n </a:s>\n </a:s>\n
928
+ \ </a:s>\n </annotation>\n <expression localId=\"62\"
929
+ xsi:type=\"Query\">\n <source localId=\"51\" alias=\"Enc\">\n <expression
930
+ localId=\"50\" xsi:type=\"Union\">\n <operand localId=\"48\"
931
+ xsi:type=\"Union\">\n <operand localId=\"46\" xmlns:ns5=\"urn:healthit-gov:qdm:v5_0_draft\"
932
+ dataType=\"ns5:PositiveEncounterPerformed\" templateId=\"PositiveEncounterPerformed\"
933
+ codeProperty=\"code\" xsi:type=\"Retrieve\">\n <codes
934
+ name=\"Office Visit\" xsi:type=\"ValueSetRef\"/>\n </operand>\n
935
+ \ <operand localId=\"47\" xmlns:ns6=\"urn:healthit-gov:qdm:v5_0_draft\"
936
+ dataType=\"ns6:PositiveEncounterPerformed\" templateId=\"PositiveEncounterPerformed\"
937
+ codeProperty=\"code\" xsi:type=\"Retrieve\">\n <codes
938
+ name=\"Face-to-Face Interaction\" xsi:type=\"ValueSetRef\"/>\n </operand>\n
939
+ \ </operand>\n <operand localId=\"49\" xmlns:ns7=\"urn:healthit-gov:qdm:v5_0_draft\"
940
+ dataType=\"ns7:PositiveEncounterPerformed\" templateId=\"PositiveEncounterPerformed\"
941
+ codeProperty=\"code\" xsi:type=\"Retrieve\">\n <codes
942
+ name=\"Home Healthcare Services\" xsi:type=\"ValueSetRef\"/>\n </operand>\n
943
+ \ </expression>\n </source>\n <where localId=\"61\"
944
+ xsi:type=\"And\">\n <operand localId=\"55\" xsi:type=\"IncludedIn\">\n
945
+ \ <operand localId=\"53\" path=\"relevantPeriod\" scope=\"Enc\"
946
+ xsi:type=\"Property\"/>\n <operand localId=\"54\" name=\"Measurement
947
+ Period\" xsi:type=\"ParameterRef\"/>\n </operand>\n <operand
948
+ localId=\"60\" xsi:type=\"GreaterOrEqual\">\n <operand localId=\"58\"
949
+ precision=\"Year\" xsi:type=\"CalculateAgeAt\">\n <operand
950
+ path=\"birthDatetime\" xsi:type=\"Property\">\n <source
951
+ name=\"Patient\" xsi:type=\"ExpressionRef\"/>\n </operand>\n
952
+ \ <operand localId=\"57\" xsi:type=\"Start\">\n <operand
953
+ localId=\"56\" name=\"Measurement Period\" xsi:type=\"ParameterRef\"/>\n </operand>\n
954
+ \ </operand>\n <operand localId=\"59\" valueType=\"t:Integer\"
955
+ value=\"65\" xsi:type=\"Literal\"/>\n </operand>\n </where>\n
956
+ \ </expression>\n </def>\n <def localId=\"73\" name=\"Num\"
957
+ context=\"Patient\" accessLevel=\"Public\">\n <annotation xsi:type=\"a:Annotation\">\n
958
+ \ <a:s r=\"73\">\n <a:s>define &quot;Num&quot;: </a:s>\n
959
+ \ <a:s r=\"72\">\n <a:s>\n <a:s
960
+ r=\"65\">\n <a:s r=\"64\">\n <a:s
961
+ r=\"64\">\n <a:s>[&quot;Diagnostic Study, Performed&quot;:
962
+ </a:s>\n <a:s>\n <a:s>&quot;Mammogram&quot;</a:s>\n
963
+ \ </a:s>\n <a:s>]</a:s>\n
964
+ \ </a:s>\n </a:s>\n <a:s>Mam</a:s>\n
965
+ \ </a:s>\n </a:s>\n <a:s>\n</a:s>\n
966
+ \ <a:s r=\"71\">\n <a:s>where </a:s>\n
967
+ \ <a:s r=\"71\">\n <a:s r=\"67\">\n
968
+ \ <a:s r=\"66\">\n <a:s>Mam</a:s>\n
969
+ \ </a:s>\n <a:s>.</a:s>\n
970
+ \ <a:s r=\"67\">\n <a:s>relevantPeriod</a:s>\n
971
+ \ </a:s>\n </a:s>\n <a:s>
972
+ </a:s>\n <a:s r=\"71\">\n <a:s
973
+ r=\"70\">\n <a:s>26 months</a:s>\n </a:s>\n
974
+ \ <a:s> or less before</a:s>\n </a:s>\n
975
+ \ <a:s> </a:s>\n <a:s r=\"69\">\n
976
+ \ <a:s>end of </a:s>\n <a:s
977
+ r=\"68\">\n <a:s>&quot;Measurement Period&quot;</a:s>\n
978
+ \ </a:s>\n </a:s>\n </a:s>\n
979
+ \ </a:s>\n </a:s>\n </a:s>\n </annotation>\n
980
+ \ <expression localId=\"72\" xsi:type=\"Query\">\n <source
981
+ localId=\"65\" alias=\"Mam\">\n <expression localId=\"64\" xmlns:ns8=\"urn:healthit-gov:qdm:v5_0_draft\"
982
+ dataType=\"ns8:PositiveDiagnosticStudyPerformed\" templateId=\"PositiveDiagnosticStudyPerformed\"
983
+ codeProperty=\"code\" xsi:type=\"Retrieve\">\n <codes name=\"Mammogram\"
984
+ xsi:type=\"ValueSetRef\"/>\n </expression>\n </source>\n
985
+ \ <where localId=\"71\" xsi:type=\"In\">\n <operand
986
+ xsi:type=\"End\">\n <operand localId=\"67\" path=\"relevantPeriod\"
987
+ scope=\"Mam\" xsi:type=\"Property\"/>\n </operand>\n <operand
988
+ lowClosed=\"true\" highClosed=\"false\" xsi:type=\"Interval\">\n <low
989
+ xsi:type=\"Subtract\">\n <operand localId=\"69\" xsi:type=\"End\">\n
990
+ \ <operand localId=\"68\" name=\"Measurement Period\"
991
+ xsi:type=\"ParameterRef\"/>\n </operand>\n <operand
992
+ localId=\"70\" value=\"26\" unit=\"months\" xsi:type=\"Quantity\"/>\n </low>\n
993
+ \ <high localId=\"69\" xsi:type=\"End\">\n <operand
994
+ localId=\"68\" name=\"Measurement Period\" xsi:type=\"ParameterRef\"/>\n </high>\n
995
+ \ </operand>\n </where>\n </expression>\n
996
+ \ </def>\n <def localId=\"85\" name=\"Double Unilateral Mastectomy\"
997
+ context=\"Patient\" accessLevel=\"Public\">\n <annotation xsi:type=\"a:Annotation\">\n
998
+ \ <a:s r=\"85\">\n <a:s>define &quot;Double Unilateral
999
+ Mastectomy&quot;: </a:s>\n <a:s r=\"84\">\n <a:s
1000
+ r=\"82\">\n <a:s>Count(</a:s>\n <a:s
1001
+ r=\"81\">\n <a:s>\n <a:s
1002
+ r=\"75\">\n <a:s r=\"74\">\n <a:s
1003
+ r=\"74\">\n <a:s>[&quot;Procedure, Performed&quot;:
1004
+ </a:s>\n <a:s>\n <a:s>&quot;Unilateral
1005
+ Mastectomy&quot;</a:s>\n </a:s>\n <a:s>]</a:s>\n
1006
+ \ </a:s>\n </a:s>\n
1007
+ \ <a:s>P</a:s>\n </a:s>\n
1008
+ \ </a:s>\n <a:s>\n</a:s>\n <a:s
1009
+ r=\"80\">\n <a:s>where </a:s>\n <a:s
1010
+ r=\"80\">\n <a:s r=\"77\">\n <a:s
1011
+ r=\"76\">\n <a:s>P</a:s>\n </a:s>\n
1012
+ \ <a:s>.</a:s>\n <a:s
1013
+ r=\"77\">\n <a:s>relevantPeriod</a:s>\n
1014
+ \ </a:s>\n </a:s>\n
1015
+ \ <a:s> before </a:s>\n <a:s
1016
+ r=\"79\">\n <a:s>end of </a:s>\n <a:s
1017
+ r=\"78\">\n <a:s>&quot;Measurement Period&quot;</a:s>\n
1018
+ \ </a:s>\n </a:s>\n
1019
+ \ </a:s>\n </a:s>\n </a:s>\n
1020
+ \ <a:s>)</a:s>\n </a:s>\n <a:s>=2</a:s>\n
1021
+ \ </a:s>\n </a:s>\n </annotation>\n <expression
1022
+ localId=\"84\" xsi:type=\"Equal\">\n <operand localId=\"82\" xsi:type=\"Count\">\n
1023
+ \ <source localId=\"81\" xsi:type=\"Query\">\n <source
1024
+ localId=\"75\" alias=\"P\">\n <expression localId=\"74\"
1025
+ xmlns:ns9=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns9:PositiveProcedurePerformed\"
1026
+ templateId=\"PositiveProcedurePerformed\" codeProperty=\"code\" xsi:type=\"Retrieve\">\n
1027
+ \ <codes name=\"Unilateral Mastectomy\" xsi:type=\"ValueSetRef\"/>\n
1028
+ \ </expression>\n </source>\n <where
1029
+ localId=\"80\" xsi:type=\"Before\">\n <operand localId=\"77\"
1030
+ path=\"relevantPeriod\" scope=\"P\" xsi:type=\"Property\"/>\n <operand
1031
+ localId=\"79\" xsi:type=\"End\">\n <operand localId=\"78\"
1032
+ name=\"Measurement Period\" xsi:type=\"ParameterRef\"/>\n </operand>\n
1033
+ \ </where>\n </source>\n </operand>\n
1034
+ \ <operand localId=\"83\" valueType=\"t:Integer\" value=\"2\" xsi:type=\"Literal\"/>\n
1035
+ \ </expression>\n </def>\n <def localId=\"97\" name=\"Denom\"
1036
+ context=\"Patient\" accessLevel=\"Public\">\n <annotation xsi:type=\"a:Annotation\">\n
1037
+ \ <a:s r=\"97\">\n <a:s>define &quot;Denom&quot;:
1038
+ </a:s>\n <a:s r=\"96\">\n <a:s r=\"93\">\n
1039
+ \ <a:s r=\"87\">\n <a:s>exists</a:s>\n
1040
+ \ <a:s r=\"86\">\n <a:s>(</a:s>\n
1041
+ \ <a:s r=\"86\">\n <a:s>&quot;Initial
1042
+ Pop&quot;</a:s>\n </a:s>\n <a:s>)</a:s>\n
1043
+ \ </a:s>\n </a:s>\n <a:s>
1044
+ and\n</a:s>\n <a:s r=\"92\">\n <a:s
1045
+ r=\"90\">\n <a:s>AgeInYearsAt(</a:s>\n <a:s
1046
+ r=\"89\">\n <a:s>start of </a:s>\n <a:s
1047
+ r=\"88\">\n <a:s>&quot;Measurement Period&quot;</a:s>\n
1048
+ \ </a:s>\n </a:s>\n
1049
+ \ <a:s>)</a:s>\n </a:s>\n
1050
+ \ <a:s>&lt;74</a:s>\n </a:s>\n </a:s>\n
1051
+ \ <a:s>\nand </a:s>\n <a:s r=\"95\">\n <a:s>exists</a:s>\n
1052
+ \ <a:s r=\"94\">\n <a:s>(</a:s>\n
1053
+ \ <a:s r=\"94\">\n <a:s>[&quot;Patient
1054
+ Characteristic Sex&quot;: </a:s>\n <a:s>\n <a:s>&quot;Female&quot;</a:s>\n
1055
+ \ </a:s>\n <a:s>]</a:s>\n
1056
+ \ </a:s>\n <a:s>)</a:s>\n </a:s>\n
1057
+ \ </a:s>\n </a:s>\n </a:s>\n </annotation>\n
1058
+ \ <expression localId=\"96\" xsi:type=\"And\">\n <operand
1059
+ localId=\"93\" xsi:type=\"And\">\n <operand localId=\"87\" xsi:type=\"Exists\">\n
1060
+ \ <operand localId=\"86\" name=\"Initial Pop\" xsi:type=\"ExpressionRef\"/>\n
1061
+ \ </operand>\n <operand localId=\"92\" xsi:type=\"Less\">\n
1062
+ \ <operand localId=\"90\" precision=\"Year\" xsi:type=\"CalculateAgeAt\">\n
1063
+ \ <operand path=\"birthDatetime\" xsi:type=\"Property\">\n
1064
+ \ <source name=\"Patient\" xsi:type=\"ExpressionRef\"/>\n
1065
+ \ </operand>\n <operand localId=\"89\"
1066
+ xsi:type=\"Start\">\n <operand localId=\"88\" name=\"Measurement
1067
+ Period\" xsi:type=\"ParameterRef\"/>\n </operand>\n </operand>\n
1068
+ \ <operand localId=\"91\" valueType=\"t:Integer\" value=\"74\"
1069
+ xsi:type=\"Literal\"/>\n </operand>\n </operand>\n
1070
+ \ <operand localId=\"95\" xsi:type=\"Exists\">\n <operand
1071
+ localId=\"94\" xmlns:ns10=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns10:PatientCharacteristicSex\"
1072
+ xsi:type=\"Retrieve\">\n <codes name=\"Female\" xsi:type=\"ValueSetRef\"/>\n
1073
+ \ </operand>\n </operand>\n </expression>\n
1074
+ \ </def>\n <def localId=\"109\" name=\"Denom Excl\" context=\"Patient\"
1075
+ accessLevel=\"Public\">\n <annotation xsi:type=\"a:Annotation\">\n
1076
+ \ <a:s r=\"109\">\n <a:s>define &quot;Denom Excl&quot;:
1077
+ </a:s>\n <a:s r=\"108\">\n <a:s r=\"106\">\n
1078
+ \ <a:s>exists</a:s>\n <a:s r=\"105\">\n
1079
+ \ <a:s>(</a:s>\n <a:s r=\"105\">\n
1080
+ \ <a:s>\n <a:s r=\"99\">\n
1081
+ \ <a:s r=\"98\">\n <a:s
1082
+ r=\"98\">\n <a:s>[&quot;Procedure, Performed&quot;:
1083
+ </a:s>\n <a:s>\n <a:s>&quot;Bilateral
1084
+ Mastectomy&quot;</a:s>\n </a:s>\n <a:s>]</a:s>\n
1085
+ \ </a:s>\n </a:s>\n
1086
+ \ <a:s>BIM</a:s>\n </a:s>\n
1087
+ \ </a:s>\n <a:s>\n</a:s>\n
1088
+ \ <a:s r=\"104\">\n <a:s>where
1089
+ </a:s>\n <a:s r=\"104\">\n <a:s
1090
+ r=\"101\">\n <a:s r=\"100\">\n <a:s>BIM</a:s>\n
1091
+ \ </a:s>\n <a:s>.</a:s>\n
1092
+ \ <a:s r=\"101\">\n <a:s>relevantPeriod</a:s>\n
1093
+ \ </a:s>\n </a:s>\n
1094
+ \ <a:s> before </a:s>\n <a:s
1095
+ r=\"103\">\n <a:s>end of </a:s>\n <a:s
1096
+ r=\"102\">\n <a:s>&quot;Measurement
1097
+ Period&quot;</a:s>\n </a:s>\n </a:s>\n
1098
+ \ </a:s>\n </a:s>\n
1099
+ \ </a:s>\n <a:s>)</a:s>\n </a:s>\n
1100
+ \ </a:s>\n <a:s> or </a:s>\n <a:s
1101
+ r=\"107\">\n <a:s>&quot;Double Unilateral Mastectomy&quot;</a:s>\n
1102
+ \ </a:s>\n </a:s>\n </a:s>\n </annotation>\n
1103
+ \ <expression localId=\"108\" xsi:type=\"Or\">\n <operand
1104
+ localId=\"106\" xsi:type=\"Exists\">\n <operand localId=\"105\"
1105
+ xsi:type=\"Query\">\n <source localId=\"99\" alias=\"BIM\">\n
1106
+ \ <expression localId=\"98\" xmlns:ns11=\"urn:healthit-gov:qdm:v5_0_draft\"
1107
+ dataType=\"ns11:PositiveProcedurePerformed\" templateId=\"PositiveProcedurePerformed\"
1108
+ codeProperty=\"code\" xsi:type=\"Retrieve\">\n <codes
1109
+ name=\"Bilateral Mastectomy\" xsi:type=\"ValueSetRef\"/>\n </expression>\n
1110
+ \ </source>\n <where localId=\"104\" xsi:type=\"Before\">\n
1111
+ \ <operand localId=\"101\" path=\"relevantPeriod\" scope=\"BIM\"
1112
+ xsi:type=\"Property\"/>\n <operand localId=\"103\" xsi:type=\"End\">\n
1113
+ \ <operand localId=\"102\" name=\"Measurement Period\"
1114
+ xsi:type=\"ParameterRef\"/>\n </operand>\n </where>\n
1115
+ \ </operand>\n </operand>\n <operand localId=\"107\"
1116
+ name=\"Double Unilateral Mastectomy\" xsi:type=\"ExpressionRef\"/>\n </expression>\n
1117
+ \ </def>\n </statements>\n</library>\n\r\n--Boundary_302_1150925484_1504886315003--\r\n"
1118
+ http_version:
1119
+ recorded_at: Fri, 08 Sep 2017 15:58:35 GMT
1120
+ recorded_with: VCR 3.0.3