{"library":{"localId":"0","annotation":[{"translatorVersion":"3.22.0","translatorOptions":"EnableDateRangeOptimization,EnableAnnotations,EnableLocators,EnableResultTypes,DisableListDemotion,DisableListPromotion,DisableMethodInvocation","signatureLevel":"All","type":"CqlToElmInfo"},{"type":"Annotation","s":{"r":"496","s":[{"value":["","library \"Primary-Sjogrens-Syndrome\" version '1.0.0'"]}]}}],"identifier":{"id":"Primary-Sjogrens-Syndrome","version":"1.0.0"},"schemaIdentifier":{"id":"urn:hl7-org:elm","version":"r1"},"usings":{"def":[{"localId":"1","localIdentifier":"System","uri":"urn:hl7-org:elm-types:r1"},{"localId":"206","locator":"3:1-3:26","localIdentifier":"FHIR","uri":"http://hl7.org/fhir","version":"1.0.2","annotation":[{"type":"Annotation","s":{"r":"206","s":[{"value":["","using "]},{"s":[{"value":["FHIR"]}]},{"value":[" version '1.0.2'"]}]}}]}]},"includes":{"def":[{"localId":"207","locator":"5:1-5:56","localIdentifier":"FHIRHelpers","path":"FHIRHelpers","version":"1.0.2","annotation":[{"type":"Annotation","s":{"r":"207","s":[{"value":["","include "]},{"s":[{"value":["\"FHIRHelpers\""]}]},{"value":[" version ","'1.0.2'"," called ","FHIRHelpers"]}]}}]}]},"codeSystems":{"def":[{"localId":"208","locator":"7:1-7:45","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"SNOMED","id":"http://snomed.info/sct","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"208","s":[{"value":["","codesystem ","\"SNOMED\"",": ","'http://snomed.info/sct'"]}]}}]},{"localId":"209","locator":"8:1-8:66","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"RXNORM","id":"http://www.nlm.nih.gov/research/umls/rxnorm","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"209","s":[{"value":["","codesystem ","\"RXNORM\"",": ","'http://www.nlm.nih.gov/research/umls/rxnorm'"]}]}}]}]},"codes":{"def":[{"localId":"210","locator":"10:1-10:109","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Sjögren's syndrome (disorder) code","id":"83901003","display":"Sjögren's syndrome (disorder)","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"210","s":[{"value":["","code ","\"Sjögren\\'s syndrome (disorder) code\"",": ","'83901003'"," from "]},{"r":"211","s":[{"value":["\"SNOMED\""]}]},{"value":[" display ","'Sjögren\\'s syndrome (disorder)'"]}]}}],"codeSystem":{"localId":"211","locator":"10:61-10:68","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"SNOMED"}},{"localId":"212","locator":"11:1-11:145","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Chronic primary musculoskeletal pain (disorder) code","id":"762591005\t","display":"Chronic primary musculoskeletal pain (disorder)","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"212","s":[{"value":["","code ","\"Chronic primary musculoskeletal pain (disorder) code\"",": ","'762591005\t'"," from "]},{"r":"213","s":[{"value":["\"SNOMED\""]}]},{"value":[" display ","'Chronic primary musculoskeletal pain (disorder)'"]}]}}],"codeSystem":{"localId":"213","locator":"11:80-11:87","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"SNOMED"}},{"localId":"214","locator":"12:1-12:81","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"hydroxychloroquine code","id":"5521","display":"hydroxychloroquine","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"214","s":[{"value":["","code ","\"hydroxychloroquine code\"",": ","'5521'"," from "]},{"r":"215","s":[{"value":["\"RXNORM\""]}]},{"value":[" display ","'hydroxychloroquine'"]}]}}],"codeSystem":{"localId":"215","locator":"12:45-12:52","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"RXNORM"}},{"localId":"216","locator":"13:1-13:119","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"62403005 code","id":"62403005","display":"Glucose-6-phosphate dehydrogenase deficiency anemia (disorder)","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"216","s":[{"value":["","code ","\"62403005 code\"",": ","'62403005'"," from "]},{"r":"217","s":[{"value":["\"SNOMED\""]}]},{"value":[" display ","'Glucose-6-phosphate dehydrogenase deficiency anemia (disorder)'"]}]}}],"codeSystem":{"localId":"217","locator":"13:39-13:46","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"SNOMED"}},{"localId":"218","locator":"14:1-14:87","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Pregnancy (finding) code","id":"77386006","display":"Pregnancy (finding)","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"218","s":[{"value":["","code ","\"Pregnancy (finding) code\"",": ","'77386006'"," from "]},{"r":"219","s":[{"value":["\"SNOMED\""]}]},{"value":[" display ","'Pregnancy (finding)'"]}]}}],"codeSystem":{"localId":"219","locator":"14:50-14:57","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"SNOMED"}},{"localId":"220","locator":"15:1-15:88","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Breastfed (finding) code","id":"169741004","display":"Breastfed (finding)","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"220","s":[{"value":["","code ","\"Breastfed (finding) code\"",": ","'169741004'"," from "]},{"r":"221","s":[{"value":["\"SNOMED\""]}]},{"value":[" display ","'Breastfed (finding)'"]}]}}],"codeSystem":{"localId":"221","locator":"15:51-15:58","resultTypeName":"{urn:hl7-org:elm-types:r1}CodeSystem","name":"SNOMED"}}]},"contexts":{"def":[{"localId":"225","locator":"17:1-17:15","name":"Patient"}]},"statements":{"def":[{"localId":"223","locator":"17:1-17:15","name":"Patient","context":"Patient","expression":{"localId":"224","type":"SingletonFrom","signature":[],"operand":{"localId":"222","locator":"17:1-17:15","dataType":"{http://hl7.org/fhir}Patient","type":"Retrieve","include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}}},{"localId":"227","locator":"19:1-20:20","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"minimum age","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"227","s":[{"value":["","define ","\"minimum age\"",":\n  "]},{"r":"228","s":[{"r":"233","s":[{"value":["AgeInYears","()"]}]},{"r":"235","value":[" ",">="," ","18"]}]}]}}],"expression":{"localId":"228","locator":"20:3-20:20","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"GreaterOrEqual","signature":[{"localId":"236","name":"{urn:hl7-org:elm-types:r1}Integer","type":"NamedTypeSpecifier"},{"localId":"237","name":"{urn:hl7-org:elm-types:r1}Integer","type":"NamedTypeSpecifier"}],"operand":[{"localId":"233","locator":"20:3-20:14","resultTypeName":"{urn:hl7-org:elm-types:r1}Integer","precision":"Year","type":"CalculateAge","signature":[{"localId":"234","name":"{urn:hl7-org:elm-types:r1}Date","type":"NamedTypeSpecifier"}],"operand":{"localId":"232","path":"birthDate.value","type":"Property","source":{"localId":"231","name":"Patient","type":"ExpressionRef"}}},{"localId":"235","locator":"20:19-20:20","resultTypeName":"{urn:hl7-org:elm-types:r1}Integer","valueType":"{urn:hl7-org:elm-types:r1}Integer","value":"18","type":"Literal"}]}},{"localId":"255","locator":"79:1-87:35","name":"ActiveCondition","context":"Patient","accessLevel":"Public","type":"FunctionDef","annotation":[{"type":"Annotation","s":{"r":"255","s":[{"value":["","define function ActiveCondition(CondList List<Condition>):\n  "]},{"r":"755","s":[{"r":"755","s":[{"s":[{"r":"697","s":[{"r":"698","s":[{"s":[{"value":["CondList"]}]}]},{"value":[" ","C"]}]}]},{"value":["\n    "]},{"r":"703","s":[{"value":["where "]},{"r":"703","s":[{"r":"704","s":[{"r":"705","s":[{"r":"706","s":[{"r":"707","s":[{"r":"708","s":[{"r":"709","s":[{"r":"712","s":[{"r":"711","s":[{"r":"710","s":[{"value":["C"]}]},{"value":["."]},{"r":"711","s":[{"value":["clinicalStatus"]}]}]},{"value":["."]},{"r":"712","s":[{"value":["value"]}]}]},{"value":[" ","="," "]},{"r":"713","s":[{"value":["'active'"]}]}]},{"value":["\n      and "]},{"r":"718","s":[{"r":"717","s":[{"r":"716","s":[{"value":["C"]}]},{"value":["."]},{"r":"717","s":[{"value":["abatementDateTime"]}]}]},{"value":[" is null"]}]}]},{"value":["\n      and "]},{"r":"724","s":[{"r":"723","s":[{"r":"722","s":[{"value":["C"]}]},{"value":["."]},{"r":"723","s":[{"value":["abatementQuantity"]}]}]},{"value":[" is null"]}]}]},{"value":["\n      and "]},{"r":"733","s":[{"r":"730","s":[{"r":"729","s":[{"r":"728","s":[{"value":["C"]}]},{"value":["."]},{"r":"729","s":[{"value":["abatementBoolean"]}]}]},{"value":["."]},{"r":"730","s":[{"value":["value"]}]}]},{"value":[" is not true"]}]}]},{"value":["\n      and "]},{"r":"739","s":[{"r":"738","s":[{"r":"737","s":[{"value":["C"]}]},{"value":["."]},{"r":"738","s":[{"value":["abatementPeriod"]}]}]},{"value":[" is null"]}]}]},{"value":["\n      and "]},{"r":"745","s":[{"r":"744","s":[{"r":"743","s":[{"value":["C"]}]},{"value":["."]},{"r":"744","s":[{"value":["abatementRange"]}]}]},{"value":[" is null"]}]}]},{"value":["\n      and "]},{"r":"751","s":[{"r":"750","s":[{"r":"749","s":[{"value":["C"]}]},{"value":["."]},{"r":"750","s":[{"value":["abatementString"]}]}]},{"value":[" is null"]}]}]}]}]}]}]}}],"resultTypeSpecifier":{"localId":"760","type":"ListTypeSpecifier","elementType":{"localId":"761","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"expression":{"localId":"755","locator":"80:3-87:35","type":"Query","resultTypeSpecifier":{"localId":"758","type":"ListTypeSpecifier","elementType":{"localId":"759","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"source":[{"localId":"697","locator":"80:3-80:12","alias":"C","resultTypeSpecifier":{"localId":"701","type":"ListTypeSpecifier","elementType":{"localId":"702","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"expression":{"localId":"698","locator":"80:3-80:10","name":"CondList","type":"OperandRef","resultTypeSpecifier":{"localId":"699","type":"ListTypeSpecifier","elementType":{"localId":"700","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}}}],"let":[],"relationship":[],"where":{"localId":"703","locator":"81:5-87:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"753","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"754","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"704","locator":"81:11-86:34","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"747","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"748","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"705","locator":"81:11-85:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"741","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"742","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"706","locator":"81:11-84:46","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"735","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"736","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"707","locator":"81:11-83:37","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"726","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"727","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"708","locator":"81:11-82:37","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"720","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"721","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"709","locator":"81:11-81:43","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Equal","signature":[{"localId":"714","name":"{urn:hl7-org:elm-types:r1}String","type":"NamedTypeSpecifier"},{"localId":"715","name":"{urn:hl7-org:elm-types:r1}String","type":"NamedTypeSpecifier"}],"operand":[{"localId":"712","locator":"81:11-81:32","resultTypeName":"{urn:hl7-org:elm-types:r1}String","path":"value","type":"Property","source":{"localId":"711","locator":"81:11-81:26","resultTypeName":"{http://hl7.org/fhir}code","path":"clinicalStatus","scope":"C","type":"Property"}},{"localId":"713","locator":"81:36-81:43","resultTypeName":"{urn:hl7-org:elm-types:r1}String","valueType":"{urn:hl7-org:elm-types:r1}String","value":"active","type":"Literal"}]},{"localId":"718","locator":"82:11-82:37","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsNull","signature":[{"localId":"719","name":"{urn:hl7-org:elm-types:r1}Any","type":"NamedTypeSpecifier"}],"operand":{"localId":"717","locator":"82:11-82:29","resultTypeName":"{http://hl7.org/fhir}dateTime","path":"abatementDateTime","scope":"C","type":"Property"}}]},{"localId":"724","locator":"83:11-83:37","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsNull","signature":[{"localId":"725","name":"{urn:hl7-org:elm-types:r1}Any","type":"NamedTypeSpecifier"}],"operand":{"localId":"723","locator":"83:11-83:29","resultTypeName":"{http://hl7.org/fhir}Age","path":"abatementQuantity","scope":"C","type":"Property"}}]},{"localId":"733","locator":"84:11-84:46","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Not","signature":[{"localId":"734","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":{"localId":"731","locator":"84:11-84:46","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsTrue","signature":[{"localId":"732","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":{"localId":"730","locator":"84:11-84:34","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","path":"value","type":"Property","source":{"localId":"729","locator":"84:11-84:28","resultTypeName":"{http://hl7.org/fhir}boolean","path":"abatementBoolean","scope":"C","type":"Property"}}}}]},{"localId":"739","locator":"85:11-85:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsNull","signature":[{"localId":"740","name":"{urn:hl7-org:elm-types:r1}Any","type":"NamedTypeSpecifier"}],"operand":{"localId":"738","locator":"85:11-85:27","resultTypeName":"{http://hl7.org/fhir}Period","path":"abatementPeriod","scope":"C","type":"Property"}}]},{"localId":"745","locator":"86:11-86:34","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsNull","signature":[{"localId":"746","name":"{urn:hl7-org:elm-types:r1}Any","type":"NamedTypeSpecifier"}],"operand":{"localId":"744","locator":"86:11-86:26","resultTypeName":"{http://hl7.org/fhir}Range","path":"abatementRange","scope":"C","type":"Property"}}]},{"localId":"751","locator":"87:11-87:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsNull","signature":[{"localId":"752","name":"{urn:hl7-org:elm-types:r1}Any","type":"NamedTypeSpecifier"}],"operand":{"localId":"750","locator":"87:11-87:27","resultTypeName":"{http://hl7.org/fhir}string","path":"abatementString","scope":"C","type":"Property"}}]}},"operand":[{"localId":"260","name":"CondList","operandTypeSpecifier":{"localId":"256","locator":"79:42-79:56","type":"ListTypeSpecifier","resultTypeSpecifier":{"localId":"258","type":"ListTypeSpecifier","elementType":{"localId":"259","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"elementType":{"localId":"257","locator":"79:47-79:55","resultTypeName":"{http://hl7.org/fhir}Condition","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}}]},{"localId":"329","locator":"75:1-77:50","name":"Confirmed","context":"Patient","accessLevel":"Public","type":"FunctionDef","annotation":[{"type":"Annotation","s":{"r":"329","s":[{"value":["","define function Confirmed(CondList List<Condition>):\n  "]},{"r":"690","s":[{"r":"690","s":[{"s":[{"r":"677","s":[{"r":"678","s":[{"s":[{"value":["CondList"]}]}]},{"value":[" ","C"]}]}]},{"value":["\n    "]},{"r":"683","s":[{"value":["where "]},{"r":"683","s":[{"r":"686","s":[{"r":"685","s":[{"r":"684","s":[{"value":["C"]}]},{"value":["."]},{"r":"685","s":[{"value":["verificationStatus"]}]}]},{"value":["."]},{"r":"686","s":[{"value":["value"]}]}]},{"value":[" ","="," "]},{"r":"687","s":[{"value":["'confirmed'"]}]}]}]}]}]}]}}],"resultTypeSpecifier":{"localId":"695","type":"ListTypeSpecifier","elementType":{"localId":"696","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"expression":{"localId":"690","locator":"76:3-77:50","type":"Query","resultTypeSpecifier":{"localId":"693","type":"ListTypeSpecifier","elementType":{"localId":"694","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"source":[{"localId":"677","locator":"76:3-76:12","alias":"C","resultTypeSpecifier":{"localId":"681","type":"ListTypeSpecifier","elementType":{"localId":"682","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"expression":{"localId":"678","locator":"76:3-76:10","name":"CondList","type":"OperandRef","resultTypeSpecifier":{"localId":"679","type":"ListTypeSpecifier","elementType":{"localId":"680","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}}}],"let":[],"relationship":[],"where":{"localId":"683","locator":"77:5-77:50","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Equal","signature":[{"localId":"688","name":"{urn:hl7-org:elm-types:r1}String","type":"NamedTypeSpecifier"},{"localId":"689","name":"{urn:hl7-org:elm-types:r1}String","type":"NamedTypeSpecifier"}],"operand":[{"localId":"686","locator":"77:11-77:36","resultTypeName":"{urn:hl7-org:elm-types:r1}String","path":"value","type":"Property","source":{"localId":"685","locator":"77:11-77:30","resultTypeName":"{http://hl7.org/fhir}ConditionVerificationStatus","path":"verificationStatus","scope":"C","type":"Property"}},{"localId":"687","locator":"77:40-77:50","resultTypeName":"{urn:hl7-org:elm-types:r1}String","valueType":"{urn:hl7-org:elm-types:r1}String","value":"confirmed","type":"Literal"}]}},"operand":[{"localId":"334","name":"CondList","operandTypeSpecifier":{"localId":"330","locator":"75:36-75:50","type":"ListTypeSpecifier","resultTypeSpecifier":{"localId":"332","type":"ListTypeSpecifier","elementType":{"localId":"333","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"elementType":{"localId":"331","locator":"75:41-75:49","resultTypeName":"{http://hl7.org/fhir}Condition","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}}]},{"localId":"239","locator":"22:1-23:91","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Sjögren's syndrome (disorder)","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"239","s":[{"value":["","define ","\"Sjögren's syndrome (disorder)\"",":\n  "]},{"r":"240","s":[{"value":["exists "]},{"r":"335","s":[{"value":["( "]},{"r":"335","s":[{"value":["Confirmed","("]},{"r":"261","s":[{"value":["ActiveCondition","("]},{"r":"243","s":[{"value":["[","Condition",": "]},{"s":[{"value":["\"Sjögren\\'s syndrome (disorder) code\""]}]},{"value":["]"]}]},{"value":[")"]}]},{"value":[")"]}]},{"value":[" )"]}]}]}]}}],"expression":{"localId":"240","locator":"23:3-23:91","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Exists","signature":[{"localId":"360","type":"ListTypeSpecifier","elementType":{"localId":"361","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":{"localId":"335","locator":"23:10-23:91","name":"Confirmed","type":"FunctionRef","resultTypeSpecifier":{"localId":"358","type":"ListTypeSpecifier","elementType":{"localId":"359","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"signature":[{"localId":"336","type":"ListTypeSpecifier","elementType":{"localId":"337","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"261","locator":"23:22-23:88","name":"ActiveCondition","type":"FunctionRef","resultTypeSpecifier":{"localId":"327","type":"ListTypeSpecifier","elementType":{"localId":"328","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"signature":[{"localId":"262","type":"ListTypeSpecifier","elementType":{"localId":"263","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"243","locator":"23:38-23:87","dataType":"{http://hl7.org/fhir}Condition","codeProperty":"code","codeComparator":"~","type":"Retrieve","resultTypeSpecifier":{"localId":"253","type":"ListTypeSpecifier","elementType":{"localId":"254","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"codes":{"localId":"252","type":"ToList","signature":[],"operand":{"localId":"242","locator":"23:50-23:86","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Sjögren's syndrome (disorder) code","type":"CodeRef"}},"include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}]}]}}},{"localId":"385","locator":"89:1-94:49","name":"ConditionLookBack","context":"Patient","accessLevel":"Public","type":"FunctionDef","annotation":[{"type":"Annotation","s":{"r":"385","s":[{"value":["","define function ConditionLookBack(CondList List<Condition>, LookBack System.Quantity):\n  "]},{"r":"830","s":[{"r":"830","s":[{"s":[{"r":"762","s":[{"r":"763","s":[{"s":[{"value":["CondList"]}]}]},{"value":[" ","C"]}]}]},{"value":["\n    "]},{"s":[{"value":["let "]},{"r":"768","s":[{"value":["LookBackInterval",": "]},{"r":"779","s":[{"value":["Interval["]},{"r":"769","s":[{"r":"772","s":[{"value":["Now","()"]}]},{"value":[" - "]},{"r":"773","s":[{"value":["LookBack"]}]}]},{"value":[", "]},{"r":"778","s":[{"value":["Now","()"]}]},{"value":["]"]}]}]}]},{"value":["\n    "]},{"r":"784","s":[{"value":["where "]},{"r":"784","s":[{"r":"785","s":[{"r":"792","s":[{"r":"788","s":[{"r":"787","s":[{"r":"786","s":[{"value":["C"]}]},{"value":["."]},{"r":"787","s":[{"value":["onsetDateTime"]}]}]},{"value":["."]},{"r":"788","s":[{"value":["value"]}]}]},{"value":[" in "]},{"r":"789","s":[{"value":["LookBackInterval"]}]}]},{"value":["\n      or "]},{"r":"808","s":[{"r":"799","s":[{"r":"796","s":[{"value":["FHIRHelpers"]}]},{"value":["."]},{"r":"799","s":[{"value":["ToInterval"," ( "]},{"r":"798","s":[{"r":"797","s":[{"value":["C"]}]},{"value":["."]},{"r":"798","s":[{"value":["onsetPeriod"]}]}]},{"value":[" )"]}]}]},{"r":"808","value":[" ","overlaps"," "]},{"r":"805","s":[{"value":["LookBackInterval"]}]}]}]},{"value":["\n      or "]},{"r":"821","s":[{"r":"817","s":[{"r":"816","s":[{"r":"815","s":[{"value":["C"]}]},{"value":["."]},{"r":"816","s":[{"value":["dateRecorded"]}]}]},{"value":["."]},{"r":"817","s":[{"value":["value"]}]}]},{"value":[" in "]},{"r":"818","s":[{"value":["LookBackInterval"]}]}]}]}]}]}]}]}}],"resultTypeSpecifier":{"localId":"835","type":"ListTypeSpecifier","elementType":{"localId":"836","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"expression":{"localId":"830","locator":"90:3-94:49","type":"Query","resultTypeSpecifier":{"localId":"833","type":"ListTypeSpecifier","elementType":{"localId":"834","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"source":[{"localId":"762","locator":"90:3-90:12","alias":"C","resultTypeSpecifier":{"localId":"766","type":"ListTypeSpecifier","elementType":{"localId":"767","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"expression":{"localId":"763","locator":"90:3-90:10","name":"CondList","type":"OperandRef","resultTypeSpecifier":{"localId":"764","type":"ListTypeSpecifier","elementType":{"localId":"765","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}}}],"let":[{"localId":"768","locator":"91:9-91:59","identifier":"LookBackInterval","resultTypeSpecifier":{"localId":"782","type":"IntervalTypeSpecifier","pointType":{"localId":"783","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}},"expression":{"localId":"779","locator":"91:27-91:59","lowClosed":true,"highClosed":true,"type":"Interval","resultTypeSpecifier":{"localId":"780","type":"IntervalTypeSpecifier","pointType":{"localId":"781","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}},"low":{"localId":"769","locator":"91:36-91:51","resultTypeName":"{urn:hl7-org:elm-types:r1}DateTime","type":"Subtract","signature":[{"localId":"774","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"},{"localId":"775","name":"{urn:hl7-org:elm-types:r1}Quantity","type":"NamedTypeSpecifier"}],"operand":[{"localId":"772","locator":"91:36-91:40","resultTypeName":"{urn:hl7-org:elm-types:r1}DateTime","type":"Now","signature":[]},{"localId":"773","locator":"91:44-91:51","resultTypeName":"{urn:hl7-org:elm-types:r1}Quantity","name":"LookBack","type":"OperandRef"}]},"high":{"localId":"778","locator":"91:54-91:58","resultTypeName":"{urn:hl7-org:elm-types:r1}DateTime","type":"Now","signature":[]}}}],"relationship":[],"where":{"localId":"784","locator":"92:5-94:49","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Or","signature":[{"localId":"828","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"829","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"785","locator":"92:11-93:75","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Or","signature":[{"localId":"813","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"814","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"792","locator":"92:11-92:51","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"In","signature":[{"localId":"793","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"},{"localId":"794","type":"IntervalTypeSpecifier","pointType":{"localId":"795","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"788","locator":"92:11-92:31","resultTypeName":"{urn:hl7-org:elm-types:r1}DateTime","path":"value","type":"Property","source":{"localId":"787","locator":"92:11-92:25","resultTypeName":"{http://hl7.org/fhir}dateTime","path":"onsetDateTime","scope":"C","type":"Property"}},{"localId":"789","locator":"92:36-92:51","name":"LookBackInterval","type":"QueryLetRef","resultTypeSpecifier":{"localId":"790","type":"IntervalTypeSpecifier","pointType":{"localId":"791","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}}}]},{"localId":"808","locator":"93:10-93:75","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Overlaps","signature":[{"localId":"809","type":"IntervalTypeSpecifier","pointType":{"localId":"810","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}},{"localId":"811","type":"IntervalTypeSpecifier","pointType":{"localId":"812","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"799","locator":"93:10-93:49","name":"ToInterval","libraryName":"FHIRHelpers","type":"FunctionRef","resultTypeSpecifier":{"localId":"803","type":"IntervalTypeSpecifier","pointType":{"localId":"804","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}},"signature":[{"localId":"800","name":"{http://hl7.org/fhir}Period","type":"NamedTypeSpecifier"}],"operand":[{"localId":"798","locator":"93:35-93:47","resultTypeName":"{http://hl7.org/fhir}Period","path":"onsetPeriod","scope":"C","type":"Property"}]},{"localId":"805","locator":"93:60-93:75","name":"LookBackInterval","type":"QueryLetRef","resultTypeSpecifier":{"localId":"806","type":"IntervalTypeSpecifier","pointType":{"localId":"807","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}}}]}]},{"localId":"821","locator":"94:10-94:49","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"In","signature":[{"localId":"825","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"},{"localId":"826","type":"IntervalTypeSpecifier","pointType":{"localId":"827","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"823","type":"ToDateTime","signature":[{"localId":"824","name":"{urn:hl7-org:elm-types:r1}Date","type":"NamedTypeSpecifier"}],"operand":{"localId":"817","locator":"94:10-94:29","resultTypeName":"{urn:hl7-org:elm-types:r1}Date","path":"value","type":"Property","source":{"localId":"816","locator":"94:10-94:23","resultTypeName":"{http://hl7.org/fhir}date","path":"dateRecorded","scope":"C","type":"Property"}}},{"localId":"818","locator":"94:34-94:49","name":"LookBackInterval","type":"QueryLetRef","resultTypeSpecifier":{"localId":"819","type":"IntervalTypeSpecifier","pointType":{"localId":"820","name":"{urn:hl7-org:elm-types:r1}DateTime","type":"NamedTypeSpecifier"}}}]}]}},"operand":[{"localId":"390","name":"CondList","operandTypeSpecifier":{"localId":"386","locator":"89:44-89:58","type":"ListTypeSpecifier","resultTypeSpecifier":{"localId":"388","type":"ListTypeSpecifier","elementType":{"localId":"389","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"elementType":{"localId":"387","locator":"89:49-89:57","resultTypeName":"{http://hl7.org/fhir}Condition","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}},{"localId":"392","name":"LookBack","operandTypeSpecifier":{"localId":"391","locator":"89:70-89:84","resultTypeName":"{urn:hl7-org:elm-types:r1}Quantity","name":"{urn:hl7-org:elm-types:r1}Quantity","type":"NamedTypeSpecifier"}}]},{"localId":"363","locator":"25:1-26:138","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Musculoskeletal pain (finding)","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"363","s":[{"value":["","define ","\"Musculoskeletal pain (finding)\"",":\n  "]},{"r":"476","s":[{"r":"364","s":[{"value":["( "]},{"r":"364","s":[{"value":["exists "]},{"r":"393","s":[{"value":["( "]},{"r":"393","s":[{"value":["ConditionLookBack","("]},{"r":"379","s":[{"value":["ActiveCondition","("]},{"r":"367","s":[{"value":["[","Condition",": "]},{"s":[{"value":["\"Chronic primary musculoskeletal pain (disorder) code\""]}]},{"value":["]"]}]},{"value":[")"]}]},{"value":[", "]},{"r":"384","s":[{"value":["6 ","months"]}]},{"value":[")"]}]},{"value":[" )"]}]}]},{"value":[" )"]}]},{"value":[" is true"]}]}]}}],"expression":{"localId":"476","locator":"26:3-26:138","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsTrue","signature":[{"localId":"477","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":{"localId":"364","locator":"26:3-26:130","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Exists","signature":[{"localId":"474","type":"ListTypeSpecifier","elementType":{"localId":"475","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":{"localId":"393","locator":"26:12-26:128","name":"ConditionLookBack","type":"FunctionRef","resultTypeSpecifier":{"localId":"472","type":"ListTypeSpecifier","elementType":{"localId":"473","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"signature":[{"localId":"394","type":"ListTypeSpecifier","elementType":{"localId":"395","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},{"localId":"396","name":"{urn:hl7-org:elm-types:r1}Quantity","type":"NamedTypeSpecifier"}],"operand":[{"localId":"379","locator":"26:32-26:115","name":"ActiveCondition","type":"FunctionRef","resultTypeSpecifier":{"localId":"382","type":"ListTypeSpecifier","elementType":{"localId":"383","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"signature":[{"localId":"380","type":"ListTypeSpecifier","elementType":{"localId":"381","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"367","locator":"26:48-26:114","dataType":"{http://hl7.org/fhir}Condition","codeProperty":"code","codeComparator":"~","type":"Retrieve","resultTypeSpecifier":{"localId":"377","type":"ListTypeSpecifier","elementType":{"localId":"378","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"codes":{"localId":"376","type":"ToList","signature":[],"operand":{"localId":"366","locator":"26:60-26:113","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Chronic primary musculoskeletal pain (disorder) code","type":"CodeRef"}},"include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}]},{"localId":"384","locator":"26:118-26:125","resultTypeName":"{urn:hl7-org:elm-types:r1}Quantity","value":6,"unit":"months","type":"Quantity"}]}}}},{"localId":"496","locator":"96:1-99:35","name":"ActiveMedicationOrder","context":"Patient","accessLevel":"Public","type":"FunctionDef","annotation":[{"type":"Annotation","s":{"r":"496","s":[{"value":["","define function ActiveMedicationOrder(MedList List<MedicationOrder>):\n  "]},{"r":"858","s":[{"r":"858","s":[{"s":[{"r":"837","s":[{"r":"838","s":[{"s":[{"value":["MedList"]}]}]},{"value":[" ","M"]}]}]},{"value":["\n    "]},{"r":"843","s":[{"value":["where "]},{"r":"843","s":[{"r":"844","s":[{"r":"847","s":[{"r":"846","s":[{"r":"845","s":[{"value":["M"]}]},{"value":["."]},{"r":"846","s":[{"value":["status"]}]}]},{"value":["."]},{"r":"847","s":[{"value":["value"]}]}]},{"value":[" ","="," "]},{"r":"848","s":[{"value":["'active'"]}]}]},{"value":["\n      and "]},{"r":"854","s":[{"r":"853","s":[{"r":"852","s":[{"r":"851","s":[{"value":["M"]}]},{"value":["."]},{"r":"852","s":[{"value":["dateEnded"]}]}]},{"value":["."]},{"r":"853","s":[{"value":["value"]}]}]},{"value":[" is null"]}]}]}]}]}]}]}}],"resultTypeSpecifier":{"localId":"863","type":"ListTypeSpecifier","elementType":{"localId":"864","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}},"expression":{"localId":"858","locator":"97:3-99:35","type":"Query","resultTypeSpecifier":{"localId":"861","type":"ListTypeSpecifier","elementType":{"localId":"862","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}},"source":[{"localId":"837","locator":"97:3-97:11","alias":"M","resultTypeSpecifier":{"localId":"841","type":"ListTypeSpecifier","elementType":{"localId":"842","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}},"expression":{"localId":"838","locator":"97:3-97:9","name":"MedList","type":"OperandRef","resultTypeSpecifier":{"localId":"839","type":"ListTypeSpecifier","elementType":{"localId":"840","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}}}}],"let":[],"relationship":[],"where":{"localId":"843","locator":"98:5-99:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"856","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"857","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"844","locator":"98:11-98:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Equal","signature":[{"localId":"849","name":"{urn:hl7-org:elm-types:r1}String","type":"NamedTypeSpecifier"},{"localId":"850","name":"{urn:hl7-org:elm-types:r1}String","type":"NamedTypeSpecifier"}],"operand":[{"localId":"847","locator":"98:11-98:24","resultTypeName":"{urn:hl7-org:elm-types:r1}String","path":"value","type":"Property","source":{"localId":"846","locator":"98:11-98:18","resultTypeName":"{http://hl7.org/fhir}MedicationOrderStatus","path":"status","scope":"M","type":"Property"}},{"localId":"848","locator":"98:28-98:35","resultTypeName":"{urn:hl7-org:elm-types:r1}String","valueType":"{urn:hl7-org:elm-types:r1}String","value":"active","type":"Literal"}]},{"localId":"854","locator":"99:11-99:35","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsNull","signature":[{"localId":"855","name":"{urn:hl7-org:elm-types:r1}Any","type":"NamedTypeSpecifier"}],"operand":{"localId":"853","locator":"99:11-99:27","resultTypeName":"{urn:hl7-org:elm-types:r1}DateTime","path":"value","type":"Property","source":{"localId":"852","locator":"99:11-99:21","resultTypeName":"{http://hl7.org/fhir}dateTime","path":"dateEnded","scope":"M","type":"Property"}}}]}},"operand":[{"localId":"501","name":"MedList","operandTypeSpecifier":{"localId":"497","locator":"96:47-96:67","type":"ListTypeSpecifier","resultTypeSpecifier":{"localId":"499","type":"ListTypeSpecifier","elementType":{"localId":"500","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}},"elementType":{"localId":"498","locator":"96:52-96:66","resultTypeName":"{http://hl7.org/fhir}MedicationOrder","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}}}]},{"localId":"479","locator":"28:1-29:88","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"hydroxychloroquine","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"479","s":[{"value":["","define ","\"hydroxychloroquine\"",":\n  "]},{"r":"480","s":[{"value":["not "]},{"r":"481","s":[{"value":["( "]},{"r":"481","s":[{"value":["exists "]},{"r":"502","s":[{"value":["( "]},{"r":"502","s":[{"value":["ActiveMedicationOrder","("]},{"r":"484","s":[{"value":["[","MedicationOrder",": "]},{"s":[{"value":["\"hydroxychloroquine code\""]}]},{"value":["]"]}]},{"value":[")"]}]},{"value":[" )"]}]}]},{"value":[" )"]}]}]}]}}],"expression":{"localId":"480","locator":"29:3-29:88","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Not","signature":[{"localId":"537","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":{"localId":"481","locator":"29:7-29:88","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Exists","signature":[{"localId":"535","type":"ListTypeSpecifier","elementType":{"localId":"536","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}}],"operand":{"localId":"502","locator":"29:16-29:86","name":"ActiveMedicationOrder","type":"FunctionRef","resultTypeSpecifier":{"localId":"533","type":"ListTypeSpecifier","elementType":{"localId":"534","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}},"signature":[{"localId":"503","type":"ListTypeSpecifier","elementType":{"localId":"504","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"484","locator":"29:40-29:83","dataType":"{http://hl7.org/fhir}MedicationOrder","codeProperty":"medicationCodeableConcept","codeComparator":"~","type":"Retrieve","resultTypeSpecifier":{"localId":"494","type":"ListTypeSpecifier","elementType":{"localId":"495","name":"{http://hl7.org/fhir}MedicationOrder","type":"NamedTypeSpecifier"}},"codes":{"localId":"493","type":"ToList","signature":[],"operand":{"localId":"483","locator":"29:58-29:82","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"hydroxychloroquine code","type":"CodeRef"}},"include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}]}}}},{"localId":"539","locator":"31:1-32:58","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"SNOMED 62403005","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"539","s":[{"value":["","define ","\"SNOMED 62403005\"",":\n  "]},{"r":"540","s":[{"value":["exists "]},{"r":"555","s":[{"value":["( "]},{"r":"555","s":[{"value":["ActiveCondition","("]},{"r":"543","s":[{"value":["[","Condition",": "]},{"s":[{"value":["\"62403005 code\""]}]},{"value":["]"]}]},{"value":[")"]}]},{"value":[" )"]}]}]}]}}],"expression":{"localId":"540","locator":"32:3-32:58","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Exists","signature":[{"localId":"562","type":"ListTypeSpecifier","elementType":{"localId":"563","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":{"localId":"555","locator":"32:10-32:58","name":"ActiveCondition","type":"FunctionRef","resultTypeSpecifier":{"localId":"560","type":"ListTypeSpecifier","elementType":{"localId":"561","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"signature":[{"localId":"556","type":"ListTypeSpecifier","elementType":{"localId":"557","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"543","locator":"32:28-32:55","dataType":"{http://hl7.org/fhir}Condition","codeProperty":"code","codeComparator":"~","type":"Retrieve","resultTypeSpecifier":{"localId":"553","type":"ListTypeSpecifier","elementType":{"localId":"554","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"codes":{"localId":"552","type":"ToList","signature":[],"operand":{"localId":"542","locator":"32:40-32:54","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"62403005 code","type":"CodeRef"}},"include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}]}}},{"localId":"565","locator":"34:1-35:69","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Pregnancy (finding)","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"565","s":[{"value":["","define ","\"Pregnancy (finding)\"",":\n  "]},{"r":"566","s":[{"value":["exists "]},{"r":"581","s":[{"value":["( "]},{"r":"581","s":[{"value":["ActiveCondition","("]},{"r":"569","s":[{"value":["[","Condition",": "]},{"s":[{"value":["\"Pregnancy (finding) code\""]}]},{"value":["]"]}]},{"value":[")"]}]},{"value":[" )"]}]}]}]}}],"expression":{"localId":"566","locator":"35:3-35:69","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Exists","signature":[{"localId":"588","type":"ListTypeSpecifier","elementType":{"localId":"589","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":{"localId":"581","locator":"35:10-35:69","name":"ActiveCondition","type":"FunctionRef","resultTypeSpecifier":{"localId":"586","type":"ListTypeSpecifier","elementType":{"localId":"587","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"signature":[{"localId":"582","type":"ListTypeSpecifier","elementType":{"localId":"583","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}}],"operand":[{"localId":"569","locator":"35:28-35:66","dataType":"{http://hl7.org/fhir}Condition","codeProperty":"code","codeComparator":"~","type":"Retrieve","resultTypeSpecifier":{"localId":"579","type":"ListTypeSpecifier","elementType":{"localId":"580","name":"{http://hl7.org/fhir}Condition","type":"NamedTypeSpecifier"}},"codes":{"localId":"578","type":"ToList","signature":[],"operand":{"localId":"568","locator":"35:40-35:65","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Pregnancy (finding) code","type":"CodeRef"}},"include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}]}}},{"localId":"591","locator":"37:1-38:66","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Breastfed (finding)","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"591","s":[{"value":["","define ","\"Breastfed (finding)\"",":\n  "]},{"r":"611","s":[{"r":"592","s":[{"value":["( "]},{"r":"592","s":[{"value":["exists "]},{"r":"595","s":[{"value":["( "]},{"r":"595","s":[{"value":["[","Observation",": "]},{"s":[{"value":["\"Breastfed (finding) code\""]}]},{"value":["]"]}]},{"value":[" )"]}]}]},{"value":[" )"]}]},{"value":[" is true"]}]}]}}],"expression":{"localId":"611","locator":"38:3-38:66","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"IsTrue","signature":[{"localId":"612","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":{"localId":"592","locator":"38:3-38:58","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Exists","signature":[{"localId":"609","type":"ListTypeSpecifier","elementType":{"localId":"610","name":"{http://hl7.org/fhir}Observation","type":"NamedTypeSpecifier"}}],"operand":{"localId":"595","locator":"38:12-38:56","dataType":"{http://hl7.org/fhir}Observation","codeProperty":"code","codeComparator":"~","type":"Retrieve","resultTypeSpecifier":{"localId":"607","type":"ListTypeSpecifier","elementType":{"localId":"608","name":"{http://hl7.org/fhir}Observation","type":"NamedTypeSpecifier"}},"codes":{"localId":"604","type":"ToList","signature":[],"operand":{"localId":"594","locator":"38:28-38:53","resultTypeName":"{urn:hl7-org:elm-types:r1}Code","name":"Breastfed (finding) code","type":"CodeRef"}},"include":[],"codeFilter":[],"dateFilter":[],"otherFilter":[]}}}},{"localId":"614","locator":"40:1-44:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"MeetsInclusionCriteria","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"614","s":[{"value":["","define ","\"MeetsInclusionCriteria\"",":\n  "]},{"r":"615","s":[{"r":"616","s":[{"r":"617","s":[{"r":"618","s":[{"value":["\"minimum age\""]}]},{"value":["\n    and "]},{"r":"619","s":[{"value":["\"Sjögren's syndrome (disorder)\""]}]}]},{"value":["\n    and "]},{"r":"622","s":[{"value":["\"Musculoskeletal pain (finding)\""]}]}]},{"value":["\n    and "]},{"r":"625","s":[{"value":["\"hydroxychloroquine\""]}]}]}]}}],"expression":{"localId":"615","locator":"41:3-44:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"626","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"627","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"616","locator":"41:3-43:40","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"623","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"624","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"617","locator":"41:3-42:39","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"620","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"621","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"618","locator":"41:3-41:15","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"minimum age","type":"ExpressionRef"},{"localId":"619","locator":"42:9-42:39","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Sjögren's syndrome (disorder)","type":"ExpressionRef"}]},{"localId":"622","locator":"43:9-43:40","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Musculoskeletal pain (finding)","type":"ExpressionRef"}]},{"localId":"625","locator":"44:9-44:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"hydroxychloroquine","type":"ExpressionRef"}]}},{"localId":"629","locator":"46:1-49:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"MeetsExclusionCriteria","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"629","s":[{"value":["","define ","\"MeetsExclusionCriteria\"",":\n  "]},{"r":"630","s":[{"r":"631","s":[{"r":"632","s":[{"value":["\"SNOMED 62403005\""]}]},{"value":["\n    or "]},{"r":"633","s":[{"value":["\"Pregnancy (finding)\""]}]}]},{"value":["\n    or "]},{"r":"636","s":[{"value":["\"Breastfed (finding)\""]}]}]}]}}],"expression":{"localId":"630","locator":"47:3-49:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Or","signature":[{"localId":"637","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"638","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"631","locator":"47:3-48:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Or","signature":[{"localId":"634","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"635","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"632","locator":"47:3-47:19","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"SNOMED 62403005","type":"ExpressionRef"},{"localId":"633","locator":"48:8-48:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Pregnancy (finding)","type":"ExpressionRef"}]},{"localId":"636","locator":"49:8-49:28","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"Breastfed (finding)","type":"ExpressionRef"}]}},{"localId":"640","locator":"51:1-53:36","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"InPopulation","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"640","s":[{"value":["","define ","\"InPopulation\"",":\n  "]},{"r":"641","s":[{"r":"642","s":[{"value":["\"MeetsInclusionCriteria\""]}]},{"value":["\n    and "]},{"r":"643","s":[{"value":["not "]},{"r":"644","s":[{"value":["\"MeetsExclusionCriteria\""]}]}]}]}]}}],"expression":{"localId":"641","locator":"52:3-53:36","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"And","signature":[{"localId":"646","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"},{"localId":"647","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":[{"localId":"642","locator":"52:3-52:26","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"MeetsInclusionCriteria","type":"ExpressionRef"},{"localId":"643","locator":"53:9-53:36","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","type":"Not","signature":[{"localId":"645","name":"{urn:hl7-org:elm-types:r1}Boolean","type":"NamedTypeSpecifier"}],"operand":{"localId":"644","locator":"53:13-53:36","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"MeetsExclusionCriteria","type":"ExpressionRef"}}]}},{"localId":"649","locator":"55:1-58:13","resultTypeName":"{urn:hl7-org:elm-types:r1}String","name":"Recommendation","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"649","s":[{"value":["","define ","\"Recommendation\"",":\n  "]},{"r":"650","s":[{"value":["if "]},{"r":"651","s":[{"value":["\"InPopulation\""]}]},{"value":[" then "]},{"r":"652","s":[{"value":["'Initiate hydroxychloroquine as first-line disease-modifying therapy for inflammatory musculoskeletal manifestations of primary Sjögren’s syndrome.\n'"]}]},{"r":"653","value":[" \n    else ","null"]}]}]}}],"expression":{"localId":"650","locator":"56:3-58:13","resultTypeName":"{urn:hl7-org:elm-types:r1}String","type":"If","condition":{"localId":"651","locator":"56:6-56:19","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"InPopulation","type":"ExpressionRef"},"then":{"localId":"652","locator":"56:26-56:175","resultTypeName":"{urn:hl7-org:elm-types:r1}String","valueType":"{urn:hl7-org:elm-types:r1}String","value":"Initiate hydroxychloroquine as first-line disease-modifying therapy for inflammatory musculoskeletal manifestations of primary Sjögren’s syndrome.\r\n","type":"Literal"},"else":{"localId":"654","asType":"{urn:hl7-org:elm-types:r1}String","type":"As","signature":[],"operand":{"localId":"653","locator":"58:10-58:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"}}}},{"localId":"656","locator":"60:1-62:13","resultTypeName":"{urn:hl7-org:elm-types:r1}String","name":"Rationale","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"656","s":[{"value":["","define ","\"Rationale\"",":\n  "]},{"r":"657","s":[{"value":["if "]},{"r":"658","s":[{"value":["\"InPopulation\""]}]},{"value":[" then "]},{"r":"659","s":[{"value":["'Hydroxychloroquine is recommended as first-line systemic therapy for inflammatory musculoskeletal symptoms in primary Sjögren’s syndrome based on rheumatology clinical practice guidelines. Evidence supports its role in improving inflammatory arthralgia and reducing disease activity while maintaining a favorable safety profile when appropriate monitoring is performed.'"]}]},{"r":"660","value":[" \n    else ","null"]}]}]}}],"expression":{"localId":"657","locator":"61:3-62:13","resultTypeName":"{urn:hl7-org:elm-types:r1}String","type":"If","condition":{"localId":"658","locator":"61:6-61:19","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"InPopulation","type":"ExpressionRef"},"then":{"localId":"659","locator":"61:26-61:396","resultTypeName":"{urn:hl7-org:elm-types:r1}String","valueType":"{urn:hl7-org:elm-types:r1}String","value":"Hydroxychloroquine is recommended as first-line systemic therapy for inflammatory musculoskeletal symptoms in primary Sjögren’s syndrome based on rheumatology clinical practice guidelines. Evidence supports its role in improving inflammatory arthralgia and reducing disease activity while maintaining a favorable safety profile when appropriate monitoring is performed.","type":"Literal"},"else":{"localId":"661","asType":"{urn:hl7-org:elm-types:r1}String","type":"As","signature":[],"operand":{"localId":"660","locator":"62:10-62:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"}}}},{"localId":"663","locator":"64:1-66:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","name":"Links","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"663","s":[{"value":["","define ","\"Links\"",":\n  "]},{"r":"664","s":[{"value":["if "]},{"r":"665","s":[{"value":["\"InPopulation\""]}]},{"r":"666","value":[" then ","null"," \n    else ","null"]}]}]}}],"expression":{"localId":"664","locator":"65:3-66:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"If","condition":{"localId":"665","locator":"65:6-65:19","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"InPopulation","type":"ExpressionRef"},"then":{"localId":"666","locator":"65:26-65:29","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"},"else":{"localId":"667","locator":"66:10-66:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"}}},{"localId":"669","locator":"68:1-70:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","name":"Suggestions","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"669","s":[{"value":["","define ","\"Suggestions\"",":\n  "]},{"r":"670","s":[{"value":["if "]},{"r":"671","s":[{"value":["\"InPopulation\""]}]},{"r":"672","value":[" then ","null"," \n    else ","null"]}]}]}}],"expression":{"localId":"670","locator":"69:3-70:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"If","condition":{"localId":"671","locator":"69:6-69:19","resultTypeName":"{urn:hl7-org:elm-types:r1}Boolean","name":"InPopulation","type":"ExpressionRef"},"then":{"localId":"672","locator":"69:26-69:29","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"},"else":{"localId":"673","locator":"70:10-70:13","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"}}},{"localId":"675","locator":"72:1-73:6","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","name":"Errors","context":"Patient","accessLevel":"Public","annotation":[{"type":"Annotation","s":{"r":"675","s":[{"r":"676","value":["","define ","\"Errors\"",":\n  ","null"]}]}}],"expression":{"localId":"676","locator":"73:3-73:6","resultTypeName":"{urn:hl7-org:elm-types:r1}Any","type":"Null"}}]}}}