Merge pull request #114 from cqframework/rec-backport

Rec Backport with new terminology

.gitignore

@@ -10,7 +10,8 @@
 /resources/ig-new.xml
 /org.hl7.fhir.publisher.jar
 template
-input-cache
+input-cache/*
+!/input-cache/txcache
 input/ig-expansion-parameters.json
 input/ig-new.json
 input/ig-new.xml

_genonce.sh

@@ -12,7 +12,7 @@ else
 	echo "Offline"
 	txoption="-tx n/a"
 fi
-
+txoption="-tx n/a"
 echo "$txoption"
 
 publisher=$input_cache_path/$publisher_jar

_refresh.bat

@@ -1,6 +1,8 @@
 @ECHO OFF
 SET tooling_jar=tooling-1.1.0-SNAPSHOT-jar-with-dependencies.jar
 SET input_cache_path=%~dp0input-cache
+SET resources_path=%~dp0/input/resources
+SET ig_resource_path=%~dp0/input/opioid-cds.xml
 
 ECHO Checking internet connection...
 PING tx.fhir.org -n 1 -w 1000 | FINDSTR TTL && GOTO isonline
@@ -10,18 +12,18 @@ GOTO igpublish
 
 :isonline
 ECHO We're online, setting publish to the Connectathon sandbox FHIR server
-SET fsoption=-fs http://cqm-sandbox.alphora.com/cqf-ruler-r4/fhir/
+SET fsoption=
 
 :igpublish
 
 SET JAVA_TOOL_OPTIONS=-Dfile.encoding=UTF-8
 
 IF EXIST "%input_cache_path%\%tooling_jar%" (
-	ECHO running: JAVA -jar "%input_cache_path%\%tooling_jar%" -RefreshIG -ip=%~dp0 -iv=fhir4 -t -d -p -v %fsoption%
-	JAVA -jar "%input_cache_path%\%tooling_jar%" -RefreshIG -ip=%~dp0 -iv=fhir4 -t -d -p -v %fsoption%
+	ECHO running: JAVA -jar "%input_cache_path%\%tooling_jar%" -RefreshIG -ip=%~dp0 -rp="%resources_path%" -igrp="%ig_resource_path%" -iv=fhir3 -t -d -p %fsoption%
+	JAVA -jar "%input_cache_path%\%tooling_jar%" -RefreshIG -ip=%~dp0 -rp="%resources_path%" -igrp="%ig_resource_path%" -iv=fhir3 -t -d -p %fsoption%
 ) ELSE If exist "..\%tooling_jar%" (
-	ECHO running: JAVA -jar "..\%tooling_jar%" -RefreshIG -ip=%~dp0 -iv=fhir4 -t -d -p -v %fsoption%
-	JAVA -jar "..\%tooling_jar%" -RefreshIG -ip=%~dp0 -iv=fhir4 -t -d -p -v %fsoption%
+	ECHO running: JAVA -jar "..\%tooling_jar%" -RefreshIG -ip=%~dp0 -rp="%resources_path%" -igrp="%ig_resource_path%" -iv=fhir3 -t -d -p %fsoption%
+	JAVA -jar "..\%tooling_jar%" -RefreshIG -ip=%~dp0 -rp="%resources_path%" -igrp="%ig_resource_path%" -iv=fhir3 -t -d -p %fsoption%
 ) ELSE (
 	ECHO IG Refresh NOT FOUND in input-cache or parent folder.  Please run _updateCQFTooling.  Aborting...
 )

_refresh.sh

@@ -2,13 +2,17 @@
 #DO NOT EDIT WITH WINDOWS
 tooling_jar=tooling-1.1.0-SNAPSHOT-jar-with-dependencies.jar
 input_cache_path=./input-cache
+resources_path=$PWD/input/resources
+ig_resource_path=./input/opioid-cds.xml
+
 set -e
 echo Checking internet connection...
 wget -q --spider tx.fhir.org
 
 if [ $? -eq 0 ]; then
 	echo "Online"
-	fsoption="-fs http://cqm-sandbox.alphora.com/cqf-ruler-r4/fhir/"
+	fsoption=""
+	#"-fs http://cds-sandbox.alphora.com/cqf-ruler-dstu3/fhir/"
 else
 	echo "Offline"
 	fsoption=""
@@ -18,13 +22,12 @@ echo "$fsoption"
 
 tooling=$input_cache_path/$tooling_jar
 if test -f "$tooling"; then
-	JAVA -jar $tooling -RefreshIG -ip="$PWD" -iv=fhir4 -t -d -p -v $fsoption
-
+	JAVA -jar $tooling -RefreshIG -ip="$PWD" -igrp="$ig_resource_path" -rp="$resources_path" -iv=fhir3 -t -d -p $fsoption
 else
 	tooling=../$tooling_jar
 	echo $tooling
 	if test -f "$tooling"; then
-		JAVA -jar $tooling -RefreshIG -ip=C%~dp0 -iv=fhir4 -t -d -p -v $fsoption
+		JAVA -jar $tooling -RefreshIG -ip="$PWD" -igrp="$ig_resource_path" -rp="$resources_path" -iv=fhir3 -t -d -p $fsoption
 	else
 		echo IG Refresh NOT FOUND in input-cache or parent folder.  Please run _updateCQFTooling.  Aborting...
 	fi

bundlegen/_bundle.sh

@@ -0,0 +1,34 @@
+#!/bin/bash
+#DO NOT EDIT WITH WINDOWS
+tooling_jar=tooling-1.1.0-SNAPSHOT-jar-with-dependencies.jar
+input_cache_path=./input-cache
+bundlegen_path=$PWD/bundlegen
+
+
+set -e
+echo Checking internet connection...
+wget -q --spider tx.fhir.org
+
+if [ $? -eq 0 ]; then
+	echo "Online"
+	fsoption=""
+#"-fs http://cqm-sandbox.alphora.com/cqf-ruler-r4/fhir/"
+else
+	echo "Offline"
+	fsoption=""
+fi
+
+echo "$fsoption"
+
+tooling=$input_cache_path/$tooling_jar
+if test -f "$tooling"; then
+	JAVA -jar $tooling -BundleResources -ptd=$bundlegen_path op=$bundlegen_path -v=stu3 -e=json
+else
+	tooling=../$tooling_jar
+	echo $tooling
+	if test -f "$tooling"; then
+		JAVA -jar $tooling -BundleResources -ptd=$bundlegen_path op=$bundlegen_path -v=stu3 -e=json
+	else
+		echo IG Refresh NOT FOUND in input-cache or parent folder.  Please run _updateCQFTooling.  Aborting...
+	fi
+fi

bundles/OpioidCDSREC04/OpioidCDSREC04-files/OpioidCDSREC04.cql

@@ -0,0 +1,78 @@
+library OpioidCDSREC04 version '1.2.0'
+
+using FHIR version '3.0.0'
+
+include FHIRHelpers version '3.0.0' called FHIRHelpers
+include OpioidCDSCommon version '1.2.0' called Common
+include OpioidCDSRoutines version '1.2.0' called Routines
+
+/*
+**
+**  Recommendation #4
+**    Prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids
+**
+**  When
+**    Provider is prescribing an extended release opioid with ambulatory misuse potential in the outpatient setting
+**    Prescription is for treating chronic pain.
+**    Opioid review is useful for this patient:
+**      Patient is 18 or over
+**      Patient does not have findings indicating limited life expectancy
+**      Patient does not have orders for therapies indicating end of life care
+**      Patient is not undergoing active cancer treatment:
+**        Patient has had at least 2 encounters within the past year with any diagnosis of cancer
+**    Patient is opioid naive:
+**      No indication of opioid use in the past 90 days from a prescription, self report, or a dispensing event
+**  Then
+**    Recommend use of immediate release opioids:
+**      Will prescribe immediate release opioid analgesic with ambulatory misuse potential
+**      Benefits outweigh risks, snooze 3 months
+**      N/A - see comment, snooze 3 months
+**
+*/
+
+// META: Plan Definition: http://fhir.org/guides/cdc/opioid-cds/PlanDefinition/opioid-cds-04
+
+parameter ContextPrescriptions List<MedicationRequest>
+
+context Patient
+
+define "Inclusion Period":
+  Interval[Today() - 91 days, Today() - 1 days]
+
+define "Encounter Period":
+  Interval[Today() - 12 months - 1 days, Today() - 1 days]
+
+define "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions":
+  ( Common."Is Opioid Analgesic with Ambulatory Misuse Potential?"( ContextPrescriptions ) ) AmbulatoryOpioidPrescription
+    where Routines."Is Chronic Pain Prescription?"( AmbulatoryOpioidPrescription )
+      and AmbulatoryOpioidPrescription.medication in Common."Extended release opioid analgesics with ambulatory misuse potential"
+
+define "Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential":
+  exists( "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )
+
+define "Is Recommendation Applicable?":
+  "Inclusion Criteria"
+    and not "Exclusion Criteria"
+
+define "Inclusion Criteria":
+  "Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential"
+    and Routines."Is Opioid Review Useful?"
+    and Routines."Is Opioid Naive?"
+
+define "Exclusion Criteria":
+  false
+
+define "Get Indicator":
+  if "Is Recommendation Applicable?"
+    then 'warning'
+  else null
+
+define "Get Summary":
+  if "Is Recommendation Applicable?"
+    then 'Recommend use of immediate-release opioids instead of extended release/long acting opioids when starting patient on opioids.'
+  else null
+
+define "Get Detail":
+  if "Is Recommendation Applicable?"
+    then 'The following medication requests(s) release rates should be re-evaluated: ' + Combine( flatten( Common.GetMedicationNames( "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" ) ), ', ' )
+  else null

input/resources/plandefinition/plandefinition-opioidcds-04.json → bundles/OpioidCDSREC04/OpioidCDSREC04-files/plandefinition-OpioidCDSREC04.json

@@ -2,7 +2,7 @@
   "resourceType": "PlanDefinition",
   "id": "opioidcds-04",
   "url": "http://fhir.org/guides/cdc/opioid-cds/PlanDefinition/opioidcds-04",
-  "version": "1.1.1",
+  "version": "1.2.0",
   "name": "PlanDefinition_Recommendation_4",
   "title": "PlanDefinition - CDC Opioid Prescribing Guideline Recommendation #4",
   "type": {
@@ -90,7 +90,7 @@
   "copyright": "© CDC 2016+.",
   "library": [
     {
-      "reference": "Library/opioidcds-recommendation-04"
+      "reference": "Library/library-OpioidCDSREC04"
     }
   ],
   "action": [
@@ -138,7 +138,7 @@
       "triggerDefinition": [
         {
           "type": "named-event",
-          "eventName": "medication-prescribe"
+          "eventName": "order-select"
         }
       ],
       "condition": [
@@ -178,4 +178,4 @@
       ]
     }
   ]
-}
+}