canvas 0.2.5__py3-none-any.whl → 0.2.11__py3-none-any.whl

canvas_sdk/v1/data/patient.py

@@ -0,0 +1,49 @@
+from typing import Self
+
+from django.db import models
+
+
+class Patient(models.Model):
+    class Meta:
+        managed = False
+        app_label = "canvas_sdk"
+        db_table = "canvas_sdk_data_api_patient_001"
+
+    id = models.CharField(max_length=32, db_column="key")
+    dbid = models.BigIntegerField(db_column="dbid", primary_key=True)
+    first_name = models.CharField()
+    last_name = models.CharField()
+    birth_date = models.DateField()
+    sex_at_birth = models.CharField()
+    created = models.DateTimeField()
+    modified = models.DateTimeField()
+    prefix = models.CharField()
+    suffix = models.CharField()
+    middle_name = models.CharField()
+    maiden_name = models.CharField()
+    nickname = models.CharField()
+    sexual_orientation_term = models.CharField()
+    sexual_orientation_code = models.CharField()
+    gender_identity_term = models.CharField()
+    gender_identity_code = models.CharField()
+    preferred_pronouns = models.CharField()
+    last_known_timezone = models.CharField()
+    mrn = models.CharField()
+    active = models.BooleanField()
+    deceased = models.BooleanField()
+    deceased_datetime = models.DateTimeField()
+    deceased_cause = models.TextField()
+    deceased_comment = models.TextField()
+    other_gender_description = models.CharField()
+    social_security_number = models.CharField()
+    administrative_note = models.TextField()
+    clinical_note = models.TextField()
+    mothers_maiden_name = models.CharField()
+    multiple_birth_indicator = models.BooleanField()
+    birth_order = models.BigIntegerField()
+    default_location_id = models.BigIntegerField()
+    default_provider_id = models.BigIntegerField()
+
+    @classmethod
+    def find(cls, id: str) -> Self:
+        return cls.objects.get(id=id)

canvas_sdk/v1/data/user.py

@@ -0,0 +1,10 @@
+from django.db import models
+
+
+class CanvasUser(models.Model):
+    class Meta:
+        managed = False
+        app_label = "canvas_sdk"
+        db_table = "canvas_sdk_data_api_auth_user_001"
+
+    dbid = models.BigIntegerField(db_column="dbid", primary_key=True)

canvas_sdk/value_set/tests/test_value_sets.py

@@ -0,0 +1,65 @@
+import pytest
+
+from canvas_sdk.value_set.v2022.condition import (
+    DisordersOfTheImmuneSystem,
+    EncephalopathyDueToChildhoodVaccination,
+    Rhabdomyolysis,
+    StableAndUnstableAngina,
+)
+
+
+def test_value_set_class_values_property() -> None:
+    value_set = DisordersOfTheImmuneSystem
+    assert value_set.values["ICD10CM"] == DisordersOfTheImmuneSystem.ICD10CM
+    assert value_set.values["SNOMEDCT"] == DisordersOfTheImmuneSystem.SNOMEDCT
+
+
+def test_value_set_class_pipe_operator_with_two_value_sets() -> None:
+    combined_value_set = DisordersOfTheImmuneSystem | EncephalopathyDueToChildhoodVaccination
+
+    both_classes_icd_10_codes = DisordersOfTheImmuneSystem.ICD10CM.union(
+        EncephalopathyDueToChildhoodVaccination.ICD10CM
+    )
+    both_classes_snomed_codes = DisordersOfTheImmuneSystem.SNOMEDCT.union(
+        EncephalopathyDueToChildhoodVaccination.SNOMEDCT
+    )
+
+    assert both_classes_icd_10_codes == combined_value_set.values["ICD10CM"]
+    assert both_classes_snomed_codes == combined_value_set.values["SNOMEDCT"]
+
+
+def test_value_set_class_pipe_operator_with_three_value_sets() -> None:
+    combined_value_set = (
+        DisordersOfTheImmuneSystem | EncephalopathyDueToChildhoodVaccination | Rhabdomyolysis
+    )
+
+    all_classes_icd_10_codes = DisordersOfTheImmuneSystem.ICD10CM.union(
+        EncephalopathyDueToChildhoodVaccination.ICD10CM
+    ).union(Rhabdomyolysis.ICD10CM)
+    all_classes_snomed_codes = DisordersOfTheImmuneSystem.SNOMEDCT.union(
+        EncephalopathyDueToChildhoodVaccination.SNOMEDCT
+    ).union(Rhabdomyolysis.SNOMEDCT)
+
+    assert all_classes_icd_10_codes == combined_value_set.values["ICD10CM"]
+    assert all_classes_snomed_codes == combined_value_set.values["SNOMEDCT"]
+
+
+def test_value_set_class_pipe_operator_with_two_combined_value_sets() -> None:
+    combined_value_set_1 = DisordersOfTheImmuneSystem | EncephalopathyDueToChildhoodVaccination
+    combined_value_set_2 = Rhabdomyolysis | StableAndUnstableAngina
+
+    combined_value_set = combined_value_set_1 | combined_value_set_2
+
+    all_classes_icd_10_codes = (
+        DisordersOfTheImmuneSystem.ICD10CM.union(EncephalopathyDueToChildhoodVaccination.ICD10CM)
+        .union(Rhabdomyolysis.ICD10CM)
+        .union(StableAndUnstableAngina.ICD10CM)
+    )
+    all_classes_snomed_codes = (
+        DisordersOfTheImmuneSystem.SNOMEDCT.union(EncephalopathyDueToChildhoodVaccination.SNOMEDCT)
+        .union(Rhabdomyolysis.SNOMEDCT)
+        .union(StableAndUnstableAngina.SNOMEDCT)
+    )
+
+    assert combined_value_set.values["ICD10CM"] == all_classes_icd_10_codes
+    assert combined_value_set.values["SNOMEDCT"] == all_classes_snomed_codes

canvas_sdk/value_set/v2022/adverse_event.py

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+from ..value_set import ValueSet
+
+
+class StatinAllergen(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts of an allergy to statin medications.
+
+    **Data Element Scope:** This value set may use a model element related to Allergy/Intolerance.
+
+    **Inclusion Criteria:** Includes concepts that define an allergy to statin medications.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS347v5
+    """
+
+    VALUE_SET_NAME = "Statin Allergen"
+    OID = "2.16.840.1.113762.1.4.1110.42"
+    DEFINITION_VERSION = "20210220"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    RXNORM = {
+        "6472",  # lovastatin
+        "36567",  # simvastatin
+        "41127",  # fluvastatin
+        "42463",  # pravastatin
+        "83367",  # atorvastatin
+        "301542",  # rosuvastatin
+        "861634",  # pitavastatin
+    }
+    SNOMEDCT = {
+        "372912004",  # Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)
+    }

canvas_sdk/value_set/v2022/allergy.py

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+from ..value_set import ValueSet
+
+
+class AceInhibitorOrArbIngredient(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for medications of angiotensin-converting enzyme (ACE) inhibitor and angiotensin-receptor blocker (ARB) ingredients.
+
+    **Data Element Scope:** This value set may use a model element related to Allergy/Intolerance.
+
+    **Inclusion Criteria:** Includes concepts that represent an allergy or intolerance for prescribable angiotensin-converting enzyme (ACE) inhibitor and angiotensin-receptor blocker (ARB) ingredients only.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS135v10
+    """
+
+    VALUE_SET_NAME = "ACE Inhibitor or ARB Ingredient"
+    OID = "2.16.840.1.113883.3.526.3.1489"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    RXNORM = {
+        "1998",  # captopril
+        "3827",  # enalapril
+        "18867",  # benazepril
+        "29046",  # lisinopril
+        "30131",  # moexipril
+        "35208",  # quinapril
+        "35296",  # ramipril
+        "38454",  # trandolapril
+        "50166",  # fosinopril
+        "52175",  # losartan
+        "54552",  # perindopril
+        "69749",  # valsartan
+        "73494",  # telmisartan
+        "83515",  # eprosartan
+        "83818",  # irbesartan
+        "214354",  # candesartan
+        "321064",  # olmesartan
+    }
+
+
+class BetaBlockerTherapyIngredient(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for medications containing ingredients for beta blocker therapy.
+
+    **Data Element Scope:** This value set may use a model element related to Allergy/Intolerance.
+
+    **Inclusion Criteria:** Includes concepts that represent an allergy or intolerance for prescribable beta blockers.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS144v10, CMS145v10
+    """
+
+    VALUE_SET_NAME = "Beta Blocker Therapy Ingredient"
+    OID = "2.16.840.1.113883.3.526.3.1493"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    RXNORM = {
+        "149",  # acebutolol
+        "1202",  # atenolol
+        "1520",  # betaxolol
+        "2116",  # carteolol
+        "6185",  # labetalol
+        "6918",  # metoprolol
+        "7226",  # nadolol
+        "8332",  # pindolol
+        "8787",  # propranolol
+        "10600",  # timolol
+        "19484",  # bisoprolol
+        "20352",  # carvedilol
+    }
+
+
+class EggSubstance(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for an allergy or intolerance to an egg substance.
+
+    **Data Element Scope:** This value set may use a model element related to Substance.
+
+    **Inclusion Criteria:** Includes concepts that represent an allergy or intolerance to an egg substance.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS147v11
+    """
+
+    VALUE_SET_NAME = "Egg Substance"
+    OID = "2.16.840.1.113883.3.526.3.1537"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    SNOMEDCT = {
+        "102263004",  # Eggs (edible) (substance)
+        "226881001",  # Dried egg (substance)
+        "226885005",  # Raw egg (substance)
+        "229955000",  # Dried egg white (substance)
+        "256442007",  # Egg yolk (substance)
+        "256443002",  # Egg white (substance)
+        "286550009",  # Hen's egg (substance)
+        "303300008",  # Egg protein (substance)
+        "414074006",  # Egg product (substance)
+    }
+
+
+class InfluenzaVaccination(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for an influenza vaccination.
+
+    **Data Element Scope:** This value set may use a model element related to Procedure.
+
+    **Inclusion Criteria:** Includes concepts that represent an influenza vaccination.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS147v11
+    """
+
+    VALUE_SET_NAME = "Influenza Vaccination"
+    OID = "2.16.840.1.113883.3.526.3.402"
+    DEFINITION_VERSION = "20170908"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    CPT = {
+        "90630",  # Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use
+        "90653",  # Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use
+        "90654",  # Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use
+        "90655",  # Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use
+        "90656",  # Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use
+        "90657",  # Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use
+        "90658",  # Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use
+        "90661",  # Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use
+        "90662",  # Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use
+        "90666",  # Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use
+        "90667",  # Influenza virus vaccine (IIV), pandemic formulation, split virus, adjuvanted, for intramuscular use
+        "90668",  # Influenza virus vaccine (IIV), pandemic formulation, split virus, for intramuscular use
+        "90673",  # Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use
+        "90674",  # Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use
+        "90682",  # Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use
+        "90685",  # Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use
+        "90686",  # Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use
+        "90687",  # Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use
+        "90688",  # Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use
+        "90689",  # Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use
+        "90694",  # Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use
+        "90756",  # Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use
+    }
+    HCPCSLEVELII = {
+        "G0008",  # Administration of influenza virus vaccine
+        "Q2034",  # Influenza virus vaccine, split virus, for intramuscular use (agriflu)
+        "Q2035",  # Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)
+        "Q2036",  # Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)
+        "Q2037",  # Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)
+        "Q2038",  # Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
+        "Q2039",  # Influenza virus vaccine, not otherwise specified
+    }
+    SNOMEDCT = {
+        "86198006",  # Administration of vaccine product containing only Influenza virus antigen (procedure)
+    }
+
+
+class InfluenzaVaccine(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for immunizations with influenza vaccines.
+
+    **Data Element Scope:** This value set may use a model element related to Immunization.
+
+    **Inclusion Criteria:** Includes concepts that represent an influenza vaccine.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS147v11
+    """
+
+    VALUE_SET_NAME = "Influenza Vaccine"
+    OID = "2.16.840.1.113883.3.526.3.1254"
+    DEFINITION_VERSION = "20170908"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    CVX = {
+        "88",  # influenza virus vaccine, unspecified formulation
+        "135",  # influenza, high dose seasonal, preservative-free
+        "140",  # Influenza, seasonal, injectable, preservative free
+        "141",  # Influenza, seasonal, injectable
+        "144",  # seasonal influenza, intradermal, preservative free
+        "149",  # influenza, live, intranasal, quadrivalent
+        "150",  # Influenza, injectable, quadrivalent, preservative free
+        "155",  # Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free
+        "158",  # influenza, injectable, quadrivalent, contains preservative
+        "161",  # Influenza, injectable,quadrivalent, preservative free, pediatric
+        "166",  # influenza, intradermal, quadrivalent, preservative free, injectable
+        "168",  # Seasonal trivalent influenza vaccine, adjuvanted, preservative free
+        "171",  # Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent
+        "185",  # Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free
+        "186",  # Influenza, injectable, Madin Darby Canine Kidney,  quadrivalent with preservative
+        "197",  # influenza, high-dose seasonal, quadrivalent, .7mL dose, preservative free
+        "205",  # influenza, seasonal vaccine, quadrivalent, adjuvanted, .5mL dose, preservative free
+    }
+
+
+class StatinAllergen(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts of an allergy to statin medications.
+
+    **Data Element Scope:** This value set may use a model element related to Allergy/Intolerance.
+
+    **Inclusion Criteria:** Includes concepts that define an allergy to statin medications.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS347v5
+    """
+
+    VALUE_SET_NAME = "Statin Allergen"
+    OID = "2.16.840.1.113762.1.4.1110.42"
+    DEFINITION_VERSION = "20210220"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    RXNORM = {
+        "6472",  # lovastatin
+        "36567",  # simvastatin
+        "41127",  # fluvastatin
+        "42463",  # pravastatin
+        "83367",  # atorvastatin
+        "301542",  # rosuvastatin
+        "861634",  # pitavastatin
+    }
+    SNOMEDCT = {
+        "372912004",  # Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)
+    }

canvas_sdk/value_set/v2022/assessment.py

@@ -0,0 +1,215 @@
+from ..value_set import ValueSet
+
+
+class TobaccoUseScreening(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for assessments to screen for tobacco use.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent an assessment for tobacco use, including smoking and smoke-less tobacco products.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS138v10, CMS249v4
+    """
+
+    VALUE_SET_NAME = "Tobacco Use Screening"
+    OID = "2.16.840.1.113883.3.526.3.1278"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "39240-7",  # Tobacco use status CPHS
+        "68535-4",  # Have you used tobacco in the last 30 days [SAMHSA]
+        "68536-2",  # Have you used smokeless tobacco product in the last 30 days [SAMHSA]
+        "72166-2",  # Tobacco smoking status
+    }
+
+
+class FallsScreening(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for assessments using a falls screening tool.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent an assessment for fall risk.
+
+    **Exclusion Criteria:** Excludes concepts that represent an assessment for falls for children.
+
+    ** Used in:** CMS139v10
+    """
+
+    VALUE_SET_NAME = "Falls Screening"
+    OID = "2.16.840.1.113883.3.464.1003.118.12.1028"
+    DEFINITION_VERSION = "20190315"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "52552-7",  # Falls in the past year [CMS Assessment]
+        "57254-5",  # Standardized fall risk assessment was conducted [CMS Assessment]
+        "59454-9",  # History of falling; immediate or within 3 months [Morse Fall Scale]
+        "73830-2",  # Fall risk assessment
+    }
+
+
+class StandardizedToolsForAssessmentOfCognition(ValueSet):
+    """
+        **Clinical Focus:** The purpose of this value set is to define concepts for assessments representing total score results for standardized tools used for the evaluation of cognition.
+
+        **Data Element Scope:** This value set may use a model element related to Assessment.
+
+        **Inclusion Criteria:** Includes concepts that describe assessments with total score results for the following standardized tools:
+    -Blessed Orientation-Memory-Concentration Test (BOMC)
+    -Montreal Cognitive Assessment (MoCA)
+    -St. Louis University Mental Status Examination (SLUMS)
+    -Mini-Mental State Examination (MMSE) [Note: The MMSE has not been well validated for non-Alzheimer's dementias]
+    -Short Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)
+    -Ascertain Dementia 8 (AD8) Questionnaire
+    -Minimum Data Set (MDS) Brief Interview of Mental Status (BIMS) [Note: Validated for use with nursing home patients only]
+    -Formal neuropsychological evaluation
+    -Mini-Cog.
+
+        **Exclusion Criteria:** No exclusions.
+
+        ** Used in:** CMS149v10
+    """
+
+    VALUE_SET_NAME = "Standardized Tools for Assessment of Cognition"
+    OID = "2.16.840.1.113883.3.526.3.1006"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "58151-2",  # Prior assessment Brief Interview for Mental Status (BIMS) summary score [MDSv3]
+        "71492-3",  # Total score [SLUMS]
+        "71493-1",  # Total score [IQCODE]
+        "71722-3",  # Total score [AD8]
+        "72106-8",  # Total score [MMSE]
+        "72172-0",  # Total score [MoCA]
+        "72173-8",  # Total score [BOMC]
+        "72233-0",  # Total score [Mini-Cog]
+    }
+
+
+class SexuallyActive(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for assessments to indicate vaginal intercourse.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent an assessment for intercourse.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS153v10
+    """
+
+    VALUE_SET_NAME = "Sexually Active"
+    OID = "2.16.840.1.113883.3.464.1003.121.12.1040"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "64728-9",  # Have you ever had vaginal intercourse [PhenX]
+    }
+
+
+class StandardizedPainAssessmentTool(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for assessments using pain-focused tools or instruments to quantify pain intensity.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent an assessment of pain intensity.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS157v10
+    """
+
+    VALUE_SET_NAME = "Standardized Pain Assessment Tool"
+    OID = "2.16.840.1.113883.3.526.3.1028"
+    DEFINITION_VERSION = "20170504"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "38208-5",  # Pain severity - Reported
+        "38214-3",  # Pain severity [Score] Visual analog score
+        "38221-8",  # Pain severity Wong-Baker FACES pain rating scale
+        "72514-3",  # Pain severity - 0-10 verbal numeric rating [Score] - Reported
+        "77565-0",  # Pain interference score [BPI Short Form]
+    }
+
+
+class Phq9AndPhq9MTools(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for the assessments of PHQ 9 and PHQ 9M resulting in a completed depression assessment scores for adults and adolescents.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent a completed assessment using PHQ 9 and PHQ 9M depression assessment tools for adults and adolescents with a summary score.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS159v10
+    """
+
+    VALUE_SET_NAME = "PHQ 9 and PHQ 9M Tools"
+    OID = "2.16.840.1.113883.3.67.1.101.1.263"
+    DEFINITION_VERSION = "20210219"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "44261-6",  # Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]
+        "89204-2",  # Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]
+    }
+
+
+class AverageNumberOfDrinksPerDrinkingDay(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for assessments measuring the number of alcoholic drinks per drinking day.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent an assessment of a quantitative observation of reported number of alcoholic drinks per drinking day.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS249v4
+    """
+
+    VALUE_SET_NAME = "Average Number of Drinks per Drinking Day"
+    OID = "2.16.840.1.113883.3.464.1003.106.12.1018"
+    DEFINITION_VERSION = "20180310"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    LOINC = {
+        "11287-0",  # Alcoholic drinks per drinking day - Reported
+    }
+
+
+class HistoryOfHipFractureInParent(ValueSet):
+    """
+    **Clinical Focus:** The purpose of this value set is to represent concepts for H145 assessments of a family history of hip fracture in a parent.
+
+    **Data Element Scope:** This value set may use a model element related to Assessment.
+
+    **Inclusion Criteria:** Includes concepts that represent an assessment for family history of hip fracture in a parent.
+
+    **Exclusion Criteria:** No exclusions.
+
+    ** Used in:** CMS249v4
+    """
+
+    VALUE_SET_NAME = "History of hip fracture in parent"
+    OID = "2.16.840.1.113883.3.464.1003.113.12.1040"
+    DEFINITION_VERSION = "20180310"
+    EXPANSION_VERSION = "eCQM Update 2021-05-06"
+
+    SNOMEDCT = {
+        "391096007",  # Family history: Maternal hip fracture (situation)
+        "416072008",  # Family history: maternal hip fracture before age 75 (situation)
+        "445121000124105",  # Family history of paternal hip fracture (situation)
+        "445501000124107",  # Family history of hip fracture in parent (situation)
+    }