Draft dQM CMS Content Implementation Guide
2025.1.0 - CI Build

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

: NHSNGlycemicControlHypoglycemiaInitialPopulation - XML Representation

Active as of 2025-08-21

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<Library xmlns="http://hl7.org/fhir">
  <id value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"/>
    <profile
             value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header"><a name="metadata"> </a>Metadata</th>


</tr>

<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">NHSNGlycemicControlHypoglycemiaInitialPopulation</td>


</tr>





<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">1.1.000</td>


</tr>







  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">NHSNGlycemicControlHypoglycemiaInitialPopulation</td>


</tr>






















<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">FHIR
</td>


</tr>

<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">CQL
</td>


</tr>








<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>



<td class="content-container">Centers for Disease Control and Prevention (CDC)</td>


</tr>







<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>NHSNGlycemicControlHypoglycemiaInitialPopulation</p>
</div></td>


</tr>









<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    <a href="http://terminology.hl7.org/7.1.0/CodeSystem-library-type.html">http://terminology.hl7.org/CodeSystem/library-type</a>#logic-library


</td>


</tr>













<tr>


<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>


</tr>


<tr>


<th scope="row" class="row-header">Parameter</th>



<td class="content-container">None</td>


</tr>








  <tr>


<th colspan="2" scope="row" class="row-header">Library Content</th>


</tr>
  
    
    <tr>
      <th scope="row" class="row-header">CQL Content</th>
      <td>
        <a name="cql-content"> </a>
        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library NHSNGlycemicControlHypoglycemiaInitialPopulation version '1.1.000'

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 USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon
include SupplementalDataElements version '6.1.000' called SDE
include CQMCommon version '5.1.000' called CQMCommon

codesystem &quot;ActCode&quot;: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'
codesystem &quot;HSLOC&quot;: 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html'
codesystem &quot;LOINC&quot;: 'http://loinc.org'
codesystem &quot;RxNorm&quot;: 'https://www.nlm.nih.gov/research/umls/rxnorm/index.html'
codesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'

valueset &quot;Blood Glucose Laboratory and Point of Care Tests&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.38'
valueset &quot;Diabetes Medications&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.58'
valueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset &quot;Inpatient, Emergency, and Observation Locations&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265'
valueset &quot;NHSN Inpatient Encounter Class Codes&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274'

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

// Initial Population


define &quot;Initial Population&quot;:
  ( &quot;Inpatient Encounters During Measurement Period&quot;
    union &quot;Encounters with Patient Hospital Locations&quot; ) InpatientEncounters
    with &quot;Antidiabetic Drugs Administered or Ordered&quot; ADD
      such that Coalesce(start of ADD.effective.toInterval(), ADD.authoredOn) during InpatientEncounters.&quot;hospitalizationWithObservation&quot; ( )
    where ( InpatientEncounters.status = 'finished'
        or InpatientEncounters.status = 'in-progress'
        or InpatientEncounters.status = 'triaged'
        or InpatientEncounters.status = 'onleave'
        or InpatientEncounters.status = 'entered-in-error'
    )

define &quot;Inpatient Encounters During Measurement Period&quot;:
  [Encounter: &quot;Encounter Inpatient&quot;] InpatientEncounters
    where InpatientEncounters.period ends during day of &quot;Measurement Period&quot;
      and ( InpatientEncounters.class ~ USQualityCoreCommon.&quot;inpatient non-acute&quot;
          or InpatientEncounters.class ~ USQualityCoreCommon.&quot;inpatient non-acute&quot;
          or InpatientEncounters.class ~ USQualityCoreCommon.&quot;short stay&quot;
          or InpatientEncounters.class ~ USQualityCoreCommon.&quot;inpatient acute&quot;
          or InpatientEncounters.class ~ USQualityCoreCommon.&quot;inpatient encounter&quot;
      )

define &quot;Encounters with Patient Hospital Locations&quot;:
  &quot;Inpatient Encounters During Measurement Period&quot; InpatientEncounter
    where exists ( InpatientEncounter.location HospitalLocation
        where HospitalLocation.location.getLocation ( ).type in &quot;Inpatient, Emergency, and Observation Locations&quot;
          and HospitalLocation.period during day of InpatientEncounter.period
    )

define &quot;Antidiabetic Drugs Administered or Ordered&quot;:
  ( &quot;MedicationRequests&quot;
    union &quot;MedicationAdministrations&quot; ) MedReqOrAdmin
    where MedReqOrAdmin.getMedicationCode() in &quot;Diabetes Medications&quot;

//Supplemental Data Elements


define &quot;SDE Blood Glucose Observation&quot;:
  ( [&quot;LaboratoryResultObservation&quot;: &quot;Blood Glucose Laboratory and Point of Care Tests&quot;] GlucoseTest
      where exists ( &quot;Initial Population&quot; InitialPopulation
          where start of GlucoseTest.effective.toInterval ( ) during day of InitialPopulation.period
            or GlucoseTest.issued during day of InitialPopulation.period
      )
      return { GlucoseTest.id, GlucoseTest.extension, GlucoseTest.text, GlucoseTest.referenceRange, GlucoseTest.component, GlucoseTest.basedOn, GlucoseTest.partOf, GlucoseTest.category, GlucoseTest.status, GlucoseTest.subject, GlucoseTest.focus, GlucoseTest.encounter, GlucoseTest.effective, GlucoseTest.issued, GlucoseTest.performer, GlucoseTest.value, GlucoseTest.dataAbsentReason, GlucoseTest.interpretation, GlucoseTest.note, GlucoseTest.bodySite, GlucoseTest.method, GlucoseTest.specimen, GlucoseTest.device, GlucoseTest.hasMember, GlucoseTest.derivedFrom }
  )

define &quot;SDE Chief Complaint&quot;:
  &quot;Initial Population&quot; IP
    where exists ( IP.diagnosis InitialPopulationDiagnosis
        where InitialPopulationDiagnosis.use ~ FHIRCommon.&quot;CC&quot;
    )
    return { IP.id, IP.meta, IP.identifier, IP.status, IP.statusHistory, IP.class, IP.classHistory, IP.type, IP.serviceType, IP.priority, IP.subject, IP.period, IP.length, IP.reasonCode, IP.reasonReference, IP.diagnosis, IP.account, IP.hospitalization, IP.location, IP.partOf }

define &quot;Conditions&quot;:
  [&quot;ConditionProblemsHealthConcerns&quot;]
    union [&quot;ConditionEncounterDiagnosis&quot;]

define &quot;SDE Condition&quot;:
  [&quot;ConditionProblemsHealthConcerns&quot;] Diagnosis
    where exists ( &quot;Initial Population&quot; IP
        where Diagnosis.prevalenceInterval ( ) overlaps day of IP.period
    )
    return { Diagnosis.id, Diagnosis.meta, Diagnosis.clinicalStatus, Diagnosis.verificationStatus, Diagnosis.category, Diagnosis.severity, Diagnosis.code, Diagnosis.bodySite, Diagnosis.subject, Diagnosis.encounter.reference.getId(), Diagnosis.onset, Diagnosis.stage, Diagnosis.evidence, Diagnosis.note }

define &quot;SDE Coverage&quot;:
  [Coverage] Coverages
    where exists ( &quot;Initial Population&quot; IP
        where Coverages.period starts before or on day of IP.period
          and end of Coverages.period on or after day of end of IP.period
    )
    return { Coverages.id, Coverages.meta, Coverages.status, Coverages.type, Coverages.policyHolder, Coverages.subscriber, Coverages.subscriberId, Coverages.beneficiary, Coverages.dependent, Coverages.relationship, Coverages.period, Coverages.payor, Coverages.class, Coverages.order, Coverages.network, Coverages.subrogation, Coverages.contract }

define &quot;Encounters&quot;:
  [Encounter]

define &quot;SDE Encounter Locations&quot;:
  &quot;Initial Population&quot; IP
    where exists ( IP.location InitialPopulationLocation
        let types: ( InitialPopulationLocation.location ).getLocation ( ).type
        where exists ( types type
            where type in &quot;Inpatient, Emergency, and Observation Locations&quot;
        )
          and InitialPopulationLocation.period during IP.period
    )
    return { IP.id, IP.meta, IP.identifier, IP.status, IP.statusHistory, IP.class, IP.classHistory, IP.type, IP.serviceType, IP.priority, IP.subject, IP.period, IP.length, IP.reasonCode, IP.reasonReference, IP.diagnosis, IP.account, IP.hospitalization, IP.location, IP.partOf }

define &quot;Get Locations from Initial Population&quot;:
  flatten ( &quot;Initial Population&quot; IP
      let locationElements: IP.location
      return locationElements LE
        let locationReference: LE.location
        return ( locationReference.getLocation ( ) )
  )

define &quot;SDE Location&quot;:
  &quot;Get Locations from Initial Population&quot; Locations
    where exists &quot;Initial Population&quot;
      and Locations is not null
    return { Locations.id, Locations.meta, Locations.extension, Locations.status, Locations.operationalStatus, Locations.name, Locations.alias, Locations.description, Locations.mode, Locations.type, Locations.telecom, Locations.address, Locations.physicalType, Locations.position, Locations.managingOrganization, Locations.partOf, Locations.hoursOfOperation, Locations.availabilityExceptions, Locations.endpoint }

define &quot;SDE Initial Population Encounters&quot;:
  &quot;Initial Population&quot; IP
    return { IP.id, IP.meta, IP.identifier, IP.status, IP.statusHistory, IP.class, IP.classHistory, IP.type, IP.serviceType, IP.priority, IP.subject, IP.period, IP.length, IP.reasonCode, IP.reasonReference, IP.diagnosis, IP.account, IP.hospitalization, IP.location, IP.partOf }

define &quot;SDE Medication&quot;:
  ( &quot;MedicationRequests&quot;
    union &quot;MedicationAdministrations&quot; ) MedReqOrAdmin
    let medication: GetMedication(MedReqOrAdmin.medication as Reference)
    where medication is not null
      and exists ( &quot;Initial Population&quot; IP
          where Coalesce(MedReqOrAdmin.effective.toInterval(), MedReqOrAdmin.authoredOn.toInterval()) overlaps IP.&quot;hospitalizationWithObservation&quot; ( )
      )
    return { medication.id, medication.meta, medication.code, medication.status, medication.manufacturer, medication.form, medication.amount, medication.ingredient, medication.batch }

define function &quot;GetMedication&quot;(reference Reference):
  singleton from ( [Medication] Medication
      where reference.references ( Medication )
  )

define &quot;MedicationAdministrations&quot;:
  [MedicationAdministration]

define &quot;SDE Medication Administration&quot;:
  &quot;MedicationAdministrations&quot; MedAdministrations
    where exists ( &quot;Initial Population&quot; InitialPopulation
        where MedAdministrations.effective.toInterval ( ) overlaps InitialPopulation.&quot;hospitalizationWithObservation&quot; ( )
    )
    return { MedAdministrations.id, MedAdministrations.meta, MedAdministrations.instantiates, MedAdministrations.partOf, MedAdministrations.status, MedAdministrations.statusReason, MedAdministrations.category, MedAdministrations.medication, MedAdministrations.subject, MedAdministrations.context, MedAdministrations.supportingInformation, MedAdministrations.effective, MedAdministrations.performer, MedAdministrations.reasonCode, MedAdministrations.reasonReference, MedAdministrations.request, MedAdministrations.device, MedAdministrations.note, MedAdministrations.dosage }

define &quot;MedicationRequests&quot;:
  [MedicationRequest]

define &quot;SDE Medication Request&quot;:
  &quot;MedicationRequests&quot; MedRequests
    where exists ( &quot;Initial Population&quot; InitialPopulation
        where MedRequests.authoredOn during InitialPopulation.&quot;hospitalizationWithObservation&quot; ( )
    )
    return { MedRequests.id, MedRequests.meta, MedRequests.status, MedRequests.statusReason, MedRequests.intent, MedRequests.category, MedRequests.priority, MedRequests.doNotPerform, MedRequests.reported, MedRequests.medication, MedRequests.subject, MedRequests.encounter, MedRequests.authoredOn, MedRequests.requester, MedRequests.recorder, MedRequests.reasonCode, MedRequests.reasonReference, MedRequests.instantiatesCanonical, MedRequests.instantiatesUri, MedRequests.courseOfTherapyType, MedRequests.dosageInstruction }

define &quot;SDE Minimal Patient&quot;:
  [Patient] MinPt
    where exists &quot;Initial Population&quot;
    return { MinPt.id, MinPt.meta, MinPt.extension, MinPt.identifier, MinPt.active, MinPt.name, MinPt.telecom, MinPt.gender, MinPt.birthDate, MinPt.deceased, MinPt.address, MinPt.maritalStatus, MinPt.multipleBirth, MinPt.photo, MinPt.contact, MinPt.communication, MinPt.generalPractitioner, MinPt.managingOrganization, MinPt.link }

define &quot;SDE Service Request&quot;:
  [ServiceRequest] ServiceRequests
    where exists ( &quot;Initial Population&quot; InitialPopulation
        where ServiceRequests.authoredOn during InitialPopulation.period
    )
    return { ServiceRequests.id, ServiceRequests.meta, ServiceRequests.instantiatesCanonical, ServiceRequests.instantiatesUri, ServiceRequests.basedOn, ServiceRequests.replaces, ServiceRequests.requisition, ServiceRequests.status, ServiceRequests.intent, ServiceRequests.category, ServiceRequests.priority, ServiceRequests.doNotPerform, ServiceRequests.code, ServiceRequests.orderDetail, ServiceRequests.quantity, ServiceRequests.subject, ServiceRequests.encounter, ServiceRequests.occurrence, ServiceRequests.asNeeded, ServiceRequests.authoredOn, ServiceRequests.requester, ServiceRequests.performerType, ServiceRequests.performer, ServiceRequests.locationCode, ServiceRequests.reasonCode, ServiceRequests.reasonReference, ServiceRequests.insurance, ServiceRequests.bodySite, ServiceRequests.note, ServiceRequests.patientInstruction }

define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;

define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;

define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;

define &quot;SDE Sex&quot;:
  SDE.&quot;SDE Sex&quot;</code></pre>
      </td>
    </tr>
    
  



<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.6 of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
    <valueReference>
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <url
       value="https://madie.cms.gov/Library/NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
  <identifier>
    <use value="official"/>
    <system value="https://madie.cms.gov/login"/>
    <value value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
  </identifier>
  <version value="1.1.000"/>
  <name value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
  <title value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
  <status value="active"/>
  <experimental value="false"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2025-08-21T20:27:13+00:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
  <topic>
    <text value="FHIR"/>
  </topic>
  <topic>
    <text value="CQL"/>
  </topic>
  <content>
    <contentType value="text/cql"/>
    <data
          value="/*
NOTE: For use by March 2026 US Realm Connectathon participants for internal use only. Not for use or distribution in commercial products.
*/
library NHSNGlycemicControlHypoglycemiaInitialPopulation version '1.1.000'

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 USQualityCoreCommon version '0.1.0-cibuild' called USQualityCoreCommon
include SupplementalDataElements version '6.1.000' called SDE
include CQMCommon version '5.1.000' called CQMCommon

codesystem "ActCode": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'
codesystem "HSLOC": 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html'
codesystem "LOINC": 'http://loinc.org'
codesystem "RxNorm": 'https://www.nlm.nih.gov/research/umls/rxnorm/index.html'
codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Blood Glucose Laboratory and Point of Care Tests": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.38'
valueset "Diabetes Medications": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.58'
valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Inpatient, Emergency, and Observation Locations": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265'
valueset "NHSN Inpatient Encounter Class Codes": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.274'

parameter "Measurement Period" Interval<DateTime>
  default Interval[@2026-01-01T00:00:00.000Z, @2027-01-01T00:00:00.000Z)

context Patient

// Initial Population


define "Initial Population":
  ( "Inpatient Encounters During Measurement Period"
    union "Encounters with Patient Hospital Locations" ) InpatientEncounters
    with "Antidiabetic Drugs Administered or Ordered" ADD
      such that Coalesce(start of ADD.effective.toInterval(), ADD.authoredOn) during InpatientEncounters."hospitalizationWithObservation" ( )
    where ( InpatientEncounters.status = 'finished'
        or InpatientEncounters.status = 'in-progress'
        or InpatientEncounters.status = 'triaged'
        or InpatientEncounters.status = 'onleave'
        or InpatientEncounters.status = 'entered-in-error'
    )

define "Inpatient Encounters During Measurement Period":
  [Encounter: "Encounter Inpatient"] InpatientEncounters
    where InpatientEncounters.period ends during day of "Measurement Period"
      and ( InpatientEncounters.class ~ USQualityCoreCommon."inpatient non-acute"
          or InpatientEncounters.class ~ USQualityCoreCommon."inpatient non-acute"
          or InpatientEncounters.class ~ USQualityCoreCommon."short stay"
          or InpatientEncounters.class ~ USQualityCoreCommon."inpatient acute"
          or InpatientEncounters.class ~ USQualityCoreCommon."inpatient encounter"
      )

define "Encounters with Patient Hospital Locations":
  "Inpatient Encounters During Measurement Period" InpatientEncounter
    where exists ( InpatientEncounter.location HospitalLocation
        where HospitalLocation.location.getLocation ( ).type in "Inpatient, Emergency, and Observation Locations"
          and HospitalLocation.period during day of InpatientEncounter.period
    )

define "Antidiabetic Drugs Administered or Ordered":
  ( "MedicationRequests"
    union "MedicationAdministrations" ) MedReqOrAdmin
    where MedReqOrAdmin.getMedicationCode() in "Diabetes Medications"

//Supplemental Data Elements


define "SDE Blood Glucose Observation":
  ( ["LaboratoryResultObservation": "Blood Glucose Laboratory and Point of Care Tests"] GlucoseTest
      where exists ( "Initial Population" InitialPopulation
          where start of GlucoseTest.effective.toInterval ( ) during day of InitialPopulation.period
            or GlucoseTest.issued during day of InitialPopulation.period
      )
      return { GlucoseTest.id, GlucoseTest.extension, GlucoseTest.text, GlucoseTest.referenceRange, GlucoseTest.component, GlucoseTest.basedOn, GlucoseTest.partOf, GlucoseTest.category, GlucoseTest.status, GlucoseTest.subject, GlucoseTest.focus, GlucoseTest.encounter, GlucoseTest.effective, GlucoseTest.issued, GlucoseTest.performer, GlucoseTest.value, GlucoseTest.dataAbsentReason, GlucoseTest.interpretation, GlucoseTest.note, GlucoseTest.bodySite, GlucoseTest.method, GlucoseTest.specimen, GlucoseTest.device, GlucoseTest.hasMember, GlucoseTest.derivedFrom }
  )

define "SDE Chief Complaint":
  "Initial Population" IP
    where exists ( IP.diagnosis InitialPopulationDiagnosis
        where InitialPopulationDiagnosis.use ~ FHIRCommon."CC"
    )
    return { IP.id, IP.meta, IP.identifier, IP.status, IP.statusHistory, IP.class, IP.classHistory, IP.type, IP.serviceType, IP.priority, IP.subject, IP.period, IP.length, IP.reasonCode, IP.reasonReference, IP.diagnosis, IP.account, IP.hospitalization, IP.location, IP.partOf }

define "Conditions":
  ["ConditionProblemsHealthConcerns"]
    union ["ConditionEncounterDiagnosis"]

define "SDE Condition":
  ["ConditionProblemsHealthConcerns"] Diagnosis
    where exists ( "Initial Population" IP
        where Diagnosis.prevalenceInterval ( ) overlaps day of IP.period
    )
    return { Diagnosis.id, Diagnosis.meta, Diagnosis.clinicalStatus, Diagnosis.verificationStatus, Diagnosis.category, Diagnosis.severity, Diagnosis.code, Diagnosis.bodySite, Diagnosis.subject, Diagnosis.encounter.reference.getId(), Diagnosis.onset, Diagnosis.stage, Diagnosis.evidence, Diagnosis.note }

define "SDE Coverage":
  [Coverage] Coverages
    where exists ( "Initial Population" IP
        where Coverages.period starts before or on day of IP.period
          and end of Coverages.period on or after day of end of IP.period
    )
    return { Coverages.id, Coverages.meta, Coverages.status, Coverages.type, Coverages.policyHolder, Coverages.subscriber, Coverages.subscriberId, Coverages.beneficiary, Coverages.dependent, Coverages.relationship, Coverages.period, Coverages.payor, Coverages.class, Coverages.order, Coverages.network, Coverages.subrogation, Coverages.contract }

define "Encounters":
  [Encounter]

define "SDE Encounter Locations":
  "Initial Population" IP
    where exists ( IP.location InitialPopulationLocation
        let types: ( InitialPopulationLocation.location ).getLocation ( ).type
        where exists ( types type
            where type in "Inpatient, Emergency, and Observation Locations"
        )
          and InitialPopulationLocation.period during IP.period
    )
    return { IP.id, IP.meta, IP.identifier, IP.status, IP.statusHistory, IP.class, IP.classHistory, IP.type, IP.serviceType, IP.priority, IP.subject, IP.period, IP.length, IP.reasonCode, IP.reasonReference, IP.diagnosis, IP.account, IP.hospitalization, IP.location, IP.partOf }

define "Get Locations from Initial Population":
  flatten ( "Initial Population" IP
      let locationElements: IP.location
      return locationElements LE
        let locationReference: LE.location
        return ( locationReference.getLocation ( ) )
  )

define "SDE Location":
  "Get Locations from Initial Population" Locations
    where exists "Initial Population"
      and Locations is not null
    return { Locations.id, Locations.meta, Locations.extension, Locations.status, Locations.operationalStatus, Locations.name, Locations.alias, Locations.description, Locations.mode, Locations.type, Locations.telecom, Locations.address, Locations.physicalType, Locations.position, Locations.managingOrganization, Locations.partOf, Locations.hoursOfOperation, Locations.availabilityExceptions, Locations.endpoint }

define "SDE Initial Population Encounters":
  "Initial Population" IP
    return { IP.id, IP.meta, IP.identifier, IP.status, IP.statusHistory, IP.class, IP.classHistory, IP.type, IP.serviceType, IP.priority, IP.subject, IP.period, IP.length, IP.reasonCode, IP.reasonReference, IP.diagnosis, IP.account, IP.hospitalization, IP.location, IP.partOf }

define "SDE Medication":
  ( "MedicationRequests"
    union "MedicationAdministrations" ) MedReqOrAdmin
    let medication: GetMedication(MedReqOrAdmin.medication as Reference)
    where medication is not null
      and exists ( "Initial Population" IP
          where Coalesce(MedReqOrAdmin.effective.toInterval(), MedReqOrAdmin.authoredOn.toInterval()) overlaps IP."hospitalizationWithObservation" ( )
      )
    return { medication.id, medication.meta, medication.code, medication.status, medication.manufacturer, medication.form, medication.amount, medication.ingredient, medication.batch }

define function "GetMedication"(reference Reference):
  singleton from ( [Medication] Medication
      where reference.references ( Medication )
  )

define "MedicationAdministrations":
  [MedicationAdministration]

define "SDE Medication Administration":
  "MedicationAdministrations" MedAdministrations
    where exists ( "Initial Population" InitialPopulation
        where MedAdministrations.effective.toInterval ( ) overlaps InitialPopulation."hospitalizationWithObservation" ( )
    )
    return { MedAdministrations.id, MedAdministrations.meta, MedAdministrations.instantiates, MedAdministrations.partOf, MedAdministrations.status, MedAdministrations.statusReason, MedAdministrations.category, MedAdministrations.medication, MedAdministrations.subject, MedAdministrations.context, MedAdministrations.supportingInformation, MedAdministrations.effective, MedAdministrations.performer, MedAdministrations.reasonCode, MedAdministrations.reasonReference, MedAdministrations.request, MedAdministrations.device, MedAdministrations.note, MedAdministrations.dosage }

define "MedicationRequests":
  [MedicationRequest]

define "SDE Medication Request":
  "MedicationRequests" MedRequests
    where exists ( "Initial Population" InitialPopulation
        where MedRequests.authoredOn during InitialPopulation."hospitalizationWithObservation" ( )
    )
    return { MedRequests.id, MedRequests.meta, MedRequests.status, MedRequests.statusReason, MedRequests.intent, MedRequests.category, MedRequests.priority, MedRequests.doNotPerform, MedRequests.reported, MedRequests.medication, MedRequests.subject, MedRequests.encounter, MedRequests.authoredOn, MedRequests.requester, MedRequests.recorder, MedRequests.reasonCode, MedRequests.reasonReference, MedRequests.instantiatesCanonical, MedRequests.instantiatesUri, MedRequests.courseOfTherapyType, MedRequests.dosageInstruction }

define "SDE Minimal Patient":
  [Patient] MinPt
    where exists "Initial Population"
    return { MinPt.id, MinPt.meta, MinPt.extension, MinPt.identifier, MinPt.active, MinPt.name, MinPt.telecom, MinPt.gender, MinPt.birthDate, MinPt.deceased, MinPt.address, MinPt.maritalStatus, MinPt.multipleBirth, MinPt.photo, MinPt.contact, MinPt.communication, MinPt.generalPractitioner, MinPt.managingOrganization, MinPt.link }

define "SDE Service Request":
  [ServiceRequest] ServiceRequests
    where exists ( "Initial Population" InitialPopulation
        where ServiceRequests.authoredOn during InitialPopulation.period
    )
    return { ServiceRequests.id, ServiceRequests.meta, ServiceRequests.instantiatesCanonical, ServiceRequests.instantiatesUri, ServiceRequests.basedOn, ServiceRequests.replaces, ServiceRequests.requisition, ServiceRequests.status, ServiceRequests.intent, ServiceRequests.category, ServiceRequests.priority, ServiceRequests.doNotPerform, ServiceRequests.code, ServiceRequests.orderDetail, ServiceRequests.quantity, ServiceRequests.subject, ServiceRequests.encounter, ServiceRequests.occurrence, ServiceRequests.asNeeded, ServiceRequests.authoredOn, ServiceRequests.requester, ServiceRequests.performerType, ServiceRequests.performer, ServiceRequests.locationCode, ServiceRequests.reasonCode, ServiceRequests.reasonReference, ServiceRequests.insurance, ServiceRequests.bodySite, ServiceRequests.note, ServiceRequests.patientInstruction }

define "SDE Ethnicity":
  SDE."SDE Ethnicity"

define "SDE Payer":
  SDE."SDE Payer"

define "SDE Race":
  SDE."SDE Race"

define "SDE Sex":
  SDE."SDE Sex""/>
    <url
         value="https://madie.cms.gov/Library-NHSNGlycemicControlHypoglycemiaInitialPopulation.cql"/>
  </content>
</Library>