CMS Draft FHIR Measures
2024.1.0 - CI Build

CMS Draft FHIR Measures, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2024.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2024/ and changes regularly. See the Directory of published versions

## : Breast Cancer ScreeningFHIR - TTL Representation

Draft as of 2026-03-13

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Measure ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "BreastCancerScreeningFHIR"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm>     ] [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm>     ] [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Breast Cancer ScreeningFHIR</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">0.0.001</td>\n\n\n</tr>\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Short Name</th>\n\n\n\n<td class=\"content-container\">CMS125FHIR</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">GUID (Version Independent)</th>\n\n\n\n<td class=\"content-container\">urn:uuid:f766afa2-f780-45d2-b224-c1bdb733fa6f</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">GUID (Version Specific)</th>\n\n\n\n<td class=\"content-container\">urn:uuid:7c89bd23-97eb-446b-b63a-975b63503b1c</td>\n\n\n</tr>\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">CMS Identifier</th>\n\n\n\n<td class=\"content-container\">125FHIR</td>\n\n\n</tr>\n\n  \n\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n\n\n<td class=\"content-container\">2025-01-01 through 2025-12-31</td>\n\n\n</tr>\n\n  \n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n\n<td class=\"content-container\">Draft</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">National Committee for Quality Assurance</td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Developer</th>\n\n\n\n<td class=\"content-container\">National Committee for Quality Assurance</td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period</p>\n</div></td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n\n\n<td class=\"content-container\"><div><p>This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2024 National Committee for Quality Assurance. All Rights Reserved.  Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications.  CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use.  Some measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use.  This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation.  ICD-10 copyright 2024 World Health Organization. All Rights Reserved.  Some measures use RxNorm, a standardized nomenclature and coding for clinical drugs and drug delivery devices, which is made publicly available courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services. NLM is not responsible for the measures and does not endorse or recommend this or any other product.  “HL7” is the registered trademark of Health Level Seven International.</p>\n</div></td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Disclaimer</th>\n\n\n\n<td class=\"content-container\"><div><p>The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.   Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Proportion\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Rationale</th>\n\n\n\n<td class=\"content-container\"><div><p>Breast cancer is one of the most common types of cancers, accounting for 15 percent of all new cancer diagnoses in the U.S. (Noone et al., 2018). In 2015, over 3 million women were estimated to be living with breast cancer in the U.S. and it is estimated that 12 percent of women will be diagnosed with breast cancer at some point during their lifetime (Noone et al., 2018).   While there are other factors that affect a woman's risk of developing breast cancer, advancing age is a primary risk factor. Breast cancer is most frequently diagnosed among women ages 55-64; the median age at diagnosis is 62 years (Noone et al., 2018).  The chance of a woman being diagnosed with breast cancer in a given year increases with age. By age 40, the chances are 1 in 68; by age 50 it becomes 1 in 43; by age 60, it is 1 in 29 (American Cancer Society, 2017).</p>\n</div></td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Clinical Recommendation Statement</th>\n\n\n\n<td class=\"content-container\"><div><p>The U.S. Preventive Services Task Force (USPSTF) recommends biennial screening mammography for women aged 50-74 years (B recommendation) (USPSTF, 2016).  The decision to start screening mammography in women prior to age 50 years should be an individual one. Women who place a higher value on the potential benefit than the potential harms may choose to begin biennial screening between the ages of 40 and 49 years (C recommendation) (USPSTF, 2016).  The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women aged 75 years or older (I statement) (USPSTF, 2016).  The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of digital breast tomosynthesis (DBT) as a primary screening method for breast cancer (I statement) (USPSTF, 2016).   The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adjunctive screening for breast cancer using breast ultrasonography, magnetic resonance imaging, DBT, or other methods in women identified to have dense breasts on an otherwise negative screening mammogram (I statement) (USPSTF, 2016).  The National Comprehensive Cancer Network (NCCN) and the American College of Radiology (ACR) recommend using conventional mammography or DBT for screening women at low, intermediate or high risk for breast cancer (NCCN, 2021) (ACR, 2017).</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Guidance (Usage)</th>\n\n\n\n<td class=\"content-container\">This measure evaluates primary screening. Do not count biopsies, breast ultrasounds, or MRIs because they are not appropriate methods for primary breast cancer screening.  Please note the measure may include screenings performed outside the age range of patients referenced in the initial population. Screenings that occur prior to the measurement period are valid to meet measure criteria.  This eCQM is a patient-based measure.  This FHIR-based measure has been derived from the QDM-based measure: CMS125v13.   Please refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html).</td>\n\n\n</tr>\n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: 64e646302ad653247b573ada)</th>\n\n\n</tr>\n  \n  \n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Basis</th>\n\n\n\n<td class=\"content-container\">boolean</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Proportion\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n\n<td class=\"content-container\">\n    increase\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    Process\n\n\n</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Rate Aggregation</th>\n\n\n\n<td class=\"content-container\">None</td>\n\n\n</tr>\n\n\n\n  \n  \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: FC061B94-3EB0-46E6-AD30-370E47E648AD\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Women 52-74 years of age by the end of the measurement period with a visit during the measurement period</p>\n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#64e646302ad653247b573ada-FC061B94-3EB0-46E6-AD30-370E47E648AD\">Initial Population</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: 054B4403-E6CF-4F3C-B36B-12003F3BA268\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Equals Initial Population</p>\n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#64e646302ad653247b573ada-054B4403-E6CF-4F3C-B36B-12003F3BA268\">Denominator</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator Exclusion</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: 209265B9-B25B-4809-BB65-DFD42207CB9D\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Exclude patients who are in hospice care for any part of the measurement period.  Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy on or before the end of the measurement period.  Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria: - Advanced illness diagnosis during the measurement period or the year prior - OR taking dementia medications during the measurement period or the year prior  Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.  Exclude patients receiving palliative care for any part of the measurement period.</p>\n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#64e646302ad653247b573ada-209265B9-B25B-4809-BB65-DFD42207CB9D\">Denominator Exclusions</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: B7745FD9-0697-40A0-A179-3056DD614C8F\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Women with one or more mammograms any time on or between October 1 two years prior to the measurement period and the end of the measurement period</p>\n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#64e646302ad653247b573ada-B7745FD9-0697-40A0-A179-3056DD614C8F\">Numerator</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n  \n\n\n  \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n\n<td class=\"content-container\"><a href=\"Library-BreastCancerScreeningFHIR.html\">Breast Cancer Screening FHIR</a></td>\n\n\n</tr>\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#population-criteria\">Population Criteria</a></em>\n    <br/>\n    <em><a href=\"#definitions\">Logic Definitions</a></em>\n    <br/>\n    <em><a href=\"#terminology\">Terminology</a></em>\n    <br/>\n    <em><a href=\"#dependencies\">Dependencies</a></em>\n    <br/>\n    <em><a href=\"#data-requirements\">Data Requirements</a></em>\n    <br/>\n    <em><a href=\"#parameters\">Parameters</a></em>\n    <br/>\n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"population-criteria\"> </a>Population Criteria</th>\n\n\n</tr>\n  \n  \n  \n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: 64e646302ad653247b573ada)</th>\n\n\n</tr>\n  \n  \n  \n  \n\n    \n      \n          \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Initial Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"64e646302ad653247b573ada-FC061B94-3EB0-46E6-AD30-370E47E648AD\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[52, 74]\n    and Patient.gender = 'female'\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\"</code></pre>\n    \n      \n      <a href=\"#breastcancerscreeningfhir-initial-population\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n      \n    \n\n    \n      \n          \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Denominator\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"64e646302ad653247b573ada-054B4403-E6CF-4F3C-B36B-12003F3BA268\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Denominator\":\n  \"Initial Population\"</code></pre>\n    \n      \n      <a href=\"#breastcancerscreeningfhir-denominator\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n      \n    \n\n    \n      \n          \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Denominator Exclusion\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"64e646302ad653247b573ada-209265B9-B25B-4809-BB65-DFD42207CB9D\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or ( ( exists ( \"Right Mastectomy Diagnosis\" )\n          or exists ( \"Right Mastectomy Procedure\" )\n      )\n        and ( exists ( \"Left Mastectomy Diagnosis\" )\n            or exists ( \"Left Mastectomy Procedure\" )\n        )\n    )\n    or exists \"Bilateral Mastectomy Diagnosis\"\n    or exists \"Bilateral Mastectomy Procedure\"\n    or AIFrailLTCF.\"Is Age 66 or Older with Advanced Illness and Frailty\"\n    or AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"\n    or PalliativeCare.\"Has Palliative Care in the Measurement Period\"</code></pre>\n    \n      \n      <a href=\"#breastcancerscreeningfhir-denominator-exclusions\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n          \n    \n      \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Numerator\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"64e646302ad653247b573ada-B7745FD9-0697-40A0-A179-3056DD614C8F\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Numerator\":\n  exists ( ( ( [Observation: \"Mammography\"] ).isDiagnosticStudyPerformed ( ) ) Mammogram\n      where Mammogram.effective.toInterval ( ) ends during day of Interval[\"October 1 Two Years Prior to the Measurement Period\", end of \"Measurement Period\"]\n  )</code></pre>\n    \n      \n      <a href=\"#breastcancerscreeningfhir-numerator\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n      \n    \n\n    \n      \n    \n\n  \n\n\n  \n\n\n  \n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"definitions\"> </a>Logic Definitions</th>\n\n\n</tr>\n  \n  \n          \n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> AdultOutpatientEncounters</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"adultoutpatientencounters-qualifying-encounters\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Qualifying Encounters\":\n  ( ( [Encounter: \"Office Visit\"]\n    union [Encounter: \"Annual Wellness Visit\"]\n    union [Encounter: \"Preventive Care Services Established Office Visit, 18 and Up\"]\n    union [Encounter: \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n    union [Encounter: \"Home Healthcare Services\"]\n    union [Encounter: \"Virtual Encounter\"]\n    union [Encounter: \"Telephone Visits\"] ).isEncounterPerformed() ) ValidEncounter\n    where ValidEncounter.period.toInterval() during day of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Hospice</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"hospice-has-hospice-services\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Has Hospice Services\":\n  exists ((([Encounter: \"Encounter Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n      where (InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n          or InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n      )\n        and InpatientEncounter.period.toInterval() ends during day of \"Measurement Period\"\n  )\n    or exists ((([Encounter: \"Hospice Encounter\"]).isEncounterPerformed()) HospiceEncounter\n        where HospiceEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Observation: \"Hospice care [Minimum Data Set]\"]).isAssessmentPerformed()) HospiceAssessment\n        where HospiceAssessment.value ~ \"Yes (qualifier value)\"\n          and HospiceAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([ServiceRequest: \"Hospice Care Ambulatory\"]).isInterventionOrder()) HospiceOrder\n        where HospiceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n        // and HospiceOrder.doNotPerform is not true\n        // https://oncprojectracking.healthit.gov/support/browse/CQLIT-447\n    )\n    or exists ((([Procedure: \"Hospice Care Ambulatory\"]).isInterventionPerformed()) HospicePerformed\n        where HospicePerformed.performed.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists (([Condition: \"Hospice Diagnosis\"]) HospiceCareDiagnosis\n        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> AdvancedIllnessandFrailty</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"advancedillnessandfrailty-has-criteria-indicating-frailty\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Has Criteria Indicating Frailty\":\n  exists ( (([DeviceRequest: \"Frailty Device\"]).isDeviceOrder()) FrailtyDeviceOrder\n      where FrailtyDeviceOrder.doNotPerform() is not true\n      and FrailtyDeviceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n  )\n    or exists ( (([Observation: \"Medical equipment used\"]).isAssessmentPerformed()) EquipmentUsed\n        where EquipmentUsed.value as Concept in \"Frailty Device\" \n        and EquipmentUsed.effective.toInterval() ends during day of \"Measurement Period\"\n    )\n    or exists ( ([Condition: \"Frailty Diagnosis\"]) FrailtyDiagnosis\n        where FrailtyDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ( (([Encounter: \"Frailty Encounter\"]).isEncounterPerformed()) FrailtyEncounter\n        where FrailtyEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ( (([Observation: \"Frailty Symptom\"]).isSymptom()) FrailtySymptom\n        where FrailtySymptom.effective.toInterval() overlaps day of \"Measurement Period\"\n    )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> AdvancedIllnessandFrailty</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"advancedillnessandfrailty-has-advanced-illness-in-year-before-or-during-measurement-period\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Has Advanced Illness in Year Before or During Measurement Period\":\nexists ([Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis\nwhere AdvancedIllnessDiagnosis.prevalenceInterval() starts during day of Interval[start of \"Measurement Period\" - 1 year, end of \"Measurement Period\"])</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> AdvancedIllnessandFrailty</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"advancedillnessandfrailty-has-dementia-medications-in-year-before-or-during-measurement-period\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Has Dementia Medications in Year Before or During Measurement Period\":\n  exists (( ([MedicationRequest: medication in \"Dementia Medications\"]).isMedicationActive()) DementiaMedication\n        // https://oncprojectracking.healthit.gov/support/browse/CQLIT-449\n      where DementiaMedication.medicationRequestPeriod() overlaps day of Interval[start of \"Measurement Period\" - 1 year, \n        end of \"Measurement Period\"]\n        // and DementiaMedication.doNotPerform is not true\n        // https://oncprojectracking.healthit.gov/support/browse/CQLIT-447\n  )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> AdvancedIllnessandFrailty</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"advancedillnessandfrailty-is-age-66-or-older-with-advanced-illness-and-frailty\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Is Age 66 or Older with Advanced Illness and Frailty\":\n   AgeInYearsAt(date from end of \"Measurement Period\")&gt;= 66\n    and \"Has Criteria Indicating Frailty\"\n    and ( \"Has Advanced Illness in Year Before or During Measurement Period\"\n        or \"Has Dementia Medications in Year Before or During Measurement Period\"\n    )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> AdvancedIllnessandFrailty</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"advancedillnessandfrailty-is-age-66-or-older-living-long-term-in-a-nursing-home\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Is Age 66 or Older Living Long Term in a Nursing Home\":\n  AgeInYearsAt(date from \n     end of \"Measurement Period\"\n  )&gt;= 66\n    and ( ( Last( (([Observation: \"Housing status\"]).isAssessmentPerformed()) HousingStatus    \n          where HousingStatus.effective.toInterval() ends on or before \n          day of end of \"Measurement Period\"\n          sort by \n          end of effective.toInterval() asc\n      )) LastHousingStatus\n        where LastHousingStatus.value ~ \"Lives in a nursing home (finding)\"\n    ) is not null</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> PalliativeCare</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"palliativecare-has-palliative-care-in-the-measurement-period\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Has Palliative Care in the Measurement Period\":\n  exists ((([Observation: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"]).isAssessmentPerformed()) PalliativeAssessment\n      where PalliativeAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n  )\n    or exists ([Condition: \"Palliative Care Diagnosis\"] PalliativeDiagnosis\n        where PalliativeDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Encounter: \"Palliative Care Encounter\"]).isEncounterPerformed()) PalliativeEncounter\n        where PalliativeEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Procedure: \"Palliative Care Intervention\"]).isInterventionPerformed()) PalliativeIntervention\n        where PalliativeIntervention.performed.toInterval() overlaps day of \"Measurement Period\"\n    )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-october-1-two-years-prior-to-the-measurement-period\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"October 1 Two Years Prior to the Measurement Period\":\n  DateTime((year from start of \"Measurement Period\" - 2), 10, 1, 0, 0, 0, 0, 0)</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-numerator\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Numerator\":\n  exists ( ( ( [Observation: \"Mammography\"] ).isDiagnosticStudyPerformed ( ) ) Mammogram\n      where Mammogram.effective.toInterval ( ) ends during day of Interval[\"October 1 Two Years Prior to the Measurement Period\", end of \"Measurement Period\"]\n  )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-initial-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[52, 74]\n    and Patient.gender = 'female'\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-denominator\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Denominator\":\n  \"Initial Population\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-right-mastectomy-diagnosis\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Right Mastectomy Diagnosis\":\n  ( [Condition: \"Status Post Right Mastectomy\"] RightMastectomyProcedure\n    union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n        where exists ( UnilateralMastectomyDiagnosis.bodySite S\n            where S ~ \"Right (qualifier value)\"\n        )\n    ) ) RightMastectomy\n    where RightMastectomy.prevalenceInterval ( ) starts on or before end of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-right-mastectomy-procedure\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Right Mastectomy Procedure\":\n  ( ( [Procedure: \"Unilateral Mastectomy Right\"] ).isProcedurePerformed ( ) ) UnilateralMastectomyRightPerformed\n    where UnilateralMastectomyRightPerformed.performed.toInterval ( ) ends on or before end of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-left-mastectomy-diagnosis\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Left Mastectomy Diagnosis\":\n  ( [Condition: \"Status Post Left Mastectomy\"]\n    union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n        where exists ( UnilateralMastectomyDiagnosis.bodySite S\n            where S ~ \"Left (qualifier value)\"\n        )\n    ) ) LeftMastectomy\n    where LeftMastectomy.prevalenceInterval ( ) starts on or before end of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-left-mastectomy-procedure\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Left Mastectomy Procedure\":\n  ( ( [Procedure: \"Unilateral Mastectomy Left\"] ).isProcedurePerformed ( ) ) UnilateralMastectomyLeftPerformed\n    where UnilateralMastectomyLeftPerformed.performed.toInterval ( ) ends on or before end of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-bilateral-mastectomy-diagnosis\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Bilateral Mastectomy Diagnosis\":\n  [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory\n    where BilateralMastectomyHistory.prevalenceInterval ( ) starts on or before end of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-bilateral-mastectomy-procedure\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Bilateral Mastectomy Procedure\":\n  ( ( [Procedure: \"Bilateral Mastectomy\"] ).isProcedurePerformed ( ) ) BilateralMastectomyPerformed\n    where BilateralMastectomyPerformed.performed.toInterval ( ) ends on or before end of \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> BreastCancerScreeningFHIR</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"breastcancerscreeningfhir-denominator-exclusions\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or ( ( exists ( \"Right Mastectomy Diagnosis\" )\n          or exists ( \"Right Mastectomy Procedure\" )\n      )\n        and ( exists ( \"Left Mastectomy Diagnosis\" )\n            or exists ( \"Left Mastectomy Procedure\" )\n        )\n    )\n    or exists \"Bilateral Mastectomy Diagnosis\"\n    or exists \"Bilateral Mastectomy Procedure\"\n    or AIFrailLTCF.\"Is Age 66 or Older with Advanced Illness and Frailty\"\n    or AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"\n    or PalliativeCare.\"Has Palliative Care in the Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tointerval\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.\"start\" is null then\n            Interval(period.\"start\".value, period.\"end\".value]\n        else\n            Interval[period.\"start\".value, period.\"end\".value]</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-toconcept\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tocode\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"qicorecommon-tointerval\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of DateTime, Quanitty, Interval&lt;DateTime&gt;, or Interval&lt;Quantity&gt; types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in QICore, allowing this function to be used across any resource.\nThe input can be provided as a DateTime, Quantity, Interval&lt;DateTime&gt; or Interval&lt;Quantity&gt;.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.\nIf the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,\nand the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.\nIf the input is a DateTime Interval, the result is the input.\nIf the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result\nis a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending\nimmediately before one year later than the date the patient turned the age given as the end of the quantity interval.\nIf the input is a Timing, an error will be thrown indicating that Timing calculations are not implemented. Any other input will reslt in a null DateTime Interval\n*/\ndefine fluent function toInterval(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):\n  case\n	  when choice is DateTime then\n    	Interval[choice as DateTime, choice as DateTime]\n		when choice is Interval&lt;DateTime&gt; then\n  		choice as Interval&lt;DateTime&gt;\n		when choice is Quantity then\n		  Interval[Patient.birthDate + (choice as Quantity),\n			  Patient.birthDate + (choice as Quantity) + 1 year)\n		when choice is Interval&lt;Quantity&gt; then\n		  Interval[Patient.birthDate + (choice.low as Quantity),\n			  Patient.birthDate + (choice.high as Quantity) + 1 year)\n		when choice is Timing then\n      Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval&lt;DateTime&gt;\n		else\n			null as Interval&lt;DateTime&gt;\n	end</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"qicorecommon-prevalenceinterval\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting \ninterval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ \"active\"\n  or condition.clinicalStatus ~ \"recurrence\"\n  or condition.clinicalStatus ~ \"relapse\" then\n  Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n    (end of condition.abatementInterval()) abatementDate\n    return if abatementDate is null then\n      Interval[start of condition.onset.toInterval(), abatementDate)\n    else\n      Interval[start of condition.onset.toInterval(), abatementDate]</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"qicorecommon-abatementinterval\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns an interval representing the normalized abatement of a given Condition.\n@comment: If the abatement element of the Condition is represented as a DateTime, the result\nis an interval beginning and ending on that DateTime.\nIf the abatement is represented as a Quantity, the quantity is expected to be a calendar-duration and is interpreted as the age of the patient. The\nresult is an interval from the date the patient turned that age to immediately before one year later.\nIf the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during\nwhich the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately\nbefore one year later than the date the patient turned the ending age of the quantity interval.\n*/\ndefine fluent function abatementInterval(condition Condition):\n	if condition.abatement is DateTime then\n	  Interval[condition.abatement as DateTime, condition.abatement as DateTime]\n	else if condition.abatement is Quantity then\n		Interval[Patient.birthDate + (condition.abatement as Quantity),\n			Patient.birthDate + (condition.abatement as Quantity) + 1 year)\n	else if condition.abatement is Interval&lt;Quantity&gt; then\n	  Interval[Patient.birthDate + (condition.abatement.low as Quantity),\n		  Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)\n	else if condition.abatement is Interval&lt;DateTime&gt; then\n	  Interval[condition.abatement.low, condition.abatement.high)\n	else null as Interval&lt;DateTime&gt;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"qicorecommon-donotperform\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns true if the given DeviceRequest is a negation (i.e. do not perform this order)\n*/\ndefine fluent function doNotPerform(deviceRequest DeviceRequest):\n  singleton from (\n    deviceRequest.modifierExtension E\n      where E.url = 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerform'\n      return E.value as Boolean\n  )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isdiagnosticstudyperformed\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Diagnostic Study, Performed\ndefine fluent function isDiagnosticStudyPerformed(Obs List&lt;Observation&gt;):\n  Obs O\n    where O.status in {'final', 'amended', 'corrected' }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isencounterperformed\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Encounter, Performed\n//General usage unless required otherwise by measure intent (e.g., follow-up encounters)\ndefine fluent function isEncounterPerformed(Enc List&lt;Encounter&gt;):\n  Enc E\n    where E.status in {'finished', 'arrived', 'triaged', 'in-progress', 'onleave'}</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isassessmentperformed\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//This library contains functions that are based on QDM 5.6 to QICore 4.1.1 March 2023 (https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns---QICore-v4.1.1). The functions may appear similar to some QICoreCommon functions but different in that they have constraints that are relevant for measures authored by NCQA.\n\n//Assessment, Performed\ndefine fluent function isAssessmentPerformed(Obs List&lt;Observation&gt;):\n  Obs O\n    where O.status in { 'final', 'amended', 'corrected' }\n          and exists ( O.category ObservationCategory\n          where ( ObservationCategory ) ~ \"survey\"\n      )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isinterventionorder\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Intervention, Order: active and completed only    \ndefine fluent function isInterventionOrder(ServiceRequest List&lt;ServiceRequest&gt;):\n  ServiceRequest S\n    where S.status in { 'active', 'completed' }\n      and S.intent = 'order'</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isinterventionperformed\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Intervention, Performed\ndefine fluent function isInterventionPerformed(Proc List&lt;Procedure&gt;):\n  Proc P\n    where P.status ~ 'completed'</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isprocedureperformed\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Procedure, Performed\ndefine fluent function isProcedurePerformed(Proc List&lt;Procedure&gt;):\n  Proc P\n    where P.status ~ 'completed'</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-isdeviceorder\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Device, Order - Personal Use Devices: active and completed only\ndefine fluent function isDeviceOrder(DeviceRequest List&lt;DeviceRequest&gt;):\n  DeviceRequest D\n    where D.status in { 'active', 'completed' }\n      and D.intent = 'order'</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-issymptom\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Symptom\ndefine fluent function isSymptom(Obs List&lt;Observation&gt;):\n  Obs O\n    where O.status in { 'preliminary', 'final', 'amended', 'corrected' }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Status</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"status-ismedicationactive\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Medication, Active\ndefine fluent function isMedicationActive(MedicationRequest List&lt;MedicationRequest&gt;):\n  MedicationRequest M\n    where M.status = 'active'\n      and M.intent = 'order'</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CumulativeMedicationDuration</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"cumulativemedicationduration-medicationrequestperiod\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function medicationRequestPeriod(Request \"MedicationRequest\"):\n  Request R\n    let\n      dosage: singleton from R.dosageInstruction,\n      doseAndRate: singleton from dosage.doseAndRate,\n      timing: dosage.timing,\n      frequency: Coalesce(timing.repeat.frequencyMax, timing.repeat.frequency),\n      period: Quantity(timing.repeat.period, timing.repeat.periodUnit),\n      doseRange: doseAndRate.dose,\n      doseQuantity: doseAndRate.dose,\n      dose: Coalesce(end of doseRange, doseQuantity),\n      dosesPerDay: Coalesce(ToDaily(frequency, period), Count(timing.repeat.timeOfDay), 1.0),\n      boundsPeriod: timing.repeat.bounds as Interval&lt;DateTime&gt;,\n      daysSupply: (convert R.dispenseRequest.expectedSupplyDuration to days).value,\n      quantity: R.dispenseRequest.quantity,\n      refills: Coalesce(R.dispenseRequest.numberOfRepeatsAllowed, 0),\n      startDate:\n        Coalesce(\n          date from start of boundsPeriod,\n          date from R.authoredOn,\n          date from start of R.dispenseRequest.validityPeriod\n        ),\n      totalDaysSupplied: Coalesce(daysSupply, quantity.value / (dose.value * dosesPerDay)) * (1 + refills)\n    return\n      if startDate is not null and totalDaysSupplied is not null then\n        Interval[startDate, startDate + Quantity(totalDaysSupplied - 1, 'day') ]\n      else if startDate is not null and boundsPeriod.\"high\" is not null then\n        Interval[startDate, date from end of boundsPeriod]\n      else\n        null</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CumulativeMedicationDuration</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"cumulativemedicationduration-quantity\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/**********************************************************************/\n/* Functions in this region are copied from opioid-mme-r4             */\n/**********************************************************************/\n\ndefine function Quantity(value Decimal, unit String):\n  if value is not null then\n    System.Quantity { value: value, unit: unit }\n  else\n    null</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CumulativeMedicationDuration</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"cumulativemedicationduration-todaily\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n Goal is to get to number of days\n Two broad approaches to the calculation:\n  1) Based on supply and frequency, calculate the number of expected days the medication will cover/has covered\n  2) Based on relevant period, determine a covered interval and calculate the length of that interval in days\nThis topic covers several use cases and illustrates how to calculate Cumulative\nMedication Duration for each type of medication resource using the supply and\nfrequency approach.\n*/\n\n/*\n  For the first approach, we need to get from frequency to a frequency/day\n  So we define ToDaily\n*/\n\n/*\n  Calculates daily frequency given frequency within a period\n*/\ndefine function ToDaily(frequency System.Integer, period System.Quantity):\n  case period.unit\n    when 'h' then frequency * (24.0 / period.value)\n    when 'min' then frequency * (24.0 / period.value) * 60\n    when 's' then frequency * (24.0 / period.value) * 60 * 60\n    when 'd' then frequency * (24.0 / period.value) / 24\n    when 'wk' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'mo' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'a' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    when 'hour' then frequency * (24.0 / period.value)\n    when 'minute' then frequency * (24.0 / period.value) * 60\n    when 'second' then frequency * (24.0 / period.value) * 60 * 60\n    when 'day' then frequency * (24.0 / period.value) / 24\n    when 'week' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'month' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'year' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    when 'hours' then frequency * (24.0 / period.value)\n    when 'minutes' then frequency * (24.0 / period.value) * 60\n    when 'seconds' then frequency * (24.0 / period.value) * 60 * 60\n    when 'days' then frequency * (24.0 / period.value) / 24\n    when 'weeks' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'months' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'years' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    else Message(null, true, 'CMDLogic.ToDaily.UnknownUnit', ErrorLevel, 'Unknown unit ' &amp; period.unit)\n  end</code></pre>\n  </td>\n\n</tr>\n\n\n\n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"terminology\"> </a>Terminology</th>\n\n\n</tr>\n  \n  \n  \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system SNOMEDCT\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://snomed.info/sct</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system ObservationCategoryCodes\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html\">Observation Category Codes</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/observation-category</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system LOINC\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://loinc.org</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system ConditionClinicalStatusCodes\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Mammography\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1018/expansion\">Mammography</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Office Visit\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Annual Wellness Visit\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion\">Annual Wellness Visit</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Preventive Care Services Established Office Visit, 18 and Up\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion\">Preventive Care Services - Established Office Visit, 18 and Up</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Preventive Care Services Initial Office Visit, 18 and Up\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion\">Preventive Care Services-Initial Office Visit, 18 and Up</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Home Healthcare Services\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Virtual Encounter\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1089/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Telephone Visits\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion\">Telephone Visits</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Encounter Inpatient\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Hospice Encounter\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1003/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Hospice Care Ambulatory\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Hospice Diagnosis\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1165/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Status Post Right Mastectomy\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1070/expansion\">Status Post Right Mastectomy</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Unilateral Mastectomy, Unspecified Laterality\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1071/expansion\">Unilateral Mastectomy, Unspecified Laterality</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Unilateral Mastectomy Right\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1134/expansion\">Unilateral Mastectomy Right</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Status Post Left Mastectomy\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1069/expansion\">Status Post Left Mastectomy</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Unilateral Mastectomy Left\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1133/expansion\">Unilateral Mastectomy Left</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set History of bilateral mastectomy\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1068/expansion\">History of bilateral mastectomy</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Bilateral Mastectomy\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1005/expansion\">Bilateral Mastectomy</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Frailty Device\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.118.12.1300/expansion\">Frailty Device</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Frailty Diagnosis\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1074/expansion\">Frailty Diagnosis</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Frailty Encounter\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1088/expansion\">Frailty Encounter</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Frailty Symptom\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1075/expansion\">Frailty Symptom</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Advanced Illness\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1082/expansion\">Advanced Illness</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Dementia Medications\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1510/expansion\">Dementia Medications</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Palliative Care Diagnosis\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1167/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Palliative Care Encounter\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1090/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Palliative Care Intervention\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1135/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135</tt>\n    \n  </td>\n</tr>\n \n\n\n  \n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Discharge to home for hospice care (procedure)\n        <br/>\n      \n      <em>Code</em>: 428361000124107\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Discharge to healthcare facility for hospice care (procedure)\n        <br/>\n      \n      <em>Code</em>: 428371000124100\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: survey\n        <br/>\n      \n      <em>Code</em>: survey\n      <br/>\n      <em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/observation-category</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Hospice care [Minimum Data Set]\n        <br/>\n      \n      <em>Code</em>: 45755-6\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Yes (qualifier value)\n        <br/>\n      \n      <em>Code</em>: 373066001\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Active\n        <br/>\n      \n      <em>Code</em>: active\n      <br/>\n      <em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Recurrence\n        <br/>\n      \n      <em>Code</em>: recurrence\n      <br/>\n      <em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Relapse\n        <br/>\n      \n      <em>Code</em>: relapse\n      <br/>\n      <em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Right (qualifier value)\n        <br/>\n      \n      <em>Code</em>: 24028007\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Left (qualifier value)\n        <br/>\n      \n      <em>Code</em>: 7771000\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Medical equipment used\n        <br/>\n      \n      <em>Code</em>: 98181-1\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Housing status\n        <br/>\n      \n      <em>Code</em>: 71802-3\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Lives in a nursing home (finding)\n        <br/>\n      \n      <em>Code</em>: 160734000\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\n        <br/>\n      \n      <em>Code</em>: 71007-9\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"dependencies\"> </a>Dependencies</th>\n\n\n</tr>\n  \n  \n  \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: QICore model information\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/4.1.1/Library-QICore-ModelInfo.html\">http://hl7.org/fhir/us/qicore/Library/QICore-ModelInfo|4.1.1</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/us/qicore/Library/QICore-ModelInfo|4.1.1</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library Status\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-Status.html\">Statusversion: null1.8.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/Status|1.8.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library QICoreCommon\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-QICoreCommon.html\">QICoreCommonversion: null2.1.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/QICoreCommon|2.1.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-FHIRHelpers.html\">FHIRHelpersversion: null4.4.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/FHIRHelpers|4.4.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library AdultOutpatientEncounters\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-AdultOutpatientEncounters.html\">AdultOutpatientEncountersversion: null4.11.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/AdultOutpatientEncounters|4.11.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library Hospice\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-Hospice.html\">Hospiceversion: null6.12.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/Hospice|6.12.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library AIFrailLTCF\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-AdvancedIllnessandFrailty.html\">AdvancedIllnessandFrailtyversion: null1.16.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.16.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library CMD\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-CumulativeMedicationDuration.html\">CumulativeMedicationDurationversion: null4.1.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/CumulativeMedicationDuration|4.1.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library PalliativeCare\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Library-PalliativeCare.html\">PalliativeCareversion: null1.11.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/PalliativeCare|1.11.000</tt>\n    \n  </td>\n</tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n\n  \n  \n\n\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"data-requirements\"> </a>Data Requirements</th>\n\n\n</tr>\n  \n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1018/expansion\">Mammography</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, value, effective, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n  \n    <span class=\"tab-one\"><em>Code(s)</em>: \n    \n      \n      <a href=\"https://loinc.org/45755-6\">LOINC: 45755-6</a> (Hospice care [Minimum Data Set])\n      \n    \n    </span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>Path</em>: value</span>\n    <br/>\n  \n  \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, value, effective, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n  \n    <span class=\"tab-one\"><em>Code(s)</em>: \n    \n      \n      <a href=\"https://loinc.org/98181-1\">LOINC: 98181-1</a> (Medical equipment used)\n      \n    \n    </span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>Path</em>: value</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.118.12.1300/expansion\">Frailty Device</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1075/expansion\">Frailty Symptom</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n  \n    <span class=\"tab-one\"><em>Code(s)</em>: \n    \n      \n      <a href=\"https://loinc.org/71802-3\">LOINC: 71802-3</a> (Housing status)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, value, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n  \n    <span class=\"tab-one\"><em>Code(s)</em>: \n    \n      \n      <a href=\"https://loinc.org/71802-3\">LOINC: 71802-3</a> (Housing status)\n      \n    \n    </span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>Path</em>: value</span>\n    <br/>\n  \n  \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, status, status.value, category\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n  \n    <span class=\"tab-one\"><em>Code(s)</em>: \n    \n      \n      <a href=\"https://loinc.org/71007-9\">LOINC: 71007-9</a> (Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal))\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a>\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion\">Annual Wellness Visit</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion\">Preventive Care Services - Established Office Visit, 18 and Up</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion\">Preventive Care Services-Initial Office Visit, 18 and Up</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1089/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion\">Telephone Visits</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, hospitalization, hospitalization.dischargeDisposition, period, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1003/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1088/expansion\">Frailty Encounter</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1090/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: ServiceRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-servicerequest.html\">QICoreServiceRequest</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Procedure\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, performed, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Procedure\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, performed, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1134/expansion\">Unilateral Mastectomy Right</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Procedure\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, performed, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1133/expansion\">Unilateral Mastectomy Left</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Procedure\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, performed, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1005/expansion\">Bilateral Mastectomy</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Procedure\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, performed, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1135/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1165/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1070/expansion\">Status Post Right Mastectomy</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, bodySite\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1071/expansion\">Unilateral Mastectomy, Unspecified Laterality</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1069/expansion\">Status Post Left Mastectomy</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1068/expansion\">History of bilateral mastectomy</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1074/expansion\">Frailty Diagnosis</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1082/expansion\">Advanced Illness</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.1167/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: DeviceRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-devicerequest.html\">QICoreDeviceRequest</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, status, status.value, intent, intent.value, url, url.value, value, authoredOn, authoredOn.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.118.12.1300/expansion\">Frailty Device</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: MedicationRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-medicationrequest.html\">QICoreMedicationRequest</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: medication</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1510/expansion\">Dementia Medications</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n  \n  \n  <tr>\n  \n\n<th scope=\"row\" class=\"row-header\"/>\n\n\n  <td class=\"content-container\">\n    <table>\n      <thead>\n        <tr>\n          <td><em>Name</em></td>\n          <td><em>Use</em></td>\n          <td><em>Card.</em></td>\n          <td><em>Type</em></td>\n          <td><em>Documentation</em></td>\n        </tr>\n      </thead>\n      <tbody>\n      \n        <tr>\n          <td>Measurement Period</td>\n          <td>In</td>\n          <td>0..1</td>\n          <td>Period</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>ErrorLevel</td>\n          <td>In</td>\n          <td>0..1</td>\n          <td>string</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Numerator</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>boolean</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Denominator</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>boolean</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Initial Population</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>boolean</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Denominator Exclusions</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>boolean</td>\n          <td/>\n        </tr>\n      \n      </tbody>\n    </table>\n  </td>\n</tr>\n\n  \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4-cibuild of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:contained ( [
    a fhir:Library ;
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        ( fhir:extension [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "428361000124107" ] ;
    fhir:display [ fhir:v "Discharge to home for hospice care (procedure)" ]       ]     ] [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "428371000124100" ] ;
    fhir:display [ fhir:v "Discharge to healthcare facility for hospice care (procedure)" ]       ]     ] [
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    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>         ] ;
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    fhir:display [ fhir:v "survey" ]       ]     ] [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    fhir:display [ fhir:v "Hospice care [Minimum Data Set]" ]       ]     ] [
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    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>         ] ;
    fhir:code [ fhir:v "active" ] ;
    fhir:display [ fhir:v "Active" ]       ]     ] [
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    fhir:code [ fhir:v "recurrence" ] ;
    fhir:display [ fhir:v "Recurrence" ]       ]     ] [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    fhir:code [ fhir:v "7771000" ] ;
    fhir:display [ fhir:v "Left (qualifier value)" ]       ]     ] [
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    fhir:display [ fhir:v "Medical equipment used" ]       ]     ] [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "71802-3" ] ;
    fhir:display [ fhir:v "Housing status" ]       ]     ] [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    a fhir:Coding, sct:160734000 ;
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    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
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    fhir:code [ fhir:v "160734000" ] ;
    fhir:display [ fhir:v "Lives in a nursing home (finding)" ]       ]     ] [
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    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode>       ] ;
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    a fhir:Coding, loinc:71007-9 ;
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    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "71007-9" ] ;
    fhir:display [ fhir:v "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)" ]       ]     ] [
          ( fhir:extension [
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    fhir:l fhir:libraryName         ] ;
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    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
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    fhir:value [
    a fhir:String ;
    fhir:v "October 1 Two Years Prior to the Measurement Period"         ]       ] [
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    a fhir:String ;
    fhir:v "define \"October 1 Two Years Prior to the Measurement Period\":\n  DateTime((year from start of \"Measurement Period\" - 2), 10, 1, 0, 0, 0, 0, 0)"         ]       ] [
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    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Numerator"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Numerator\":\n  exists ( ( ( [Observation: \"Mammography\"] ).isDiagnosticStudyPerformed ( ) ) Mammogram\n      where Mammogram.effective.toInterval ( ) ends during day of Interval[\"October 1 Two Years Prior to the Measurement Period\", end of \"Measurement Period\"]\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdultOutpatientEncounters"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Qualifying Encounters"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Qualifying Encounters\":\n  ( ( [Encounter: \"Office Visit\"]\n    union [Encounter: \"Annual Wellness Visit\"]\n    union [Encounter: \"Preventive Care Services Established Office Visit, 18 and Up\"]\n    union [Encounter: \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n    union [Encounter: \"Home Healthcare Services\"]\n    union [Encounter: \"Virtual Encounter\"]\n    union [Encounter: \"Telephone Visits\"] ).isEncounterPerformed() ) ValidEncounter\n    where ValidEncounter.period.toInterval() during day of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 2         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Initial Population"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[52, 74]\n    and Patient.gender = 'female'\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 3         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Denominator"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Denominator\":\n  \"Initial Population\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 4         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Hospice"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Hospice Services"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Hospice Services\":\n  exists ((([Encounter: \"Encounter Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n      where (InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n          or InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n      )\n        and InpatientEncounter.period.toInterval() ends during day of \"Measurement Period\"\n  )\n    or exists ((([Encounter: \"Hospice Encounter\"]).isEncounterPerformed()) HospiceEncounter\n        where HospiceEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Observation: \"Hospice care [Minimum Data Set]\"]).isAssessmentPerformed()) HospiceAssessment\n        where HospiceAssessment.value ~ \"Yes (qualifier value)\"\n          and HospiceAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([ServiceRequest: \"Hospice Care Ambulatory\"]).isInterventionOrder()) HospiceOrder\n        where HospiceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n        // and HospiceOrder.doNotPerform is not true\n        // https://oncprojectracking.healthit.gov/support/browse/CQLIT-447\n    )\n    or exists ((([Procedure: \"Hospice Care Ambulatory\"]).isInterventionPerformed()) HospicePerformed\n        where HospicePerformed.performed.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists (([Condition: \"Hospice Diagnosis\"]) HospiceCareDiagnosis\n        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 5         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Right Mastectomy Diagnosis"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Right Mastectomy Diagnosis\":\n  ( [Condition: \"Status Post Right Mastectomy\"] RightMastectomyProcedure\n    union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n        where exists ( UnilateralMastectomyDiagnosis.bodySite S\n            where S ~ \"Right (qualifier value)\"\n        )\n    ) ) RightMastectomy\n    where RightMastectomy.prevalenceInterval ( ) starts on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 6         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Right Mastectomy Procedure"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Right Mastectomy Procedure\":\n  ( ( [Procedure: \"Unilateral Mastectomy Right\"] ).isProcedurePerformed ( ) ) UnilateralMastectomyRightPerformed\n    where UnilateralMastectomyRightPerformed.performed.toInterval ( ) ends on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 7         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Left Mastectomy Diagnosis"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Left Mastectomy Diagnosis\":\n  ( [Condition: \"Status Post Left Mastectomy\"]\n    union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis\n        where exists ( UnilateralMastectomyDiagnosis.bodySite S\n            where S ~ \"Left (qualifier value)\"\n        )\n    ) ) LeftMastectomy\n    where LeftMastectomy.prevalenceInterval ( ) starts on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 8         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Left Mastectomy Procedure"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Left Mastectomy Procedure\":\n  ( ( [Procedure: \"Unilateral Mastectomy Left\"] ).isProcedurePerformed ( ) ) UnilateralMastectomyLeftPerformed\n    where UnilateralMastectomyLeftPerformed.performed.toInterval ( ) ends on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 9         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Bilateral Mastectomy Diagnosis"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Bilateral Mastectomy Diagnosis\":\n  [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory\n    where BilateralMastectomyHistory.prevalenceInterval ( ) starts on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 10         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Bilateral Mastectomy Procedure"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Bilateral Mastectomy Procedure\":\n  ( ( [Procedure: \"Bilateral Mastectomy\"] ).isProcedurePerformed ( ) ) BilateralMastectomyPerformed\n    where BilateralMastectomyPerformed.performed.toInterval ( ) ends on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 11         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Criteria Indicating Frailty"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Criteria Indicating Frailty\":\n  exists ( (([DeviceRequest: \"Frailty Device\"]).isDeviceOrder()) FrailtyDeviceOrder\n      where FrailtyDeviceOrder.doNotPerform() is not true\n      and FrailtyDeviceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n  )\n    or exists ( (([Observation: \"Medical equipment used\"]).isAssessmentPerformed()) EquipmentUsed\n        where EquipmentUsed.value as Concept in \"Frailty Device\" \n        and EquipmentUsed.effective.toInterval() ends during day of \"Measurement Period\"\n    )\n    or exists ( ([Condition: \"Frailty Diagnosis\"]) FrailtyDiagnosis\n        where FrailtyDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ( (([Encounter: \"Frailty Encounter\"]).isEncounterPerformed()) FrailtyEncounter\n        where FrailtyEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ( (([Observation: \"Frailty Symptom\"]).isSymptom()) FrailtySymptom\n        where FrailtySymptom.effective.toInterval() overlaps day of \"Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 12         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Advanced Illness in Year Before or During Measurement Period"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Advanced Illness in Year Before or During Measurement Period\":\nexists ([Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis\nwhere AdvancedIllnessDiagnosis.prevalenceInterval() starts during day of Interval[start of \"Measurement Period\" - 1 year, end of \"Measurement Period\"])"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 13         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Dementia Medications in Year Before or During Measurement Period"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Dementia Medications in Year Before or During Measurement Period\":\n  exists (( ([MedicationRequest: medication in \"Dementia Medications\"]).isMedicationActive()) DementiaMedication\n        // https://oncprojectracking.healthit.gov/support/browse/CQLIT-449\n      where DementiaMedication.medicationRequestPeriod() overlaps day of Interval[start of \"Measurement Period\" - 1 year, \n        end of \"Measurement Period\"]\n        // and DementiaMedication.doNotPerform is not true\n        // https://oncprojectracking.healthit.gov/support/browse/CQLIT-447\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 14         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Is Age 66 or Older with Advanced Illness and Frailty"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Is Age 66 or Older with Advanced Illness and Frailty\":\n   AgeInYearsAt(date from end of \"Measurement Period\")>= 66\n    and \"Has Criteria Indicating Frailty\"\n    and ( \"Has Advanced Illness in Year Before or During Measurement Period\"\n        or \"Has Dementia Medications in Year Before or During Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 15         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Is Age 66 or Older Living Long Term in a Nursing Home"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Is Age 66 or Older Living Long Term in a Nursing Home\":\n  AgeInYearsAt(date from \n     end of \"Measurement Period\"\n  )>= 66\n    and ( ( Last( (([Observation: \"Housing status\"]).isAssessmentPerformed()) HousingStatus    \n          where HousingStatus.effective.toInterval() ends on or before \n          day of end of \"Measurement Period\"\n          sort by \n          end of effective.toInterval() asc\n      )) LastHousingStatus\n        where LastHousingStatus.value ~ \"Lives in a nursing home (finding)\"\n    ) is not null"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 16         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "PalliativeCare"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Palliative Care in the Measurement Period"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Palliative Care in the Measurement Period\":\n  exists ((([Observation: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"]).isAssessmentPerformed()) PalliativeAssessment\n      where PalliativeAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n  )\n    or exists ([Condition: \"Palliative Care Diagnosis\"] PalliativeDiagnosis\n        where PalliativeDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Encounter: \"Palliative Care Encounter\"]).isEncounterPerformed()) PalliativeEncounter\n        where PalliativeEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Procedure: \"Palliative Care Intervention\"]).isInterventionPerformed()) PalliativeIntervention\n        where PalliativeIntervention.performed.toInterval() overlaps day of \"Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 17         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "BreastCancerScreeningFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Denominator Exclusions"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or ( ( exists ( \"Right Mastectomy Diagnosis\" )\n          or exists ( \"Right Mastectomy Procedure\" )\n      )\n        and ( exists ( \"Left Mastectomy Diagnosis\" )\n            or exists ( \"Left Mastectomy Procedure\" )\n        )\n    )\n    or exists \"Bilateral Mastectomy Diagnosis\"\n    or exists \"Bilateral Mastectomy Procedure\"\n    or AIFrailLTCF.\"Is Age 66 or Older with Advanced Illness and Frailty\"\n    or AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"\n    or PalliativeCare.\"Has Palliative Care in the Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 18         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isDiagnosticStudyPerformed"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Diagnostic Study, Performed\ndefine fluent function isDiagnosticStudyPerformed(Obs List<Observation>):\n  Obs O\n    where O.status in {'final', 'amended', 'corrected' }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 19         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isEncounterPerformed"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Encounter, Performed\n//General usage unless required otherwise by measure intent (e.g., follow-up encounters)\ndefine fluent function isEncounterPerformed(Enc List<Encounter>):\n  Enc E\n    where E.status in {'finished', 'arrived', 'triaged', 'in-progress', 'onleave'}"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 20         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "QICoreCommon"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "toInterval"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of DateTime, Quanitty, Interval<DateTime>, or Interval<Quantity> types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in QICore, allowing this function to be used across any resource.\nThe input can be provided as a DateTime, Quantity, Interval<DateTime> or Interval<Quantity>.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.\nIf the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,\nand the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.\nIf the input is a DateTime Interval, the result is the input.\nIf the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result\nis a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending\nimmediately before one year later than the date the patient turned the age given as the end of the quantity interval.\nIf the input is a Timing, an error will be thrown indicating that Timing calculations are not implemented. Any other input will reslt in a null DateTime Interval\n*/\ndefine fluent function toInterval(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>, Timing>):\n  case\n	  when choice is DateTime then\n    	Interval[choice as DateTime, choice as DateTime]\n		when choice is Interval<DateTime> then\n  		choice as Interval<DateTime>\n		when choice is Quantity then\n		  Interval[Patient.birthDate + (choice as Quantity),\n			  Patient.birthDate + (choice as Quantity) + 1 year)\n		when choice is Interval<Quantity> then\n		  Interval[Patient.birthDate + (choice.low as Quantity),\n			  Patient.birthDate + (choice.high as Quantity) + 1 year)\n		when choice is Timing then\n      Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval<DateTime>\n		else\n			null as Interval<DateTime>\n	end"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 21         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ToInterval"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.\"start\" is null then\n            Interval(period.\"start\".value, period.\"end\".value]\n        else\n            Interval[period.\"start\".value, period.\"end\".value]"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 22         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isAssessmentPerformed"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//This library contains functions that are based on QDM 5.6 to QICore 4.1.1 March 2023 (https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns---QICore-v4.1.1). The functions may appear similar to some QICoreCommon functions but different in that they have constraints that are relevant for measures authored by NCQA.\n\n//Assessment, Performed\ndefine fluent function isAssessmentPerformed(Obs List<Observation>):\n  Obs O\n    where O.status in { 'final', 'amended', 'corrected' }\n          and exists ( O.category ObservationCategory\n          where ( ObservationCategory ) ~ \"survey\"\n      )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 23         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ToConcept"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\n*/\ndefine function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 24         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ToCode"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 25         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isInterventionOrder"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Intervention, Order: active and completed only    \ndefine fluent function isInterventionOrder(ServiceRequest List<ServiceRequest>):\n  ServiceRequest S\n    where S.status in { 'active', 'completed' }\n      and S.intent = 'order'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 26         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isInterventionPerformed"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Intervention, Performed\ndefine fluent function isInterventionPerformed(Proc List<Procedure>):\n  Proc P\n    where P.status ~ 'completed'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 27         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "QICoreCommon"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "prevalenceInterval"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting \ninterval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.\n*/\ndefine fluent function prevalenceInterval(condition Condition):\nif condition.clinicalStatus ~ \"active\"\n  or condition.clinicalStatus ~ \"recurrence\"\n  or condition.clinicalStatus ~ \"relapse\" then\n  Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n    (end of condition.abatementInterval()) abatementDate\n    return if abatementDate is null then\n      Interval[start of condition.onset.toInterval(), abatementDate)\n    else\n      Interval[start of condition.onset.toInterval(), abatementDate]"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 28         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "QICoreCommon"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "abatementInterval"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Returns an interval representing the normalized abatement of a given Condition.\n@comment: If the abatement element of the Condition is represented as a DateTime, the result\nis an interval beginning and ending on that DateTime.\nIf the abatement is represented as a Quantity, the quantity is expected to be a calendar-duration and is interpreted as the age of the patient. The\nresult is an interval from the date the patient turned that age to immediately before one year later.\nIf the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during\nwhich the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately\nbefore one year later than the date the patient turned the ending age of the quantity interval.\n*/\ndefine fluent function abatementInterval(condition Condition):\n	if condition.abatement is DateTime then\n	  Interval[condition.abatement as DateTime, condition.abatement as DateTime]\n	else if condition.abatement is Quantity then\n		Interval[Patient.birthDate + (condition.abatement as Quantity),\n			Patient.birthDate + (condition.abatement as Quantity) + 1 year)\n	else if condition.abatement is Interval<Quantity> then\n	  Interval[Patient.birthDate + (condition.abatement.low as Quantity),\n		  Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)\n	else if condition.abatement is Interval<DateTime> then\n	  Interval[condition.abatement.low, condition.abatement.high)\n	else null as Interval<DateTime>"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 29         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isProcedurePerformed"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Procedure, Performed\ndefine fluent function isProcedurePerformed(Proc List<Procedure>):\n  Proc P\n    where P.status ~ 'completed'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 30         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isDeviceOrder"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Device, Order - Personal Use Devices: active and completed only\ndefine fluent function isDeviceOrder(DeviceRequest List<DeviceRequest>):\n  DeviceRequest D\n    where D.status in { 'active', 'completed' }\n      and D.intent = 'order'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 31         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "QICoreCommon"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "doNotPerform"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n@description: Returns true if the given DeviceRequest is a negation (i.e. do not perform this order)\n*/\ndefine fluent function doNotPerform(deviceRequest DeviceRequest):\n  singleton from (\n    deviceRequest.modifierExtension E\n      where E.url = 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerform'\n      return E.value as Boolean\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 32         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isSymptom"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Symptom\ndefine fluent function isSymptom(Obs List<Observation>):\n  Obs O\n    where O.status in { 'preliminary', 'final', 'amended', 'corrected' }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 33         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Status"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "isMedicationActive"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "//Medication, Active\ndefine fluent function isMedicationActive(MedicationRequest List<MedicationRequest>):\n  MedicationRequest M\n    where M.status = 'active'\n      and M.intent = 'order'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 34         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "CumulativeMedicationDuration"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "medicationRequestPeriod"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define fluent function medicationRequestPeriod(Request \"MedicationRequest\"):\n  Request R\n    let\n      dosage: singleton from R.dosageInstruction,\n      doseAndRate: singleton from dosage.doseAndRate,\n      timing: dosage.timing,\n      frequency: Coalesce(timing.repeat.frequencyMax, timing.repeat.frequency),\n      period: Quantity(timing.repeat.period, timing.repeat.periodUnit),\n      doseRange: doseAndRate.dose,\n      doseQuantity: doseAndRate.dose,\n      dose: Coalesce(end of doseRange, doseQuantity),\n      dosesPerDay: Coalesce(ToDaily(frequency, period), Count(timing.repeat.timeOfDay), 1.0),\n      boundsPeriod: timing.repeat.bounds as Interval<DateTime>,\n      daysSupply: (convert R.dispenseRequest.expectedSupplyDuration to days).value,\n      quantity: R.dispenseRequest.quantity,\n      refills: Coalesce(R.dispenseRequest.numberOfRepeatsAllowed, 0),\n      startDate:\n        Coalesce(\n          date from start of boundsPeriod,\n          date from R.authoredOn,\n          date from start of R.dispenseRequest.validityPeriod\n        ),\n      totalDaysSupplied: Coalesce(daysSupply, quantity.value / (dose.value * dosesPerDay)) * (1 + refills)\n    return\n      if startDate is not null and totalDaysSupplied is not null then\n        Interval[startDate, startDate + Quantity(totalDaysSupplied - 1, 'day') ]\n      else if startDate is not null and boundsPeriod.\"high\" is not null then\n        Interval[startDate, date from end of boundsPeriod]\n      else\n        null"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 35         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "CumulativeMedicationDuration"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Quantity"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/**********************************************************************/\n/* Functions in this region are copied from opioid-mme-r4             */\n/**********************************************************************/\n\ndefine function Quantity(value Decimal, unit String):\n  if value is not null then\n    System.Quantity { value: value, unit: unit }\n  else\n    null"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 36         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "CumulativeMedicationDuration"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ToDaily"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "/*\n Goal is to get to number of days\n Two broad approaches to the calculation:\n  1) Based on supply and frequency, calculate the number of expected days the medication will cover/has covered\n  2) Based on relevant period, determine a covered interval and calculate the length of that interval in days\nThis topic covers several use cases and illustrates how to calculate Cumulative\nMedication Duration for each type of medication resource using the supply and\nfrequency approach.\n*/\n\n/*\n  For the first approach, we need to get from frequency to a frequency/day\n  So we define ToDaily\n*/\n\n/*\n  Calculates daily frequency given frequency within a period\n*/\ndefine function ToDaily(frequency System.Integer, period System.Quantity):\n  case period.unit\n    when 'h' then frequency * (24.0 / period.value)\n    when 'min' then frequency * (24.0 / period.value) * 60\n    when 's' then frequency * (24.0 / period.value) * 60 * 60\n    when 'd' then frequency * (24.0 / period.value) / 24\n    when 'wk' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'mo' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'a' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    when 'hour' then frequency * (24.0 / period.value)\n    when 'minute' then frequency * (24.0 / period.value) * 60\n    when 'second' then frequency * (24.0 / period.value) * 60 * 60\n    when 'day' then frequency * (24.0 / period.value) / 24\n    when 'week' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'month' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'year' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    when 'hours' then frequency * (24.0 / period.value)\n    when 'minutes' then frequency * (24.0 / period.value) * 60\n    when 'seconds' then frequency * (24.0 / period.value) * 60 * 60\n    when 'days' then frequency * (24.0 / period.value) / 24\n    when 'weeks' then frequency * (24.0 / period.value) / (24 * 7)\n    when 'months' then frequency * (24.0 / period.value) / (24 * 30) /* assuming 30 days in month */\n    when 'years' then frequency * (24.0 / period.value) / (24 * 365) /* assuming 365 days in year */\n    else Message(null, true, 'CMDLogic.ToDaily.UnknownUnit', ErrorLevel, 'Unknown unit ' & period.unit)\n  end"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 37         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] ) ;
    fhir:name [ fhir:v "EffectiveDataRequirements" ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/library-type>         ] ;
    fhir:code [ fhir:v "module-definition" ]       ] )     ] ;
        ( fhir:relatedArtifact [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "QICore model information" ] ;
    fhir:resource [
    fhir:v "http://hl7.org/fhir/us/qicore/Library/QICore-ModelInfo|4.1.1"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/Library/QICore-ModelInfo?version=4.1.1>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library Status" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/Status|1.8.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/Status?version=1.8.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library QICoreCommon" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/QICoreCommon|2.1.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/QICoreCommon?version=2.1.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library FHIRHelpers" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/FHIRHelpers|4.4.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/FHIRHelpers?version=4.4.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library AdultOutpatientEncounters" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/AdultOutpatientEncounters|4.11.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/AdultOutpatientEncounters?version=4.11.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library Hospice" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/Hospice|6.12.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/Hospice?version=6.12.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library AIFrailLTCF" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/AdvancedIllnessandFrailty|1.16.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/AdvancedIllnessandFrailty?version=1.16.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library CMD" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/CumulativeMedicationDuration|4.1.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/CumulativeMedicationDuration?version=4.1.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library PalliativeCare" ] ;
    fhir:resource [
    fhir:v "https://madie.cms.gov/Library/PalliativeCare|1.11.000"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/PalliativeCare?version=1.11.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system SNOMEDCT" ] ;
    fhir:resource [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system ObservationCategoryCodes" ] ;
    fhir:resource [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system LOINC" ] ;
    fhir:resource [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system ConditionClinicalStatusCodes" ] ;
    fhir:resource [
    fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Mammography" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Office Visit" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Annual Wellness Visit" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Preventive Care Services Established Office Visit, 18 and Up" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Preventive Care Services Initial Office Visit, 18 and Up" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Home Healthcare Services" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Virtual Encounter" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Telephone Visits" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Encounter Inpatient" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Hospice Encounter" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Hospice Care Ambulatory" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Hospice Diagnosis" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Status Post Right Mastectomy" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Unilateral Mastectomy, Unspecified Laterality" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Unilateral Mastectomy Right" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Status Post Left Mastectomy" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Unilateral Mastectomy Left" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set History of bilateral mastectomy" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"^^xsd:anyURI ;
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          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
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    fhir:display [ fhir:v "Medical equipment used" ]         ] )       ] [
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          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
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          ( fhir:profile [
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          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
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    fhir:l <http://loinc.org>           ] ;
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    fhir:path [ fhir:v "value" ]       ] ) ;
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    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
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          ( fhir:profile [
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    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] [ fhir:v "status" ] [ fhir:v "status.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090>         ]       ] )     ] [
    fhir:type [ fhir:v "ServiceRequest" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "authoredOn" ] [ fhir:v "authoredOn.value" ] [ fhir:v "status" ] [ fhir:v "status.value" ] [ fhir:v "intent" ] [ fhir:v "intent.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584>         ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] [ fhir:v "status" ] [ fhir:v "status.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584>         ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] [ fhir:v "status" ] [ fhir:v "status.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134>         ]       ] ) ;
          ( fhir:dateFilter [
    fhir:path [ fhir:v "performed" ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] [ fhir:v "status" ] [ fhir:v "status.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133>         ]       ] ) ;
          ( fhir:dateFilter [
    fhir:path [ fhir:v "performed" ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] [ fhir:v "status" ] [ fhir:v "status.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005>         ]       ] ) ;
          ( fhir:dateFilter [
    fhir:path [ fhir:v "performed" ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] [ fhir:v "status" ] [ fhir:v "status.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "bodySite" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167>         ]       ] )     ] [
    fhir:type [ fhir:v "DeviceRequest" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "status" ] [ fhir:v "status.value" ] [ fhir:v "intent" ] [ fhir:v "intent.value" ] [ fhir:v "url" ] [ fhir:v "url.value" ] [ fhir:v "value" ] [ fhir:v "authoredOn" ] [ fhir:v "authoredOn.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300>         ]       ] )     ] [
    fhir:type [ fhir:v "MedicationRequest" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest>       ] ) ;
          ( fhir:mustSupport [ fhir:v "medication" ] [ fhir:v "status" ] [ fhir:v "status.value" ] [ fhir:v "intent" ] [ fhir:v "intent.value" ] [ fhir:v "dosageInstruction" ] [ fhir:v "dispenseRequest" ] [ fhir:v "dispenseRequest.expectedSupplyDuration" ] [ fhir:v "dispenseRequest.quantity" ] [ fhir:v "dispenseRequest.numberOfRepeatsAllowed" ] [ fhir:v "dispenseRequest.numberOfRepeatsAllowed.value" ] [ fhir:v "authoredOn" ] [ fhir:v "authoredOn.value" ] [ fhir:v "dispenseRequest.validityPeriod" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "medication" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510>         ]       ] )     ] )
      ] ) ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements>     ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "#effective-data-requirements"^^xsd:anyURI ;
    fhir:l <#effective-data-requirements>     ]
      ] ) ; #
      fhir:url [
    fhir:v "https://madie.cms.gov/Measure/BreastCancerScreeningFHIR"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Measure/BreastCancerScreeningFHIR>
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "usual" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "short-name" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://madie.cms.gov/measure/shortName"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/measure/shortName>     ] ;
    fhir:value [ fhir:v "CMS125FHIR" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "version-independent" ]       ] )     ] ;
    fhir:system [
    fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
    fhir:l <urn:ietf:rfc:3986>     ] ;
    fhir:value [ fhir:v "urn:uuid:f766afa2-f780-45d2-b224-c1bdb733fa6f" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "version-specific" ]       ] )     ] ;
    fhir:system [
    fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
    fhir:l <urn:ietf:rfc:3986>     ] ;
    fhir:value [ fhir:v "urn:uuid:7c89bd23-97eb-446b-b63a-975b63503b1c" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "publisher" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://madie.cms.gov/measure/cmsId"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/measure/cmsId>     ] ;
    fhir:value [ fhir:v "125FHIR" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "CMS" ]     ]
      ] ) ; #
      fhir:version [ fhir:v "0.0.001"] ; #
      fhir:name [ fhir:v "BreastCancerScreeningFHIR"] ; #
      fhir:title [ fhir:v "Breast Cancer ScreeningFHIR"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2026-03-13T01:50:39+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "National Committee for Quality Assurance"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.ncqa.org/" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period"] ; #
      fhir:purpose [ fhir:v "UNKNOWN"] ; #
      fhir:usage [ fhir:v "This measure evaluates primary screening. Do not count biopsies, breast ultrasounds, or MRIs because they are not appropriate methods for primary breast cancer screening.  Please note the measure may include screenings performed outside the age range of patients referenced in the initial population. Screenings that occur prior to the measurement period are valid to meet measure criteria.  This eCQM is a patient-based measure.  This FHIR-based measure has been derived from the QDM-based measure: CMS125v13.   Please refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html)."] ; #
      fhir:copyright [ fhir:v "This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2024 National Committee for Quality Assurance. All Rights Reserved.  Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications.  CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use.  Some measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use.  This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation.  ICD-10 copyright 2024 World Health Organization. All Rights Reserved.  Some measures use RxNorm, a standardized nomenclature and coding for clinical drugs and drug delivery devices, which is made publicly available courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services. NLM is not responsible for the measures and does not endorse or recommend this or any other product.  “HL7” is the registered trademark of Health Level Seven International."] ; #
      fhir:effectivePeriod [
    fhir:start [ fhir:v "2025-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2025-12-31"^^xsd:date ]
      ] ; #
      fhir:author ( [
    fhir:name [ fhir:v "National Committee for Quality Assurance" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.ncqa.org/" ]     ] )
      ] ) ; #
      fhir:library ( [
    fhir:v "https://madie.cms.gov/Library/BreastCancerScreeningFHIR"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/Library/BreastCancerScreeningFHIR>
      ] ) ; #
      fhir:disclaimer [ fhir:v "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.   Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM]."] ; #
      fhir:scoring [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-scoring>       ] ;
    fhir:code [ fhir:v "proportion" ] ;
    fhir:display [ fhir:v "Proportion" ]     ] )
      ] ; #
      fhir:rationale [ fhir:v "Breast cancer is one of the most common types of cancers, accounting for 15 percent of all new cancer diagnoses in the U.S. (Noone et al., 2018). In 2015, over 3 million women were estimated to be living with breast cancer in the U.S. and it is estimated that 12 percent of women will be diagnosed with breast cancer at some point during their lifetime (Noone et al., 2018).   While there are other factors that affect a woman's risk of developing breast cancer, advancing age is a primary risk factor. Breast cancer is most frequently diagnosed among women ages 55-64; the median age at diagnosis is 62 years (Noone et al., 2018).  The chance of a woman being diagnosed with breast cancer in a given year increases with age. By age 40, the chances are 1 in 68; by age 50 it becomes 1 in 43; by age 60, it is 1 in 29 (American Cancer Society, 2017)."] ; #
      fhir:clinicalRecommendationStatement [ fhir:v "The U.S. Preventive Services Task Force (USPSTF) recommends biennial screening mammography for women aged 50-74 years (B recommendation) (USPSTF, 2016).  The decision to start screening mammography in women prior to age 50 years should be an individual one. Women who place a higher value on the potential benefit than the potential harms may choose to begin biennial screening between the ages of 40 and 49 years (C recommendation) (USPSTF, 2016).  The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women aged 75 years or older (I statement) (USPSTF, 2016).  The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of digital breast tomosynthesis (DBT) as a primary screening method for breast cancer (I statement) (USPSTF, 2016).   The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adjunctive screening for breast cancer using breast ultrasonography, magnetic resonance imaging, DBT, or other methods in women identified to have dense breasts on an otherwise negative screening mammogram (I statement) (USPSTF, 2016).  The National Comprehensive Cancer Network (NCCN) and the American College of Radiology (ACR) recommend using conventional mammography or DBT for screening women at low, intermediate or high risk for breast cancer (NCCN, 2021) (ACR, 2017)."] ; #
      fhir:group ( [
    fhir:id [ fhir:v "64e646302ad653247b573ada" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-scoring>           ] ;
    fhir:code [ fhir:v "proportion" ] ;
    fhir:display [ fhir:v "Proportion" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis>       ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "boolean"       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-type>           ] ;
    fhir:code [ fhir:v "process" ] ;
    fhir:display [ fhir:v "Process" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation>       ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "None"       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-improvement-notation>           ] ;
    fhir:code [ fhir:v "decrease" ] ;
    fhir:display [ fhir:v "increase" ]         ] )       ]     ] ) ;
        ( fhir:population [
    fhir:id [ fhir:v "FC061B94-3EB0-46E6-AD30-370E47E648AD" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "initial-population" ] ;
    fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
    fhir:description [ fhir:v "Women 52-74 years of age by the end of the measurement period with a visit during the measurement period" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Initial Population" ]       ]     ] [
    fhir:id [ fhir:v "054B4403-E6CF-4F3C-B36B-12003F3BA268" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "denominator" ] ;
    fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
    fhir:description [ fhir:v "Equals Initial Population" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Denominator" ]       ]     ] [
    fhir:id [ fhir:v "209265B9-B25B-4809-BB65-DFD42207CB9D" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "denominator-exclusion" ] ;
    fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
    fhir:description [ fhir:v "Exclude patients who are in hospice care for any part of the measurement period.  Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy on or before the end of the measurement period.  Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria: - Advanced illness diagnosis during the measurement period or the year prior - OR taking dementia medications during the measurement period or the year prior  Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.  Exclude patients receiving palliative care for any part of the measurement period." ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Denominator Exclusions" ]       ]     ] [
    fhir:id [ fhir:v "B7745FD9-0697-40A0-A179-3056DD614C8F" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "numerator" ] ;
    fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
    fhir:description [ fhir:v "Women with one or more mammograms any time on or between October 1 two years prior to the measurement period and the end of the measurement period" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Numerator" ]       ]     ] )
      ] ) . #