Draft dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.1.0 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-2025/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: CMS816FHIRHHHypo - JSON Representation

Draft as of 2026-09-19

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{
  "resourceType" : "Library",
  "id" : "CMS816FHIRHHHypo",
  "text" : {
    "status" : "extensions",
    "div" : "<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\"><a name=\"metadata\"> </a>Metadata</th>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">1.1.000</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\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\n\n\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 scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a>#logic-library\n\n\n</td>\n\n\n</tr>\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=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n\n\n<td class=\"content-container\">None</td>\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\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <a name=\"cql-content\"> </a>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\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 &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset &quot;Glucose Lab Test Mass Per Volume&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.34'\nvalueset &quot;Hypoglycemics Severe Hypoglycemia&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.393'\nvalueset &quot;Positive Pregnancy Status&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.24'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)\n\ncontext Patient\n\ndefine &quot;Denominator&quot;:\n  &quot;Initial Population&quot;\n\ndefine &quot;Encounter With Severe Hypoglycemic Harm Event&quot;:\n  from\n    &quot;Denominator&quot; InpatientHospitalization,\n    &quot;Severe Hypoglycemic Harm Event&quot; HypoglycemicEvent\n    let GlucoseTestTime: HypoglycemicEvent.effective.earliest ( ),\n    HospitalizationInterval: InpatientHospitalization.hospitalizationWithObservation ( )\n    where GlucoseTestTime during HospitalizationInterval\n    return InpatientHospitalization\n\ndefine &quot;Glucose Test With Result Less Than 40&quot;:\n  from\n    &quot;Denominator&quot; InpatientHospitalization,\n    &quot;Hypoglycemic Medication Administration&quot; HypoglycemicMedication,\n    [&quot;LaboratoryResultObservation&quot;: &quot;Glucose Lab Test Mass Per Volume&quot;] 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 &lt; 40 'mg/dL'\n      and HypoglycemicMedicationStart starts 24 hours or less before or on GlucoseTestTime\n    return GlucoseTest\n\ndefine &quot;Hypoglycemic Medication Administration&quot;:\n  [&quot;MedicationAdministration&quot;: &quot;Hypoglycemics Severe Hypoglycemia&quot;] HypoMedication\n    where HypoMedication.status = 'completed'\n\ndefine &quot;Initial Population&quot;:\n  &quot;Encounter With Hypoglycemic Medication Administration&quot;\n\ndefine &quot;Numerator&quot;:\n  &quot;Encounter With Severe Hypoglycemic Harm Event&quot;\n\ndefine &quot;Qualifying Encounter&quot;:\n  [&quot;Encounter&quot;: &quot;Encounter Inpatient&quot;] InpatientEncounter\n    where AgeInYearsAt(date from start of InpatientEncounter.period) &gt;= 18\n      and InpatientEncounter.period ends during day of &quot;Measurement Period&quot;\n      and InpatientEncounter.status = 'finished'\n\ndefine &quot;SDE Ethnicity&quot;:\n  SDE.&quot;SDE Ethnicity&quot;\n\ndefine &quot;SDE Payer&quot;:\n  SDE.&quot;SDE Payer&quot;\n\ndefine &quot;SDE Race&quot;:\n  SDE.&quot;SDE Race&quot;\n\ndefine &quot;SDE Sex&quot;:\n  SDE.&quot;SDE Sex&quot;\n\ndefine &quot;Encounter With Hypoglycemic Medication Administration&quot;:\n  &quot;Qualifying Encounter&quot; InpatientHospitalization\n    with &quot;Hypoglycemic Medication Administration&quot; HypoglycemicMedication\n      such that HypoglycemicMedication.effective.toInterval ( ) starts during InpatientHospitalization.hospitalizationWithObservation ( )\n\ndefine &quot;Low Glucose Test Followed By Glucose Test Result Greater Than 80&quot;:\n  from\n    &quot;Denominator&quot; InpatientHospitalization,\n    &quot;Glucose Test With Result Less Than 40&quot; LowGlucoseTest,\n    [&quot;LaboratoryResultObservation&quot;: &quot;Glucose Lab Test Mass Per Volume&quot;] 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 &gt; 80 'mg/dL'\n    return LowGlucoseTest\n\ndefine &quot;Severe Hypoglycemic Harm Event&quot;:\n  &quot;Glucose Test With Result Less Than 40&quot; LowGlucoseTest\n    where not ( LowGlucoseTest.id in &quot;Low Glucose Test Followed By Glucose Test Result Greater Than 80&quot;.id )</code></pre>\n      </td>\n    </tr>\n    \n  \n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.6 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "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"
    }
  ]
}