library DiabetesHbA1c version '1.0.0'

using FHIR version '4.0.1'

context Patient

define InInitialPopulation:
   exists (
      [Condition: "diabetes mellitus"] D
         where D.clinicalStatus.coding.code = 'active'
   )

define InDenominator:
   InInitialPopulation

define InNumerator:
   exists (
      [Observation: "HbA1c"] H
         where H.effectiveDateTime during Interval[start of "Measurement Period" - 1 year, end of "Measurement Period"]
   )

library mvp version '0.0.1'

using QICore version '4.1.1'
// using FHIR version '4.0.1'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include SupplementalDataElements version '3.5.000' called SDE

codesystem "AdministrativeGender": 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender'

code "Female": 'F' from "AdministrativeGender" display 'Female'


parameter "Measurement Period" default Interval[@2025-01-01, @2025-01-01)

context Patient

define "Initial Population":
    [Patient]

define "Denominator":
  "Initial Population"

define "Numerator":
  [Patient] P where P.gender = 'female'

git clone https://github.com/cqframework/ecqm-content-qicore-2025.git

{
    "resourceType": "Library",
    "id": "mvp",
    "url": "http://ecqi.healthit.gov/ecqms/Library/mvp",
    "version": "0.0.1",
    "name": "mvp",
    "type": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/library-type",
                "code": "logic-library"
            }
        ]
    },
    "content": [
        {
            "id": "ig-loader-mvp.cql",
            "__comment__": "ig-loader-[cql file name]"
        }
    ]
}

{
    "resourceType": "Measure",
    "id": "mvpMeasure",
    "url": "https://madie.cms.gov/Measure/mvpMeasure",
    "version": "Draft based on 0.2.000",
    "name": "mvpMeasure",
    "title": "mvp Measure",
    "status": "draft",
    "experimental": false,
    "date": "2025-03-31T03:01:34+00:00",
    "publisher": "TBD",
    "description": "TBD",
    "purpose": "UNKNOWN",
    "usage": "TBD",
    "copyright": "TBD",
    "effectivePeriod": {
        "start": "2025-01-01",
        "end": "2025-12-31"
    },
    "library": [
        "http://ecqi.healthit.gov/ecqms/Library/mvp"
    ],
    "disclaimer": "TBD",
    "####################": "scoring 區塊，定義計分方式",
    "scoring": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code": "proportion",
                "display": "Proportion"
            }
        ]
    },
    "clinicalRecommendationStatement": "TBD",
    "guidance": "TBD",
    "####################": "group 區塊，定義population及分子分母",
    "group": [
        {
            "population": [
                {
                    "id": "initial-population",
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "initial-population",
                                "display": "Initial Population"
                            }
                        ]
                    },
                    "criteria": {
                        "language": "text/cql-identifier",
                        "expression": "Initial Population"
                    }
                },
                {
                    "id": "Denominator",
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "denominator",
                                "display": "Denominator"
                            }
                        ]
                    },
                    "criteria": {
                        "language": "text/cql-identifier",
                        "expression": "Denominator"
                    }
                },
                {
                    "id": "Numerator",
                    "code": {
                        "coding": [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code": "numerator",
                                "display": "Numerator"
                            }
                        ]
                    },
                    "criteria": {
                        "language": "text/cql-identifier",
                        "expression": "Numerator"
                    }
                }
            ]
        }
    ]
}

./_updatePublisher.sh
./_updateCQFTooling.sh

curl --location 'https://cdsa.bdlai.net/fhir' --data '[Bundle JSON]'

library DiabetesHbA1cAlert version '1.0.0'

using FHIR version '4.0.1'

context Patient

define HasDiabetes:
   exists (      [Condition: "diabetes mellitus"] D         where D.clinicalStatus.coding.code = 'active'   )

define LastHbA1cTest:
   [Observation: "HbA1c"] H
      where H.effectiveDateTime during Interval[start of "Measurement Period" - 1 year, end of "Measurement Period"]
      sort by effectiveDateTime desc

define NoRecentHbA1cTest:
   HasDiabetes and not exists (LastHbA1cTest)

define Alert:
   if NoRecentHbA1cTest then
      'Patient has not had an HbA1c test in the past year. Consider ordering one.'