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* add new module for CMS130 * enforce independence btwn encounter and procedure occurring * add gender condition, update colonoscopy code * remove value fields, gender conditions, and merge guards into one * remove extra encounter codes * remove extra procedures with LOINC codes
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,201 @@ | ||
| { | ||
| "name": "CMS130", | ||
| "remarks": [ | ||
| "Synthea module based on CMS130v10 - Colorectal Cancer Screening" | ||
| ], | ||
| "states": { | ||
| "Initial": { | ||
| "type": "Initial", | ||
| "direct_transition": "IPP_Age_Guard", | ||
| "name": "Initial" | ||
| }, | ||
| "IPP_Age_Guard": { | ||
| "type": "Guard", | ||
| "allow": { | ||
| "condition_type": "And", | ||
| "conditions": [ | ||
| { | ||
| "condition_type": "Age", | ||
| "operator": ">=", | ||
| "quantity": 50, | ||
| "unit": "years" | ||
| }, | ||
| { | ||
| "condition_type": "Age", | ||
| "operator": "<=", | ||
| "quantity": 75, | ||
| "unit": "years" | ||
| }, | ||
| { | ||
| "condition_type": "Date", | ||
| "operator": ">=", | ||
| "year": 2022 | ||
| } | ||
| ] | ||
| }, | ||
| "distributed_transition": [ | ||
| { | ||
| "transition": "Telehealth_Visit", | ||
| "distribution": 0.2 | ||
| }, | ||
| { | ||
| "transition": "Qualifying_Encounter", | ||
| "distribution": 0.7 | ||
| }, | ||
| { | ||
| "transition": "Check_For_Procedure", | ||
| "distribution": 0.1 | ||
| } | ||
| ], | ||
| "name": "IPP_Age_Guard" | ||
| }, | ||
| "Terminal": { | ||
| "type": "Terminal", | ||
| "name": "Terminal" | ||
| }, | ||
| "Qualifying_Encounter": { | ||
| "type": "Encounter", | ||
| "telemedicine_possibility": "none", | ||
| "name": "Qualifying_Encounter", | ||
| "direct_transition": "Encounter_Occurred", | ||
| "codes": [ | ||
| { | ||
| "system": "SNOMED-CT", | ||
| "code": 444971000124105, | ||
| "display": "Annual Wellness Visit", | ||
| "value_set": "2.16.840.1.113883.3.526.3.1240" | ||
| } | ||
| ] | ||
| }, | ||
| "Encounter_Occurred": { | ||
| "type": "SetAttribute", | ||
| "attribute": "encounter_occurred", | ||
| "name": "Encounter_Occurred", | ||
| "value": true, | ||
| "direct_transition": "End_Encounter" | ||
| }, | ||
| "Telehealth_Visit": { | ||
| "type": "Encounter", | ||
| "encounter_class": "ambulatory", | ||
| "reason": "", | ||
| "telemedicine_possibility": "none", | ||
| "codes": [ | ||
| { | ||
| "system": "SNOMED-CT", | ||
| "code": 185317003, | ||
| "display": "Telephone Visit", | ||
| "value_set": "2.16.840.1.113883.3.464.1003.101.12.1080" | ||
| } | ||
| ], | ||
| "name": "Telehealth_Visit", | ||
| "direct_transition": "Encounter_Occurred" | ||
| }, | ||
| "Colonoscopy_Procedure": { | ||
| "type": "Procedure", | ||
| "codes": [ | ||
| { | ||
| "system": "SNOMED-CT", | ||
| "code": 446521004, | ||
| "display": "Colonoscopy", | ||
| "value_set": "2.16.840.1.113883.3.464.1003.108.12.1020" | ||
| } | ||
| ], | ||
| "distribution": { | ||
| "kind": "UNIFORM", | ||
| "parameters": { | ||
| "high": 60, | ||
| "low": 30 | ||
| } | ||
| }, | ||
| "unit": "minutes", | ||
| "direct_transition": "Procedure_Performed", | ||
| "name": "Colonoscopy_Procedure" | ||
| }, | ||
| "Procedure_Performed": { | ||
| "type": "SetAttribute", | ||
| "attribute": "procedure_performed", | ||
| "direct_transition": "Check_Population", | ||
| "name": "Procedure_Performed", | ||
| "value": true | ||
| }, | ||
| "Check_Population": { | ||
| "type": "Simple", | ||
| "name": "Check_Population", | ||
| "conditional_transition": [ | ||
| { | ||
| "transition": "Set_Numerator", | ||
| "condition": { | ||
| "condition_type": "And", | ||
| "conditions": [ | ||
| { | ||
| "condition_type": "Attribute", | ||
| "attribute": "encounter_occurred", | ||
| "operator": "==", | ||
| "value": true | ||
| }, | ||
| { | ||
| "condition_type": "Attribute", | ||
| "attribute": "procedure_performed", | ||
| "operator": "==", | ||
| "value": true | ||
| } | ||
| ] | ||
| } | ||
| }, | ||
| { | ||
| "transition": "Set_Denominator", | ||
| "condition": { | ||
| "condition_type": "Attribute", | ||
| "attribute": "encounter_occurred", | ||
| "operator": "==", | ||
| "value": true | ||
| } | ||
| }, | ||
| { | ||
| "transition": "Terminal" | ||
| } | ||
| ] | ||
| }, | ||
| "Set_Numerator": { | ||
| "type": "SetAttribute", | ||
| "attribute": "ecqm_numerator", | ||
| "direct_transition": "Set_Denominator", | ||
| "value": true, | ||
| "name": "Set_Numerator" | ||
| }, | ||
| "Set_Denominator": { | ||
| "type": "SetAttribute", | ||
| "attribute": "ecqm_denominator", | ||
| "direct_transition": "Set_IPP", | ||
| "value": true, | ||
| "name": "Set_Denominator" | ||
| }, | ||
| "Set_IPP": { | ||
| "type": "SetAttribute", | ||
| "attribute": "ecqm_ipp", | ||
| "direct_transition": "Terminal", | ||
| "value": true, | ||
| "name": "Set_IPP" | ||
| }, | ||
| "Check_For_Procedure": { | ||
| "type": "Simple", | ||
| "distributed_transition": [ | ||
| { | ||
| "transition": "Colonoscopy_Procedure", | ||
| "distribution": 0.7 | ||
| }, | ||
| { | ||
| "transition": "Check_Population", | ||
| "distribution": 0.3 | ||
| } | ||
| ], | ||
| "name": "Check_For_Procedure" | ||
| }, | ||
| "End_Encounter": { | ||
| "type": "EncounterEnd", | ||
| "direct_transition": "Check_For_Procedure", | ||
| "name": "End_Encounter" | ||
| } | ||
| }, | ||
| "gmf_version": 2 | ||
| } |