SevereObstetricComplicationsFHIR
type: Measure
node role: treeRoot
id:
  v: SevereObstetricComplicationsFHIR
meta:
  profile:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm
    l: computable-measure-cqfm
  profile:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm
    l: publishable-measure-cqfm
  profile:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm
    l: executable-measure-cqfm
text:
  status:
    v: extensions
  div:
    v: Title: Severe Obstetric ComplicationsFHIR Id: SevereObstetricComplicationsFHIR Download cql: SevereObstetricComplicationsFHIR.cql Version: 0.0.007 Url: Severe Obstetric ComplicationsFHIR short-name identifier: CMS1028FHIR version-independent identifier: urn:uuid:6cf03fe2-b962-4f83-ac37-26d7477183c7 version-specific identifier: urn:uuid:2c92808482ead7c5018384daff512547 publisher (CMS) identifier: 1028FHIR Effective Period: 2024-01-01 ..2024-12-31 Status: draft Date: 2023-08-08 18:35:06+0000 Approval Date: 2023-08-21 Last Review Date: 2023-08-21 Name: SevereObstetricComplicationsFHIR Publisher: The Joint Commission Author: The Joint Commission: https://www.jointcommission.org/, Centers for Medicare & Medicaid Services (CMS): https://www.cms.gov/, Yale New Haven Health Service Corporation/ Center for Outcomes Research and Evaluation: https://medicine.yale.edu/core/ Description: Patients with severe obstetric complications which occur during the inpatient delivery hospitalization Use Context: code value program Purpose: UNKNOWN Copyright: Measure specifications are in the Public Domain. LOINC(R) copyright 2004-2022 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation. ICD-10 copyright 2022 World Health Organization. All Rights Reserved. Disclaimer: These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty. Risk Adjustment Factor: Risk Variable Lab and Physical Exam Results Risk Adjustment Factor: Risk Variable Anemia Risk Adjustment Factor: Risk Variable Asthma Risk Adjustment Factor: Risk Variable Autoimmune Disease Risk Adjustment Factor: Risk Variable Bariatric Surgery Risk Adjustment Factor: Risk Variable Bleeding Disorder Risk Adjustment Factor: Risk Variable Morbid Obesity Risk …
contained: Library
  id:
    v: effective-data-requirements
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: https://loinc.org/rdf/93857-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 93857-1
      display:
        v: Date and time of obstetric delivery
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: https://loinc.org/rdf/11778-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11778-8
      display:
        v: Delivery date Estimated
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PCMaternal
    extension:
      url:
        v: name
        l: name
      value: String
        v: Encounter with Age Range
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Encounter with Age Range": ["Encounter": "Encounter Inpatient"] EncounterInpatient where EncounterInpatient.status = 'finished' and AgeInYearsAt(date from start of EncounterInpatient.period) in Interval[ 8, 65 ) and EncounterInpatient.period ends during day of "Measurement Period"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
      l: cqfm-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PCMaternal
    extension:
      url:
        v: name
        l: name
      value: String
        v: Delivery Encounter with Age Range
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Delivery Encounter with Age Range": "Encounter with Age Range" EncounterWithAge with ["Procedure": "Delivery Procedures"] DeliveryProcedure such that DeliveryProcedure.status = 'completed' and DeliveryProcedure.performed.toInterval ( ) starts during day of EncounterWithAge.hospitalizationWithEDOBTriageObservation ()
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
      l: cqfm-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: SevereObstetricComplicationsFHIR
    extension:
      url:
        v: name
        l: name
      value: String
        v: Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks": PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter where DeliveryEncounter.calculatedGestationalAge ( ) >= 20
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 2
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
      l: cqfm-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: SevereObstetricComplicationsFHIR
    extension:
      url:
        v: name
        l: name
      value: String
        v: Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks": PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter where DeliveryEncounter.calculatedGestationalAge ( ) is null and ( DeliveryEncounter.lastEstimatedGestationalAge ( ) >= 20 weeks )
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 3
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
      l: cqfm-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: SevereObstetricComplicationsFHIR
    extension:
      url:
        v: name
        l: name
      value: String
        v: Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding": PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter let CGA: DeliveryEncounter.calculatedGestationalAge ( ), EGA: DeliveryEncounter.lastEstimatedGestationalAge ( ) where CGA is null and EGA is null and exists ( ( DeliveryEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis where EncounterDiagnosis.code in "20 to 42 Plus Weeks Gestation" )
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 4
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
      l: cqfm-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: SevereObstetricComplicationsFHIR
    extension:
      url:
        v: name
        l: name
      value: String
        v: Delivery Encounters At Greater than or Equal to 20 Weeks Gestation
    extension:
      url:
        v: statement
        l: statement
      value: String

String
v: define "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation": "Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks" union "Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks" union "Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding"

url:
  v: displaySequence
  l: displaySequence
value: Integer
  v: 5

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Systolic Blood Pressure
extension:
  url:
    v: statement
    l: statement
  value: String
    v: //First resulted value 24 hours prior to start of encounter and before time of delivery //Report systolic blood pressure as mm[Hg] define "Risk Variable Systolic Blood Pressure": First(from "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" Encounter, ["observation-bp"] BP where BP.effective.earliest() during Interval[start of Encounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, Encounter.lastTimeOfDelivery()) and BP.status in { 'final', 'amended', 'corrected' } return { EncounterId: Encounter.id, FirstResult: BP.SystolicBP.value as Quantity, Timing: BP.effective.earliest() } sort by Timing )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Asthma
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Asthma": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Acute or Persistent Asthma" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Substance Abuse
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Substance Abuse": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Substance Abuse" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Placental Accreta Spectrum
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Placental Accreta Spectrum": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Placental Accreta Spectrum" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Neuromuscular
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Neuromuscular": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Neuromuscular Disease" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Renal Disease
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Renal Disease": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Renal Disease" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Gastrointestinal Disease
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Gastrointestinal Disease": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Gastrointestinal Disease" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Hypertension
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Hypertension": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Hypertension" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Preterm Birth
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Preterm Birth": /* CGA = Calculated Gestational Age. EGA = Estimated Gestational Age. */ ( PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter let CGA: DeliveryEncounter.calculatedGestationalAge ( ), EGA: DeliveryEncounter.lastEstimatedGestationalAge ( ) where CGA in Interval[20, 36] or ( CGA is null and ( EGA >= 20 weeks and EGA <= 36 weeks ) ) ) union ( PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter let CGA: DeliveryEncounter.calculatedGestationalAge ( ), EGA: DeliveryEncounter.lastEstimatedGestationalAge ( ) where CGA is null and EGA is null and exists ( DeliveryEncounter.diagnosis DeliveryEncounterDiagnoses where DeliveryEncounterDiagnoses.condition.getCondition ( ).code in "Preterm Birth" and ( DeliveryEncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Pulmonary Hypertension
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Pulmonary Hypertension": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Pulmonary Hypertension" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCMaternal
extension:
  url:
    v: name
    l: name
  value: String
    v: Variable Calculated Gestational Age
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Variable Calculated Gestational Age": //This definition establishes a variable of CGA (Calculated Gestational Age) for all patients for the sole purpose of displaying the Calculated Gestational Age. This definition is not used in the measure logic. "Delivery Encounter with Age Range" QualifyingEncounter let CGA: QualifyingEncounter.calculatedGestationalAge() // return { QualifyingEncounter, CGA } return { EncounterID: QualifyingEncounter.id, CalculatedCGA: CGA }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Variable Calculated Gestational Age
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Variable Calculated Gestational Age": //This definition establishes a variable of CGA (Calculated Gestational Age). CGA is a supplemental data element to store the calculated gestational age result from the "CalculatedGestationalAge" function. The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition. PCMaternal."Variable Calculated Gestational Age"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Payer
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Payer": [Coverage: type in "Payer Type"] Payer return { code: Payer.type, period: Payer.period }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Payer
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Payer": SDE."SDE Payer"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Thyrotoxicosis
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Thyrotoxicosis": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Thyrotoxicosis" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Other Preeclampsia
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Other Preeclampsia": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Mild or Moderate Preeclampsia" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Initial Population
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Initial Population": PCMaternal."Delivery Encounter with Age Range"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Economic Housing Instability
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Economic Housing Instability": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Economic Housing Instability" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Placental Abruption
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Placental Abruption": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Placental Abruption" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Delivery Encounters with COVID and Respiratory Condition or Procedure
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Delivery Encounters with COVID and Respiratory Condition or Procedure": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( ( TwentyWeeksPlusEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis where EncounterDiagnosis.code in "COVID 19 Confirmed" ) and ( exists ( ( TwentyWeeksPlusEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis where EncounterDiagnosis.code in "Respiratory Conditions Related to COVID 19" ) or exists ( ["Procedure": "Respiratory Support Procedures Related to COVID 19"] EncounterProcedures where EncounterProcedures.status = 'completed' and EncounterProcedures.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( ) ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Denominator Exclusion
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Denominator Exclusion": "Delivery Encounters with COVID and Respiratory Condition or Procedure"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable HIV
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable HIV": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "HIV in Pregnancy Childbirth and Puerperium" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Morbid Obesity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Morbid Obesity": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Morbid or Severe Obesity" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Preexisting Diabetes
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Preexisting Diabetes": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Preexisting Diabetes" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Heart Rate
extension:
  url:
    v: statement
    l: statement
  value: String
    v: //First resulted value 24 hours prior to start of encounter and before time of delivery //Report heart rate as beats/min define "Risk Variable Heart Rate": First(from "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" Encounter, ["observation-heartrate"] HeartRate where HeartRate.effective.earliest() during Interval[start of Encounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, Encounter.lastTimeOfDelivery()) and HeartRate.status in { 'final', 'amended', 'corrected' } return { EncounterId: Encounter.id, FirstResult: HeartRate.value as Quantity, Timing: HeartRate.effective.earliest() } sort by Timing )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Mental Health Disorder
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Mental Health Disorder": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Mental Health Disorder" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 31
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Obstetrical VTE
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Obstetrical VTE": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Venous Thromboembolism in Pregnancy" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 32
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Autoimmune Disease
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Autoimmune Disease": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Autoimmune Disease" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 33
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Bariatric Surgery
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Bariatric Surgery": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Bariatric Surgery" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 34
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Previous Cesarean
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Previous Cesarean": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Previous Cesarean" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 35
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Race
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Race": Patient.race R return Tuple { codes: R.ombCategory union R.detailed, display: R.text }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 36
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Race
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Race": SDE."SDE Race"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 37
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Placenta Previa
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Placenta Previa": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Placenta Previa" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 38
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Sex
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 39
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Sex
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Sex": SDE."SDE Sex"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 40
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Gestational Diabetes
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Gestational Diabetes": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Gestational Diabetes" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 41
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Severe Maternal Morbidity Diagnoses" and EncounterDiagnoses.diagnosisPresentOnAdmission in "Present on Admission is No or Unable To Determine" ) //EncounterDiagnoses.diagnosisPresentOnAdmission ~ 'N') or exists ( ["Procedure": "Severe Maternal Morbidity Procedures"] EncounterProcedures where EncounterProcedures.status = 'completed' and EncounterProcedures.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 42
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Delivery Encounters with Expiration
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Delivery Encounters with Expiration": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where TwentyWeeksPlusEncounter.hospitalization.dischargeDisposition in "Patient Expired"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 43
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Delivery Encounters with Blood Transfusion
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Delivery Encounters with Blood Transfusion": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter with ["Procedure": "Blood Transfusion"] BloodTransfusion such that BloodTransfusion.status = 'completed' and BloodTransfusion.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 44
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Delivery Encounters with Severe Obstetric Complications
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Delivery Encounters with Severe Obstetric Complications": "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion" union "Delivery Encounters with Expiration" union "Delivery Encounters with Blood Transfusion"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 45
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Numerator
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Numerator": "Delivery Encounters with Severe Obstetric Complications"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 46
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Stratification Encounter
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Stratification Encounter": "Numerator" except "Denominator Exclusion"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 47
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions": "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion" union "Delivery Encounters with Expiration"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 48
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Stratum 1
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Stratum 1": //This logic identifies a subset of the numerator population with severe obstetric complications excluding cases where transfusion was the only severe obstetric complication. "Stratification Encounter" intersect "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 49
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Bleeding Disorder
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Bleeding Disorder": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Bleeding Disorder" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 50
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Multiple Pregnancy
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Multiple Pregnancy": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Multiple Pregnancy" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 51
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable First White Blood Cell Count Lab Test
extension:
  url:
    v: statement
    l: statement
  value: String
    v: //First resulted value 24 hours prior to start of encounter and before time of delivery //Report white blood cell count as 10*3/uL define "Risk Variable First White Blood Cell Count Lab Test": First(from "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" Encounter, ["USCoreLaboratoryResultObservationProfile": "White blood cells count lab test"] WBC where WBC.issued during Interval[start of Encounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, Encounter.lastTimeOfDelivery()) and WBC.status in { 'final', 'amended', 'corrected' } return { EncounterId: Encounter.id, FirstResult: WBC.value as Quantity, Timing: WBC.issued } sort by Timing )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 52
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Denominator
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Denominator": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 53
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable First Hematocrit Lab Test
extension:
  url:
    v: statement
    l: statement
  value: String
    v: //First resulted value 24 hours prior to start of encounter and before time of delivery //Report hematocrit as % define "Risk Variable First Hematocrit Lab Test": First(from "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" Encounter, ["USCoreLaboratoryResultObservationProfile": "Hematocrit lab test"] Hematocrit where Hematocrit.issued during Interval[start of Encounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, Encounter.lastTimeOfDelivery()) and Hematocrit.status in { 'final', 'amended', 'corrected' } return { EncounterId: Encounter.id, FirstResult: Hematocrit.value as Quantity, Timing: Hematocrit.issued } sort by Timing )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 54
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Ethnicity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Ethnicity": Patient.ethnicity E return Tuple { codes: { E.ombCategory } union E.detailed, display: E.text }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 55
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Ethnicity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Ethnicity": SDE."SDE Ethnicity"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 56
url:
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  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Anemia
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Anemia": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Anemia" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 57
url:
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  l: cqfm-logicDefinition

extension:
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    v: libraryName
    l: libraryName
  value: String
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extension:
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    v: name
    l: name
  value: String
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extension:
  url:
    v: statement
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  value: String
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extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 58
url:
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  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Cardiac Disease
extension:
  url:
    v: statement
    l: statement
  value: String
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extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 59
url:
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  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SevereObstetricComplicationsFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Risk Variable Long Term Anticoagulant Use
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Risk Variable Long Term Anticoagulant Use": "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter where exists ( TwentyWeeksPlusEncounter.diagnosis EncounterDiagnoses where EncounterDiagnoses.condition.getCondition ( ).code in "Long Term Anticoagulant Use" and ( EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 60
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

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coding:
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  code:
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type:
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display:
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type:
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display:
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type:
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display:
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type:
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display:
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type:
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display:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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type:
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display:
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type:
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display:
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type:
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display:
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resource:
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type:
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display:
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resource:
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display:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.335

type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
  v: Value set Payer Type
resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
  v: Value set Economic Housing Instability
resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.292

type:
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display:
  v: Value set Placental Abruption
resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.305

type:
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display:
  v: Value set COVID 19 Confirmed
resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.373

type:
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display:
  v: Value set Respiratory Conditions Related to COVID 19
resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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resource:
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type:
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display:
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type:
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display:
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resource:
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type:
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display:
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type:
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display:
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type:
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display:
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resource:
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display:
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type:
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display:
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resource:
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type:
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display:
  v: Value set Blood Transfusion
resource:
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type:
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display:
  v: Value set Bleeding Disorder
resource:
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type:
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display:
  v: Value set Multiple Pregnancy
resource:
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type:
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display:
  v: Value set White blood cells count lab test
resource:
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type:
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display:
  v: Value set Hematocrit lab test
resource:
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type:
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display:
  v: Value set Anemia
resource:
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type:
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display:
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type:
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display:
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resource:
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type:
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display:
  v: Value set Long Term Anticoagulant Use
resource:
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name:
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use:
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min:
  v: 0
max:
  v: 1
type:
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name:
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use:
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min:
  v: 0
max:
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type:
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name:
  v: Risk Variable Asthma
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Substance Abuse
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Placental Accreta Spectrum
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Neuromuscular
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Renal Disease
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Gastrointestinal Disease
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Hypertension
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Preterm Birth
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Pulmonary Hypertension
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Variable Calculated Gestational Age
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: SDE Payer
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Thyrotoxicosis
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Other Preeclampsia
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Initial Population
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Economic Housing Instability
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Placental Abruption
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Denominator Exclusion
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable HIV
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Morbid Obesity
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Preexisting Diabetes
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Heart Rate
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: Risk Variable Mental Health Disorder
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Obstetrical VTE
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Autoimmune Disease
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Bariatric Surgery
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Previous Cesarean
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: SDE Race
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: Risk Variable Placenta Previa
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: SDE Sex
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Coding

name:
  v: Risk Variable Gestational Diabetes
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Numerator
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Stratum 1
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Bleeding Disorder
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Multiple Pregnancy
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable First White Blood Cell Count Lab Test
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: Denominator
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable First Hematocrit Lab Test
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: SDE Ethnicity
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: Risk Variable Anemia
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Severe Preeclampsia
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Cardiac Disease
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Risk Variable Long Term Anticoagulant Use
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
must support:
  v: status
must support:
  v: status.value
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
must support:
  v: period
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
  l: qicore-procedure
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
must support:
  v: performed
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
must support:
  v: status
must support:
  v: status.value
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/Patient
  l: Patient
must support:
  v: birthDate
must support:
  v: birthDate.value
must support:
  v: gender
must support:
  v: gender.value

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
  l: qicore-observation
must support:
  v: code
must support:
  v: value
must support:
  v: status
must support:
  v: status.value
must support:
  v: effective
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/93857-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 93857-1
    display:
      v: Date and time of obstetric delivery

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/Observation
  l: Observation
must support:
  v: value

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
  l: qicore-observation
must support:
  v: code
must support:
  v: value
must support:
  v: status
must support:
  v: status.value
must support:
  v: effective
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/11778-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11778-8
    display:
      v: Delivery date Estimated

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
  l: qicore-observation
must support:
  v: code
must support:
  v: value
must support:
  v: status
must support:
  v: status.value
must support:
  v: effective
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26

type:
  v: Condition
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition
  l: qicore-condition
must support:
  v: id
must support:
  v: id.value

type:
  v: uri
profile:
  v: http://hl7.org/fhir/uri
  l: uri
must support:
  v: value

type:
  v: string
profile:
  v: http://hl7.org/fhir/string
  l: string
must support:
  v: value

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/bp
  l: bp
must support:
  v: effective
must support:
  v: status
must support:
  v: status.value
must support:
  v: component

profile:
  v: http://hl7.org/fhir/Observation.Component
  l: Observation.Component
must support:
  v: value

type:
  v: Condition
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition
  l: qicore-condition
must support:
  v: id
must support:
  v: id.value

type:
  v: Reference
profile:
  v: http://hl7.org/fhir/Reference
  l: Reference
must support:
  v: reference
must support:
  v: reference.value

type:
  v: Coverage
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
  l: qicore-coverage
must support:
  v: type
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
  l: qicore-procedure
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
must support:
  v: performed
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/StructureDefinition/heartrate
  l: heartrate
must support:
  v: effective
must support:
  v: status
must support:
  v: status.value
must support:
  v: value

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
  l: qicore-procedure
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
must support:
  v: performed
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
  l: qicore-procedure
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
must support:
  v: performed
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
  l: us-core-observation-lab
must support:
  v: code
must support:
  v: issued
must support:
  v: issued.value
must support:
  v: status
must support:
  v: status.value
must support:
  v: value
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
  l: us-core-observation-lab
must support:
  v: code
must support:
  v: issued
must support:
  v: issued.value
must support:
  v: status
must support:
  v: status.value
must support:
  v: value
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Coverage
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
  l: qicore-coverage
must support:
  v: type
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

id:
  v: supplementalDataGuidance
extension:
  url:
    v: guidance
    l: guidance
  value: String
    v: Patient's Ethnicity: Hispanic or Latino Not Hispanic or Latino Patient's Payer: Categories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system Patient's Race: Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Other Race White Black or African American Patient's Sex: Gender identity restricted to only Male and Female used in administrative situations requiring a restriction to these two categories. This definition establishes a variable of CGA (Calculated Gestational Age). CGA is a supplemental data element to store the calculated gestational age result from the "calculatedGestationalAge" function. The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition.
extension:
  url:
    v: usage
    l: usage
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-data-usage
        l: measure-data-usage
      code:
        v: supplemental-data
      display:
        v: Supplemental Data
    text:
      v: Supplemental Data Guidance
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance
  l: cqfm-supplementalDataGuidance

id:
  v: riskAdjustmentVariableGuidance
extension:
  url:
    v: guidance
    l: guidance
  value: String
    v: The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Lab and Physical Exam Results: Report the first resulted value 24 hours prior to start of encounter and before time of delivery in UCUM units specified: - Heart rate: {beats}/min - Systolic blood pressure: mm[Hg] - White blood cell count: 10*3/uL - Hematocrit: % The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Pre-existing conditions and variables must be present on admission:. Please note that present on admission codes may be those entered by coding staff, extracted from billing/claims data. The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Pre-existing conditions and variables must be present on admission:. Please note that present on admission codes may be those entered by coding staff, extracted from billing/claims data. The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Pre-existing conditions and variables must be present on admission:. Please note that present on admission codes may be those entered by coding staff, extracted from billing/claims data. The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Pre-existing conditions and variables must be present on admission:. Please note that present on admission codes may be those entered by coding staff, extracted from billing/claims data. The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Pre-existing conditions and variables must be present on admission:. Please note that present on admission codes may be those entered by coding staff…
extension:
  url:
    v: usage
    l: usage
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-data-usage
        l: measure-data-usage
      code:
        v: risk-adjustment-factor
      display:
        v: Risk Adjustment Factor
    text:
      v: Risk Adjustment Variable Guidance
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance
  l: cqfm-supplementalDataGuidance

url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements
  l: cqfm-effectiveDataRequirements
value: Reference
  l: effective-data-requirements
  reference:
    v: #effective-data-requirements

use:
  v: usual
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
      l: identifier-type
    code:
      v: short-name
system:
  v: https://madie.cms.gov/measure/shortName
  l: shortName
value:
  v: CMS1028FHIR

use:
  v: official
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
      l: identifier-type
    code:
      v: version-independent
system:
  v: urn:ietf:rfc:3986
  l: 3986

use:
  v: official
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
      l: identifier-type
    code:
      v: version-specific
system:
  v: urn:ietf:rfc:3986
  l: 3986

use:
  v: official
type:
  coding:
    system:
      v: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
      l: identifier-type
    code:
      v: publisher
system:
  v: https://madie.cms.gov/measure/cmsId
  l: cmsId
value:
  v: 1028FHIR
assigner:
  display:
    v: CMS

v: 0.0.007

v: SevereObstetricComplicationsFHIR

v: Severe Obstetric ComplicationsFHIR

v: draft

v: false

v: 2023-08-08T18:35:06+00:00

v: The Joint Commission

telecom:
  system:
    v: url
  value:
    v: https://www.jointcommission.org/

v: Patients with severe obstetric complications which occur during the inpatient delivery hospitalization

code:
  system:
    v: http://terminology.hl7.org/CodeSystem/usage-context-type
    l: usage-context-type
  code:
    v: program
value: CodeableConcept
  coding:
    system:
      v: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs
      l: quality-programs
    code:
      v: eh-cah
    display:
      v: EH/CAH

v: UNKNOWN

v: This measure allows for 3 approaches to determine gestational age (GA) in the following order of precedence: 1. The GA is calculated using the American College of Obstetricians and Gynecologists ReVITALize guidelines.* 2. The GA is obtained from a discrete field in the electronic health record. This option is only used when the calculated GA is not available. 3. The GA is based on ICD10 or SNOMED codes indicative of weeks gestation. This option is only used when results from items #1 and #2 (see above) are not available. Wherever gestational age is mentioned, relative to the delivery, the intent is to capture the last estimated gestational age prior to or at the time of delivery. *ACOG ReVITALize Guidelines for Calculating Gestational Age: Gestational Age = (280-(Estimated Due Date minus Reference Date))/7 --Estimated Due Date (EDD): The best obstetrical EDD is determined by last menstrual period if confirmed by early ultrasound or no ultrasound performed, or early ultrasound if no known last menstrual period or the ultrasound is not consistent with last menstrual period, or known date of fertilization (e.g., assisted reproductive technology) --Reference Date is the date on which you are trying to determine gestational age. For purposes of this eCQM, Reference Date would be the Date of Delivery. Note however the calculation may yield a non-whole number and gestational age should be rounded off to the nearest completed week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. Definition: For this measure, specifications are modeled after the nationally available and adopted CDC definition for Severe Maternal Morbidity (SMM) with the addition of maternal mortality. At times, we may refer to the CDC indicators of morbidity as SMM, but the outcome of the measure, which includes morbidity and mortality, is referred to as Severe Obstetric Complications (SOC). This eCQM is an episode-based m…

v: Measure specifications are in the Public Domain. LOINC(R) copyright 2004-2022 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation. ICD-10 copyright 2022 World Health Organization. All Rights Reserved.

v: 2023-08-21

v: 2023-08-21

start:
  v: 2024-01-01
end:
  v: 2024-12-31

name:
  v: The Joint Commission
telecom:
  system:
    v: url
  value:
    v: https://www.jointcommission.org/

name:
  v: Centers for Medicare & Medicaid Services (CMS)
telecom:
  system:
    v: url
  value:
    v: https://www.cms.gov/

name:
  v: Yale New Haven Health Service Corporation/ Center for Outcomes Research and Evaluation
telecom:
  system:
    v: url
  value:
    v: https://medicine.yale.edu/core/

v: These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.

v: The United States (US) experiences higher rates of maternal morbidity and mortality than most other developed countries. These rates have continued to trend upward in recent decades (CDC, n.d.). Research indicates that the overall rate of severe maternal morbidity (SMM) increased by almost 200% between 1993 and 2014 to 144 per 10,000 delivery hospitalizations (CDC, n.d.), with more than 25,000 women per year experiencing obstetric complications (U.S. Department of Health and Human Services, 2020). Recent maternal mortality data from 2018 reveal that 658 women in the US died from maternal causes, resulting in a rate of 17.4 deaths per 100,000 live births, with 77% of the deaths attributed to direct obstetric causes like hemorrhage, preeclampsia, obstetric embolism, and other complications (Hoyert & Minino, 2018). 144 per 10,000 women hospitalized for delivery have experienced SMM, including hemorrhage, embolism, hypertension, stroke, and other serious complications (CDC,2020). Racial and ethnic disparities for Black women and Hispanic women are at a significantly higher risk for developing these complications than are Non-Hispanic White women (Leonard et al., 2019). Increasing rates of SMM are resulting in increased healthcare costs, longer hospitalization stays and impacts on a woman's health. There is limited national evaluation of hospitals' performance on maternal morbidity and mortality although SMM is widely used at the population level. SMM is linked to maternal mortality, varies significantly among hospitals, and has significant racial/ethnic and urban/rural disparities. SMM is a cost driver for both Medicaid and commercial plans. This measure is important as it will assist in the discovery and understanding of SMM patterns which can lead to improvements in the safety and quality of maternal care necessary to reduce SMM rates.

v: Healthy People 2030 Measure (MICH-05): Reduce severe maternal complications identified during delivery hospitalizations The American College of Obstetricians and Gynecologists (the College) and the Society for Maternal-Fetal Medicine (SMFM) recommend identifying potential cases of severe maternal morbidity for further review, with a focus on outcomes and complications, and consider this an important step toward promoting safe obstetric care.

id:
  v: 638907ab4ba3d47c885c02fd
extension:
  url:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
    l: cqfm-scoring
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-scoring
        l: measure-scoring
      code:
        v: proportion
      display:
        v: Proportion
extension:
  url:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
    l: cqfm-populationBasis
  value: Code
    v: Encounter
extension:
  url:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
    l: cqfm-type
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-type
        l: measure-type
      code:
        v: outcome
      display:
        v: Outcome
population:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: initial-population
      display:
        v: Initial Population
  description:
    v: Inpatient hospitalizations for patients age greater than or equal to 8 years and less than 65 admitted to the hospital for inpatient acute care who undergo a delivery procedure with a discharge date that ends during the measurement period
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Initial Population
population:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: denominator
      display:
        v: Denominator
  description:
    v: Inpatient hospitalizations for patients delivering stillborn or live birth with greater than or equal to 20 weeks, 0 days gestation completed
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Denominator
population:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: denominator-exclusion
      display:
        v: Denominator Exclusion
  description:
    v: Inpatient hospitalizations for patients with confirmed diagnosis of COVID with COVID-related respiratory condition or patients with confirmed diagnosis of COVID with COVID-related respiratory procedure
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Denominator Exclusion
population:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: numerator
      display:
        v: Numerator
  description:
    v: Inpatient hospitalizations for patients with severe obstetric complications (not present on admission that occur during the current delivery encounter) including the following: - Severe maternal morbidity diagnoses (see list below) - Severe maternal morbidity procedures (see list below) - Discharge disposition of expired Please note that present on admission codes may be those entered by coding staff, extracted from billing/claims data. Severe Maternal Morbidity Diagnoses: - Cardiac Acute heart failure Acute myocardial infarction Aortic aneurysm Cardiac arrest/ventricular fibrillation Heart failure/arrest during procedure or surgery - Hemorrhage Disseminated intravascular coagulation Shock - Renal Acute renal failure - Respiratory Adult respiratory distress syndrome Pulmonary edema - Sepsis - Other OB Air and thrombotic embolism Amniotic fluid embolism Eclampsia Severe anesthesia complications - Other Medical Puerperal cerebrovascular disorder Sickle cell disease with crisis Severe Maternal Morbidity Procedures: - Blood transfusion - Conversion of cardiac rhythm - Hysterectomy - Temporary tracheostomy - Ventilation
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Numerator
population:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: numerator-exclusion
      display:
        v: Numerator Exclusion
  criteria:
    language:
      v: text/cql-identifier
population:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/measure-population
        l: measure-population
      code:
        v: denominator-exception
      display:
        v: Denominator Exception
  criteria:
    language:
      v: text/cql-identifier
stratifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo
      l: cqfm-appliesTo
    value: CodeableConcept
  description:
    v: Stratum1: Delivery hospitalizations with severe obstetric complications excluding hospitalizations where transfusion was the only severe obstetric complication. Additionally, this measure will be stratified by race and ethnicity after measure submission.
  criteria:
    language:
      v: text/cql-identifier
    expression:
      v: Stratum 1
stratifier:
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo
      l: cqfm-appliesTo
    value: CodeableConcept
  criteria:
    language:
      v: text/cql-identifier

v: initial-population

v: Initial Population

v: initial-population

v: Initial Population

id:
  v: sde-ethnicity
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
description:
  v: SDE Ethnicity
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Ethnicity

id:
  v: sde-payer
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
description:
  v: SDE Payer
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Payer

id:
  v: sde-race
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
description:
  v: SDE Race
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Race

id:
  v: sde-sex
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
description:
  v: SDE Sex
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: SDE Sex

id:
  v: variable-calculated-gestational-age
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: supplemental-data
description:
  v: Variable Calculated Gestational Age
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Variable Calculated Gestational Age

id:
  v: risk-variable-lab-and-physical-exam-results
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Lab and Physical Exam Results
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Lab and Physical Exam Results

id:
  v: risk-variable-anemia
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Anemia
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Anemia

id:
  v: risk-variable-asthma
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Asthma
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Asthma

id:
  v: risk-variable-autoimmune-disease
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Autoimmune Disease
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Autoimmune Disease

id:
  v: risk-variable-bariatric-surgery
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Bariatric Surgery
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Bariatric Surgery

id:
  v: risk-variable-bleeding-disorder
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Bleeding Disorder
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Bleeding Disorder

id:
  v: risk-variable-morbid-obesity
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Morbid Obesity
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Morbid Obesity

id:
  v: risk-variable-cardiac-disease
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Cardiac Disease
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Cardiac Disease

id:
  v: risk-variable-economic-housing-instability
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Economic Housing Instability
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Economic Housing Instability

id:
  v: risk-variable-gastrointestinal-disease
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Gastrointestinal Disease
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Gastrointestinal Disease

id:
  v: risk-variable-gestational-diabetes
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Gestational Diabetes
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Gestational Diabetes

id:
  v: risk-variable-hiv
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable HIV
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable HIV

id:
  v: risk-variable-hypertension
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Hypertension
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Hypertension

id:
  v: risk-variable-long-term-anticoagulant-use
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Long Term Anticoagulant Use
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Long Term Anticoagulant Use

id:
  v: risk-variable-mental-health-disorder
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Mental Health Disorder
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Mental Health Disorder

id:
  v: risk-variable-multiple-pregnancy
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Multiple Pregnancy
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Multiple Pregnancy

id:
  v: risk-variable-neuromuscular
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Neuromuscular
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Neuromuscular

id:
  v: risk-variable-obstetrical-vte
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Obstetrical VTE
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Obstetrical VTE

id:
  v: risk-variable-placenta-previa
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Placenta Previa
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Placenta Previa

id:
  v: risk-variable-placental-abruption
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Placental Abruption
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Placental Abruption

id:
  v: risk-variable-placental-accreta-spectrum
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Placental Accreta Spectrum
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Placental Accreta Spectrum

id:
  v: risk-variable-preexisting-diabetes
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Preexisting Diabetes
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Preexisting Diabetes

id:
  v: risk-variable-previous-cesarean
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Previous Cesarean
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Previous Cesarean

id:
  v: risk-variable-pulmonary-hypertension
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Pulmonary Hypertension
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Pulmonary Hypertension

id:
  v: risk-variable-renal-disease
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Renal Disease
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Renal Disease

id:
  v: risk-variable-severe-preeclampsia
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Severe Preeclampsia
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Severe Preeclampsia

id:
  v: risk-variable-substance-abuse
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Substance Abuse
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Substance Abuse

id:
  v: risk-variable-thyrotoxicosis
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Thyrotoxicosis
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Thyrotoxicosis

id:
  v: risk-variable-other-preeclampsia
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Other Preeclampsia
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Other Preeclampsia

id:
  v: risk-variable-preterm-birth
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Preterm Birth
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Preterm Birth

id:
  v: risk-variable-first-hematocrit-lab-test
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable First Hematocrit Lab Test
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable First Hematocrit Lab Test

id:
  v: risk-variable-first-white-blood-cell-count-lab-test
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable First White Blood Cell Count Lab Test
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable First White Blood Cell Count Lab Test

id:
  v: risk-variable-heart-rate
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Heart Rate
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Heart Rate

id:
  v: risk-variable-systolic-blood-pressure
usage:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/measure-data-usage
      l: measure-data-usage
    code:
      v: risk-adjustment-factor
description:
  v: Risk Variable Systolic Blood Pressure
criteria:
  language:
    v: text/cql-identifier
  expression:
    v: Risk Variable Systolic Blood Pressure