{ "resourceType" : "Library", "id" : "CMS816FHIRHHHypo", "text" : { "status" : "extensions", "div" : "
\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n \n \n \n \n \n\n\n\n\n \n\n\n \n
Metadata
Version1.1.000
StatusDraft
Type\n http://terminology.hl7.org/CodeSystem/library-type#logic-library\n\n\n
Parameters
ParameterNone
Library Content
CQL Content\n \n 
/*\nNOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.\n*/\nlibrary CMS816FHIRHHHypo version '1.1.000'\n\nusing USQualityCore version '0.1.0-cibuild'\nusing USCore version '6.1.0-derived'\nusing FHIR version '4.0.1'\n\ninclude hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers\ninclude hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon\ninclude hl7.fhir.us.cql.USCoreCommon version '2.0.0-ballot' called USCoreCommon\ninclude hl7.fhir.us.cql.USCoreElements version '2.0.0-ballot' called USCoreElements\n\ninclude CQMCommon version '5.1.000' called CQMCommon\ninclude USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon\ninclude SupplementalDataElements version '6.1.000' called SDE\ninclude Status version '2.1.000' called Status\n\nvalueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset "Glucose Lab Test Mass Per Volume": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.34'\nvalueset "Hypoglycemics Severe Hypoglycemia": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.393'\nvalueset "Positive Pregnancy Status": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.24'\n\nparameter "Measurement Period" Interval<DateTime>\n  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine "Denominator":\n  "Initial Population"\n\ndefine "Encounter With Severe Hypoglycemic Harm Event":\n  from\n    "Denominator" InpatientHospitalization,\n    "Severe Hypoglycemic Harm Event" HypoglycemicEvent\n    let GlucoseTestTime: HypoglycemicEvent.effective.earliest ( ),\n    HospitalizationInterval: InpatientHospitalization.hospitalizationWithObservation ( )\n    where GlucoseTestTime during HospitalizationInterval\n    return InpatientHospitalization\n\ndefine "Glucose Test With Result Less Than 40":\n  from\n    "Denominator" InpatientHospitalization,\n    "Hypoglycemic Medication Administration" HypoglycemicMedication,\n    ["LaboratoryResultObservation": "Glucose Lab Test Mass Per Volume"] GlucoseTest\n    let HospitalizationInterval: InpatientHospitalization.hospitalizationWithObservation ( ),\n    HypoglycemicMedicationStart: HypoglycemicMedication.effective.toInterval ( ),\n    GlucoseTestTime: GlucoseTest.effective.earliest ( )\n    where GlucoseTestTime during HospitalizationInterval\n      and GlucoseTest.status in { 'final', 'amended', 'corrected' }\n      and GlucoseTest.value < 40 'mg/dL'\n      and HypoglycemicMedicationStart starts 24 hours or less before or on GlucoseTestTime\n    return GlucoseTest\n\ndefine "Hypoglycemic Medication Administration":\n  ["MedicationAdministration": "Hypoglycemics Severe Hypoglycemia"] HypoMedication\n    where HypoMedication.status = 'completed'\n\ndefine "Initial Population":\n  "Encounter With Hypoglycemic Medication Administration"\n\ndefine "Numerator":\n  "Encounter With Severe Hypoglycemic Harm Event"\n\ndefine "Qualifying Encounter":\n  ["Encounter": "Encounter Inpatient"] InpatientEncounter\n    where AgeInYearsAt(date from start of InpatientEncounter.period) >= 18\n      and InpatientEncounter.period ends during day of "Measurement Period"\n      and InpatientEncounter.status = 'finished'\n\ndefine "SDE Ethnicity":\n  SDE."SDE Ethnicity"\n\ndefine "SDE Payer":\n  SDE."SDE Payer"\n\ndefine "SDE Race":\n  SDE."SDE Race"\n\ndefine "SDE Sex":\n  SDE."SDE Sex"\n\ndefine "Encounter With Hypoglycemic Medication Administration":\n  "Qualifying Encounter" InpatientHospitalization\n    with "Hypoglycemic Medication Administration" HypoglycemicMedication\n      such that HypoglycemicMedication.effective.toInterval ( ) starts during InpatientHospitalization.hospitalizationWithObservation ( )\n\ndefine "Low Glucose Test Followed By Glucose Test Result Greater Than 80":\n  from\n    "Denominator" InpatientHospitalization,\n    "Glucose Test With Result Less Than 40" LowGlucoseTest,\n    ["LaboratoryResultObservation": "Glucose Lab Test Mass Per Volume"] FollowupGlucoseTest\n    let GlucoseTestTime: LowGlucoseTest.effective.earliest ( ),\n    FollowupGlucoseTestTime: FollowupGlucoseTest.effective.earliest ( )\n    where FollowupGlucoseTestTime 5 minutes or less after GlucoseTestTime\n      and GlucoseTestTime during InpatientHospitalization.hospitalizationWithObservation ( )\n      and FollowupGlucoseTestTime during InpatientHospitalization.hospitalizationWithObservation ( )\n      and FollowupGlucoseTest.id !~ LowGlucoseTest.id\n      and FollowupGlucoseTest.status in { 'final', 'amended', 'corrected' }\n      and FollowupGlucoseTest.value > 80 'mg/dL'\n    return LowGlucoseTest\n\ndefine "Severe Hypoglycemic Harm Event":\n  "Glucose Test With Result Less Than 40" LowGlucoseTest\n    where not ( LowGlucoseTest.id in "Low Glucose Test Followed By Glucose Test Result Greater Than 80".id )
\n
Generated using version 0.5.6 of the sample-content-ig Liquid templates
\n
" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }], "url" : "https://madie.cms.gov/Library/CMS816FHIRHHHypo", "version" : "1.1.000", "name" : "CMS816FHIRHHHypo", "status" : "draft", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "logic-library" }] }, "date" : "2026-09-19T16:31:14+00:00", "content" : [{ "contentType" : "text/cql", "data" : 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"url" : "https://madie.cms.gov/Library-CMS816FHIRHHHypo.cql" }] }