Stream: cql
Topic: BCSE MedicationDispense resource
Vasyl Herman (Jun 15 2021 at 17:46):
Hello, I am testing the BCSE measure. The problem is that Dementia Medications In Year Before or During Measurement Period always returns false unless I set [MedicationDispense] instead of [MedicationDispense: "Dementia Medications"]. I have checked vsac_cache/valueset-db.json file and yes 314214 exists there. I am wondering what could be a problem. My Bandle? Please help!
I am using cql-execution library. Everything worked fine unless I started to test MedicationDispense. I am not sure how the type.conding list works here.
Here we have a piece of cql code:
library BCSe version '0.0.1'
using FHIR version '4.0.1'
valueset "Dementia Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510'
parameter "Measurement Period" Interval<DateTime>
define "Dementia Medications In Year Before or During Measurement Period":
exists ([MedicationDispense: "Dementia Medications"])
I am trying to construct Patient bundle file like that:
{
"resourceType": "Bundle",
"entry": [
{
"resource": {
"resourceType": "Patient",
"id": "97373",
"gender": "female",
"birthDate": "1952-01-20"
}
},
{
"resource": {
"resourceType": "MedicationDispense",
"id": "286b7c84-60d6-4ab5-ad7f-571fa1f93051",
"type": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314214"
}
]
},
"subject": {
"reference": "Patient/97373"
},
"whenHandedOver": "2020-04-11"
}
}
]
}
Vasyl Herman (Jun 15 2021 at 18:44):
Here is my vsac_cache/valueset-db.json:
{
"2.16.840.1.113883.3.464.1003.196.12.1510": {
"Latest": {
"oid": "2.16.840.1.113883.3.464.1003.196.12.1510",
"version": "Latest",
"codes": [
{
"code": "1100184",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "1308569",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "1599803",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "1599805",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "1805420",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "1805425",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "310436",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "310437",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "312835",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "312836",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "314214",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "314215",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "579148",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "725021",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "725023",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "860695",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "860707",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "860715",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "860901",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996561",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996571",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996594",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996603",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996609",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996615",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "996740",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "997220",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "997223",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "997226",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
},
{
"code": "997229",
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"version": "2021-05"
}
]
}
}
}
Michael Ryan (Jun 16 2021 at 11:31):
(deleted)
Bryn Rhodes (Jun 16 2021 at 22:02):
Hi @Vasyl Herman , I suspect the problem is that the MedicationDispense has a choice type for the primary code path. Can you try putting an explicit code path in the retrieve:
[MedicationDispense: medication in "Dementia Medications"]
Vasyl Herman (Jun 17 2021 at 17:01):
Thanks, it worked out!
Could you please give me a clue how can I check what is default code path?
Bryn Rhodes (Jun 17 2021 at 18:41):
There is documentation here: https://github.com/cqframework/clinical_quality_language/wiki/FHIRModelInfo#retrievable-types-r4
Last updated: Apr 12 2022 at 19:14 UTC
