created patient enrollment questionnaire

CRD-DTR/HomeBloodGlucoseMonitor/R4/resources/Questionnaire-R4-HomeBloodGlucoseMonitorLab.json

@@ -1,6 +1,6 @@
 {
   "resourceType": "Questionnaire",
-  "id": "HomeBloodGlucoseMonitorLab",
+  "id": "HomeBloodGlucoseMonitor",
   "name": "HomeBloodGlucoseMonitorLab",
   "title": "Blood Glucose Laboratory Test Results",
   "status": "draft",

CRD-DTR/RemsDrugs/R4/files/RemsDrugsPrepopulation-0.1.0.cql

@@ -0,0 +1,66 @@
+library RemsDrugsPrepopulation  version '0.1.0'
+using FHIR version '4.0.0'
+include FHIRHelpers version '4.0.0' called FHIRHelpers
+include CDS_Connect_Commons_for_FHIRv400 version '1.0.2' called CDS
+include DTRHelpers version '0.1.0' called DTR
+
+codesystem "ICD-10-CM": 'http://hl7.org/fhir/sid/icd-10-cm'
+codesystem "LOINC": 'http://loinc.org'
+codesystem "SNOMED-CT": 'http://snomed.info/sct'
+
+valueset "OrganTransplantHistoryValueSet": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.81'
+valueset "OrganTransplantProcedureValueSet": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.90'
+valueset "ImmunosuppressiveMedicationValueSet": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.192'
+valueset "ImmunosuppressiveSupportiveMedicationValueSet": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.193'
+
+
+parameter medication_request MedicationRequest
+parameter medication_dispense MedicationDispense
+
+context Patient
+
+define "QualifyingTransplant": [Condition: "OrganTransplantHistoryValueSet"] 
+
+define "QualifyingTransplantProcedures": [Procedure: "OrganTransplantProcedureValueSet"]
+
+define "QualifyingTransplantCodings": DTR.CodesFromConditions("QualifyingTransplant") union DTR.CodesFromProcedures("QualifyingTransplantProcedures")
+
+// get the first transplant date
+define "TransplantDate": 
+  if exists("QualifyingTransplant") then First("QualifyingTransplant").recordedDate.value
+  else First("QualifyingTransplantProcedures").performed.value union First("QualifyingTransplantProcedures").performed.start.value
+
+// Get all medication related information
+define "MedicationCodingFromParameter": Coalesce(medication_request.medication.coding, medication_dispense.medication.coding)
+
+define MedicationCoding: singleton from (
+    "MedicationCodingFromParameter" CODING
+    where CODING in "ImmunosuppressiveMedicationValueSet" 
+    or CODING in "ImmunosuppressiveSupportiveMedicationValueSet")
+
+define "MedicationName": MedicationCoding.display.value
+
+define "MedicationCode" : MedicationCoding.code.value
+
+define "MedicationDosage": Coalesce(medication_request.dosageInstruction[0], medication_dispense.dosageInstruction[0])
+
+define "MedicationDoseAndRate": MedicationDosage.doseAndRate[0]
+
+define "MedicationDoseWithUnit": ToString(MedicationDoseAndRate.dose.value.value) + ' ' + MedicationDoseAndRate.dose.unit.value
+
+define "MedicationRoute": MedicationDosage.route.coding[0].display.value
+
+define "MedicationFrequency" : ToString(MedicationDosage.timing.repeat.frequency.value) + ' per ' + ToString(MedicationDosage.timing.repeat.period.value) + '' + MedicationDosage.timing.repeat.periodUnit.value
+
+define CurrentDiagnoses:
+  DTR.CodesFromConditions(CDS.Confirmed(CDS.ActiveOrRecurring([Condition]))) except QualifyingTransplant
+
+define "MedicationQuantity": Coalesce(medication_dispense.quantity.value, medication_request.dispenseRequest.quantity.value.value)
+
+define "MedicationRefill": 
+  if medication_request.dispenseRequest is not null
+    then medication_request.dispenseRequest.numberOfRepeatsAllowed.value
+  else
+    null  
+
+define "IsMedicationRequest": medication_request.id is not null

CRD-DTR/RemsDrugs/R4/files/RemsDrugsRule-0.1.0.cql

@@ -0,0 +1,60 @@
+library RemsDrugsRule version '0.1.0'
+using FHIR version '4.0.0'
+include FHIRHelpers version '4.0.0' called FHIRHelpers
+
+
+parameter Patient Patient
+parameter medication_request MedicationRequest
+parameter medication_dispense MedicationDispense
+parameter medication_statement MedicationStatement
+
+define RULE_APPLIES:
+    true
+
+define PRIORAUTH_REQUIRED:
+  false
+
+define DOCUMENTATION_REQUIRED:
+  true
+
+define RESULT_InfoLink:
+    'https://www.accessdata.fda.gov/drugsatfda_docs/rems/Turalio_2020_08_04_REMS_Full.pdf'
+
+define RESULT_QuestionnaireOrderUri:
+    'Questionnaire/TuralioRemsPatientEnrollment'  
+
+define RESULT_QuestionnaireDispenseUri:
+    'Questionnaire/TuralioRemsPatientEnrollment'  
+
+define RESULT_QuestionnaireProgressNoteUri:
+    'Questionnaire/TuralioRemsPatientStatus'
+
+define RESULT_requestId:
+  medication_request
+
+define RESULT_dispense:
+  medication_dispense
+
+define "MedicationCodingFromParameter": Coalesce(medication_request.medication.coding, medication_dispense.medication.coding)
+
+define "MedicationStatementCodingFromParamter": medication_statement.medication.coding
+
+define ALTERNATIVE_THERAPY:
+  if MedicationCodingFromParameter.code.value in { '105611', '239983' }
+  then Code { code: '197388', display: 'Azathioprine 50 MG Oral', system: 'http://www.nlm.nih.gov/research/umls/rxnorm' }
+  else null
+
+define DRUG_INTERACTION:
+  if MedicationCodingFromParameter.code.value in { '105585' } 
+    and MedicationStatementCodingFromParamter.code.value in { '105611', '197388', '239983' }
+    then true
+  else if MedicationCodingFromParameter.code.value in { '105611', '197388', '239983' } 
+    and MedicationStatementCodingFromParamter.code.value in { '105585' }
+    then true
+  else false
+
+define REQUESTED_DRUG_CODE:
+  MedicationCodingFromParameter
+
+define STATEMENT_DRUG_CODE:
+  MedicationStatementCodingFromParamter

CRD-DTR/RemsDrugs/R4/resources/Library-R4-RemsDrugs-prepopulation.json

@@ -0,0 +1,74 @@
+{
+    "resourceType": "Library",
+    "id": "RemsDrugs-prepopulation",
+    "url": "http://hl7.org/fhir/us/davinci-dtr/Library/RemsDrugs-prepopulation",
+    "name": "RemsDrugs-prepopulation",
+    "version": "0.1.0",
+    "title": "RemsDrugs Prepopulation",
+    "status": "draft",
+    "type": {
+        "coding": [
+            {
+                "code": "logic-library"
+            }
+        ]
+    },
+    "relatedArtifact": [
+        {
+            "type": "depends-on",
+            "resource": "Library/FHIRHelpers-4.0.0"
+        },
+        {
+          "type": "depends-on",
+          "resource": "Library/CDS_Connect_Commons_for_FHIRv400"
+        },
+        {
+          "type": "depends-on",
+          "resource": "Library/DTRHelpers"
+        }
+    ],
+    "dataRequirement": [
+        {
+            "type": "Condition",
+            "codeFilter": [
+                {
+                    "path": "code",
+                    "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.81"
+                }
+            ]
+        },
+        {
+            "type": "Procedure",
+            "codeFilter": [
+                {
+                    "path": "code",
+                    "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.90"
+                }
+            ]
+        },
+        {
+            "type": "MedicationRequest",
+            "codeFilter": [
+                {
+                    "path": "code",
+                    "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.192"
+                }
+            ]
+        },
+        {
+            "type": "MedicationRequest",
+            "codeFilter": [
+                {
+                    "path": "code",
+                    "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1219.193"
+                }
+            ]
+        }
+    ],
+    "content": [
+        {
+            "contentType": "application/elm+json",
+            "url": "files/RemsDrugs/r4/RemsDrugsPrepopulation-0.1.0.cql"
+        }
+    ]
+}