{
  "resourceType" : "Library",
  "id" : "CMS819FHIRHHORAE",
  "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 CMS819FHIRHHORAE 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\ncodesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'\n\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset &quot;Operating Room Suite&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.141'\nvalueset &quot;Opioid Antagonist&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.119'\nvalueset &quot;Opioids, All&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.226'\nvalueset &quot;Routes of Administration for Opioid Antagonists&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.187'\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;Initial Population&quot;:\n  &quot;Encounter With Opioid Administration Outside Of Operating Room&quot;\n\ndefine &quot;Numerator&quot;:\n  &quot;Encounter With NonOperating Room Opioid And Antagonist Administration&quot;\n\ndefine &quot;Opioid Administration&quot;:\n  [&quot;MedicationAdministration&quot;: &quot;Opioids, All&quot;] Opioids\n    where Opioids.status = 'completed'\n\ndefine &quot;Non Enteral Opioid Antagonist Administration&quot;:\n  [&quot;MedicationAdministration&quot;: &quot;Opioid Antagonist&quot;] AntagonistGiven\n    where AntagonistGiven.status = 'completed'\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 Opioid Administration Outside Of Operating Room&quot;:\n  &quot;Qualifying Encounter&quot; InpatientEncounter\n    with &quot;Opioid Administration&quot; OpioidGiven\n      such that OpioidGiven.effective.toInterval ( ) starts during InpatientEncounter.hospitalizationWithObservation ( )\n        and not exists ( InpatientEncounter.location EncounterLocation\n            where EncounterLocation.location.getLocation ( ).type in &quot;Operating Room Suite&quot;\n              and OpioidGiven.effective.toInterval ( ) starts during EncounterLocation.period\n        )\n\n\n /*\n@author: Measure developer\n@description: Provides guidance to implementers to interpret logic in following defintion correctly\n@comment:Excludes opioid antagonist administered in operating room AND excludes opioids administered in operating room AND opioid is administered before opioid antagonist AND limits opioid antagonist to non-enteral routes\n */\n\n\ndefine &quot;Encounter With NonOperating Room Opioid And Antagonist Administration&quot;:\n  from\n    &quot;Non Enteral Opioid Antagonist Administration&quot; NonEnteralOpioidAntagonistGiven,\n    &quot;Opioid Administration&quot; OpioidGiven,\n    &quot;Denominator&quot; InpatientHospitalization\n    where not exists ( InpatientHospitalization.location EncounterLocation\n        where EncounterLocation.location.getLocation ( ).type in &quot;Operating Room Suite&quot;\n          and NonEnteralOpioidAntagonistGiven.effective.toInterval ( ) starts during EncounterLocation.period\n    )\n      and ( NonEnteralOpioidAntagonistGiven.effective.toInterval ( ) starts during InpatientHospitalization.hospitalizationWithObservation ( )\n          and OpioidGiven.effective.toInterval ( ) starts during InpatientHospitalization.hospitalizationWithObservation ( )\n          and OpioidGiven.effective.toInterval ( ) ends 12 hours or less before start of NonEnteralOpioidAntagonistGiven.effective.toInterval ( )\n          and NonEnteralOpioidAntagonistGiven.dosage.route in &quot;Routes of Administration for Opioid Antagonists&quot;\n      )\n    return InpatientHospitalization</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/CMS819FHIRHHORAE",
  "version" : "1.1.000",
  "name" : "CMS819FHIRHHORAE",
  "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-CMS819FHIRHHORAE.cql"
  }]
}