/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library CMSFHIR529HybridHospitalWideReadmission version '0.6.001'
using USQualityCore version '0.1.0-cibuild'
using USCore version '6.1.0-derived'
using FHIR version '4.0.1'
include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers
include hl7.fhir.uv.cql.FHIRCommon version '2.0.0' called FHIRCommon
include hl7.fhir.us.cql.USCoreCommon version '2.0.0-ballot' called USCoreCommon
include hl7.fhir.us.cql.USCoreElements version '2.0.0-ballot' called USCoreElements
include CQMCommon version '5.1.000' called CQMCommon
include USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon
include SupplementalDataElements version '6.1.000' called SDE
include Status version '2.1.000' called Status
codesystem "LOINC": 'http://loinc.org'
valueset "Bicarbonate lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.139'
valueset "Creatinine lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.2363'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Glucose lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.134'
valueset "Hematocrit lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114'
valueset "Non Invasive Oxygen Therapy by Nasal Cannula or Mask": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1248.209'
valueset "Non Invasive Oxygen Therapy Device Codes": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1170.57'
valueset "Medicare Advantage payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1104.12'
valueset "Medicare FFS payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1104.10'
valueset "Oxygen Saturation by Pulse Oximetry": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.151'
valueset "Potassium lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.117'
valueset "Sodium lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.119'
valueset "White blood cells count lab test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129'
code "Systolic blood pressure": '8480-6' from "LOINC" display 'Systolic BP'
parameter "Measurement Period" Interval<DateTime>
default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)
context Patient
define "Initial Population":
"Inpatient Encounters"
define "Inpatient Encounters":
[Encounter: "Encounter Inpatient"] InpatientEncounter
with ( [Coverage: "Medicare FFS payer"]
union [Coverage: "Medicare Advantage payer"] ) MedicarePayer
such that ( InpatientEncounter.hospitalizationWithObservationAndOutpatientSurgeryService ( ).lengthInDays ( ) ) < 365
and InpatientEncounter.status = 'finished'
and AgeInYearsAt(date from start of InpatientEncounter.period) >= 65
and InpatientEncounter.period ends during day of "Measurement Period"
define "SDE Encounter With First Body Temperature":
"Inpatient Encounters" EncounterInpatient
let FirstTemperature: First([USCore.BodyTemperatureProfile] Temperature
where Temperature.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and Temperature.status in { 'final', 'amended', 'corrected' }
and Temperature.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstTemperatureResult: FirstTemperature.value as Quantity,
Timing: FirstTemperature.effective.earliest ( )
}
define "SDE Encounter With First Heart Rate":
"Inpatient Encounters" EncounterInpatient
let FirstHeartRate: First([USCore.HeartRateProfile] HeartRate
where HeartRate.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and HeartRate.status in { 'final', 'amended', 'corrected' }
and HeartRate.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstHeartRateResult: FirstHeartRate.value as Quantity,
Timing: FirstHeartRate.effective.earliest ( )
}
define "SDE Encounter With First Oxygen Saturation":
"Inpatient Encounters" EncounterInpatient
let FirstOxygenSat: First(["USCore.PulseOximetryProfile": "Oxygen Saturation by Pulse Oximetry"] O2Saturation
where O2Saturation.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and O2Saturation.status in { 'final', 'amended', 'corrected' }
and O2Saturation.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstOxygenSatResult: FirstOxygenSat.value as Quantity,
Timing: FirstOxygenSat.effective.earliest ( )
}
define "SDE Encounter With First Respiratory Rate":
"Inpatient Encounters" EncounterInpatient
let FirstRespRate: First([USCore.RespiratoryRateProfile] Respirations
where Respirations.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and Respirations.status in { 'final', 'amended', 'corrected' }
and Respirations.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstRespRateResult: FirstRespRate.value as Quantity,
Timing: FirstRespRate.effective.earliest ( )
}
define "SDE Encounter With First Systolic Blood Pressure":
"Inpatient Encounters" EncounterInpatient
let FirstSystolicBP: First(["USCore.BloodPressureProfile"] BP
where BP.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and BP.status in { 'final', 'amended', 'corrected' }
and BP.component.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstSBPResult: FirstSystolicBP.component C
where C.code ~ "Systolic blood pressure"
return C.value as Quantity,
Timing: FirstSystolicBP.effective.earliest ( )
}
define "SDE Encounter With First Bicarbonate Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstBicarbonateLab: First(["LaboratoryResultObservation": "Bicarbonate lab test"] bicarbonatelab
where bicarbonatelab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and bicarbonatelab.status in { 'final', 'amended', 'corrected' }
and bicarbonatelab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstBicarbonateLab.value as Quantity,
Timing: FirstBicarbonateLab.issued
}
define "SDE Encounter With First Creatinine Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstCreatinineLab: First(["LaboratoryResultObservation": "Creatinine lab test"] CreatinineLab
where CreatinineLab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and CreatinineLab.status in { 'final', 'amended', 'corrected' }
and CreatinineLab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstCreatinineLab.value as Quantity,
Timing: FirstCreatinineLab.issued
}
define "SDE Encounter With First Glucose Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstGlucoseLab: First(["LaboratoryResultObservation": "Glucose lab test"] GlucoseLab
where GlucoseLab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and GlucoseLab.status in { 'final', 'amended', 'corrected' }
and GlucoseLab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstGlucoseLab.value as Quantity,
Timing: FirstGlucoseLab.issued
}
define "SDE Encounter With First Hematocrit Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstHematocritLab: First(["LaboratoryResultObservation": "Hematocrit lab test"] HematocritLab
where HematocritLab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and HematocritLab.status in { 'final', 'amended', 'corrected' }
and HematocritLab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstHematocritLab.value as Quantity,
Timing: FirstHematocritLab.issued
}
define "SDE Encounter With First Potassium Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstPotassiumLab: First(["LaboratoryResultObservation": "Potassium lab test"] PotassiumLab
where PotassiumLab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and PotassiumLab.status in { 'final', 'amended', 'corrected' }
and PotassiumLab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstPotassiumLab.value as Quantity,
Timing: FirstPotassiumLab.issued
}
define "SDE Encounter With First Sodium Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstSodiumLab: First(["LaboratoryResultObservation": "Sodium lab test"] SodiumLab
where SodiumLab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and SodiumLab.status in { 'final', 'amended', 'corrected' }
and SodiumLab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstSodiumLab.value as Quantity,
Timing: FirstSodiumLab.issued
}
define "SDE Encounter With First White Blood Cells Lab Test":
"Inpatient Encounters" EncounterInpatient
let FirstWhiteBloodCellLab: First(["LaboratoryResultObservation": "White blood cells count lab test"] WhiteBloodCellLab
where WhiteBloodCellLab.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and WhiteBloodCellLab.status in { 'final', 'amended', 'corrected' }
and WhiteBloodCellLab.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstWhiteBloodCellLab.value as Quantity,
Timing: FirstWhiteBloodCellLab.issued
}
define "SDE Encounter With First Weight Recorded":
"Inpatient Encounters" EncounterInpatient
let FirstWeight: First(["USCore.BodyWeightProfile"] WeightExam
where WeightExam.effective.earliest() during EncounterInpatient.hospitalizationWithObservationAndOutpatientSurgeryService()
and WeightExam.status in { 'final', 'amended', 'corrected' }
and WeightExam.value is not null
sort by effective.earliest()
)
return {
EncounterId: EncounterInpatient.id,
FirstResult: FirstWeight.value as Quantity,
Timing: FirstWeight.effective.earliest ( )
}
define "SDE Encounter With Oxygen 60 Minutes Or Less Prior To ED Admission Or During ED":
"Initial Population" EncounterInpatient
where exists ( ( [ServiceRequest: "Non Invasive Oxygen Therapy by Nasal Cannula or Mask"]
union [ServiceRequest: "Non Invasive Oxygen Therapy Device Codes"] ) OxygenTherapyOrder
where ( OxygenTherapyOrder.authoredOn during EncounterInpatient.edVisit ( ).period
or OxygenTherapyOrder.authoredOn 60 minutes or less before or on start of EncounterInpatient.edVisit ( ).period
)
and OxygenTherapyOrder.status in { 'active', 'completed' }
and OxygenTherapyOrder.intent = 'order'
return {
EncounterId: EncounterInpatient.id,
OrderStatus: OxygenTherapyOrder.status,
OrderTiming: OxygenTherapyOrder.authoredOn
}
)
or exists ( [Procedure: "Non Invasive Oxygen Therapy by Nasal Cannula or Mask"] OxygenAdminInterv
where ( OxygenAdminInterv.performed.toInterval ( ) starts during EncounterInpatient.edVisit ( ).period
or OxygenAdminInterv.performed.toInterval ( ) 60 minutes or less before or on start of EncounterInpatient.edVisit ( ).period
)
and OxygenAdminInterv.status = 'completed'
return {
EncounterId: EncounterInpatient.id,
EDEncounterTiming: EncounterInpatient.edVisit ( ).period,
PerformedStatus: OxygenAdminInterv.status,
PerformedTiming: OxygenAdminInterv.performed.toInterval ( )
}
)
define "SDE Ethnicity":
SDE."SDE Ethnicity"
define "SDE Payer":
SDE."SDE Payer"
define "SDE Race":
SDE."SDE Race"
define "SDE Sex":
SDE."SDE Sex"
|
