dQM QICore Content Implementation Guide
2025.0.0 - CI Build
dQM QICore Content Implementation Guide
2025.0.0 - CI Build
dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-qicore-2025/ and changes regularly. See the Directory of published versions
| Active as of 2025-08-21 |
<Measure xmlns="http://hl7.org/fhir">
<id value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cohort-measure-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" class="col-12">
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">NHSN Glycemic Control Hypoglycemia Initial Population</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">0.0.003</td>
</tr>
<tr>
<th scope="row" class="row-header">Short Name</th>
<td class="content-container">NHSNHypoglycemia</td>
</tr>
<tr>
<th scope="row" class="row-header">GUID (Version Independent)</th>
<td class="content-container">urn:uuid:0d555fb6-f654-418c-a2b3-2dd0c3f0e7b4</td>
</tr>
<tr>
<th scope="row" class="row-header">GUID (Version Specific)</th>
<td class="content-container">urn:uuid:dc9459ed-48ca-45f3-923e-3352d9547461</td>
</tr>
<tr>
<th scope="row" class="row-header">Effective Period</th>
<td class="content-container">2026-01-01 through 2026-12-31</td>
</tr>
<tr>
<th scope="row" class="row-header">Use Context</th>
<td class="content-container">org.hl7.fhir.r5.model.UsageContext@6a4e852b</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">Developer</th>
<td class="content-container">Lantana Consulting Group</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><p>All inpatient encounters (including ED/Observation visits that end within 1 hour of the start of the inpatient encounter) for patients of all ages where at least one diabetes medication was ordered or administered during the encounter that is during the measurement period.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Purpose</th>
<td class="content-container"><p>The primary objective of the NHSN Glycemic Control module is to measure and benchmark medication-related hypoglycemia and hyperglycemia events within a facility. NHSN uses line-level data on medications and blood glucose reported by facilities to provide analytic reports to inform quality-improvement efforts for glycemic control and track patient safety events. As NHSN collects additional data, an additional objective will be to allow inter-facility benchmarking and evaluate national-level trends of medication-related hypoglycemia over time.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Copyright</th>
<td class="content-container"><p>Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Disclaimer</th>
<td class="content-container"><p>Disclaimer This performance measure is not a clinical guideline, does not establish a standard of medical care and has not been tested for all potential applications.</p>
<p>THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.</p>
<p>This measure and specifications are subject to further revisions.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Rationale</th>
<td class="content-container"><p>The NHSN Glycemic Control module supports an electronic health record (EHR)- and vendor-neutral standard for reporting patient-level, linked medication and blood glucose data for inpatients. These data support calculation of inpatient medication-related hypoglycemia events by the NHSN application, which are then returned as reports to the facility.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Clinical Recommendation Statement</th>
<td class="content-container"><p>Inpatient hypoglycemia can be severe and life-threatening and is associated with longer hospital stays and increased medical costs (Wexler et al., 2007; Curkendall et al., 2009; Cook et al., 2009; Turchin et al., 2009; Egi et al., 2010). The prevalence of inpatient hypoglycemia varies with patient, hospital unit, timing of episodes, and glycemic threshold. Severe hypoglycemia (<40 mg/dL) occurs in 2%–5% of hospitalized patients with diabetes mellitus (DM), while hypoglycemia <70 mg/dL has been reported in up to 10% of all patients in the intensive care unit (Finfer et al., 2012). Patients with DM comprise more than 25% of all U.S. inpatient stays and medication-related hypoglycemia events are common causes of adverse drug events (ADEs) that occur in inpatient settings (Bates et al., 2023; Spector et al., 2017). Rates of severe hypoglycemia vary across hospitals, suggesting opportunities for improvement in glycemic-control quality of care (Hulkower et al., 2014; ADA, 2013; Cook et al., 2009).</p>
<p>Inpatient hyperglycemia can increase morbidity, prolong hospital stays, and increase the risk of mortality (Maynard et al., 2014; SHM, n.d.; Umpierrez et al., 2002; Kyi et al., 2019; Pratiwi et al., 2021). The prevalence of inpatient hyperglycemia varies depending upon glycemic threshold and setting, but blood glucose >140 mg/dL likely occurs in approximately one-eighth to one-quarter of hospitalized patients (Pratiwi et al., 2021; Seisa et al., 2022; Barmanray et al., 2024). Tracking patient blood-glucose levels and implementing appropriate interventions may reduce complications associated with both hyperglycemia and hypoglycemia (ADA, 2013; Cook et al., 2009; Korytkowski et al., 2022; Moghissi et al., 2009).</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care 2013;36:1033–46.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Bates, D. W., Levine, D. M., Salmasian, H., et al. (2023). The safety of inpatient health care. New England Journal of Medicine, 388(12), 142–153.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Classen, D. C., Resar, R., Griffin, F., et al. (2011). 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Affairs, 30(4), 581–589.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Cook, C. B., Kongable, G. L., Potter, D. J., et al. (2009). Inpatient glucose control: A glycemic survey of 126 U.S. hospitals. Journal of Hospital Medicine, 4(E7), E7–E14.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Curkendall, S. M., Natoli, J. L., Alexander, C. M., et al. (2009). Economic and clinical impact of inpatient diabetic hypoglycemia. Endocrine Practice, 15(3), 302–312.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Egi, M., Bellomo, R., Stachowski, E., et al. (2010). Hypoglycemia and outcome in critically ill patients. Mayo Clinic Proceedings, 85(3), 217–224.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Finfer, S., Liu, B., Chittock, D. R., et al. (2012). Hypoglycemia and risk of death in critically ill patients. New England Journal of Medicine, 367, 1108–1118.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Gates, P. J., Meyerson, S. A., Baysari, M. T., et al. (2018). Preventable adverse drug events among inpatients: A systematic review. Pediatrics, 142, e20180805.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Hulkower RD, Pollack RM, Zonszein J. Understanding hypoglycemia in hospitalized patients. Diabetes Manag (Lond) 2014;4:165-76.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Maynard, G., et al. (2014). How sweet is it? The use of benchmarking to optimize inpatient glycemic control. Diabetes Spectrum, 27, 212–217.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Moghissi ES, Korytkowski MT, DiNardo M. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Endocr Pract 2009;15:353-69.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Society of Hospital Medicine. Glycemic Control for Hospitalists. Optimizing Care, Preventing Hypoglycemia. Available at: https://www.hospitalmedicine.org/clinical-topics/glycemic-control.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Spector, W. D., Limcangco, R., Furukawa, M. F., Encinosa, W. E. (2017). The marginal costs of adverse drug events associated with exposures to anticoagulants and hypoglycemic agents during hospitalization. Medical Care, 55(8), 856–863.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Turchin, A., Matheny, M. E., Shubina, M., et al. (2009). Hypoglycemia and clinical outcomes in patients with diabetes hospitalized in the general ward. Diabetes Care, 32(7), 1153–1157.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Umpierrez, G. E., Isaacs, S. D., Bazargan, N., et al. (2002). Hyperglycemia: An independent marker of in-hospital mortality in patients with undiagnosed diabetes. Journal of Clinical Endocrinology & Metabolism, 87(3), 978–982.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Citation</th>
<td class="content-container">
<p>Wexler, D. J., et al. (2007). Prevalence of hyper- and hypoglycemia among inpatients with diabetes: A national survey of 44 U.S. hospitals. Diabetes Care, 30(2), 367–369.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Blood glucose: <p>Blood-glucose data refers to data from random, periprandial, or fasting tests; from capillary, serum, plasma, interstitial fluid, or whole-blood sources; using central laboratory device (CLD) or point-of-care (POC) testing. Data from continuous glucose monitoring (CGM) systems can only be captured if they are integrated into the EHR and exposed in the corresponding FHIR resources. Post-glucose administration tests are excluded. Events are based on the day/time the laboratory test was collected (drawn). If day/time collected is not available, the day/time the lab was ordered is used.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Emergency department (ED)/Observation (Obs) encounter: <p>Any patient visit to an ED or observation location. One (1) patient visit equals one (1) encounter. ED/Observation encounters are considered outpatient locations.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Hypoglycemic medication: <p>All currently and previously commercially available oral or injectable hypoglycemic medications in the United States.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Inpatient encounter: <p>Includes all encounters in inpatient locations.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Mild hypoglycemia event: <p>Blood glucose 54.0 mg/dL to 69.9 mg/dL as identified on CLD or prescription POC device with no subsequent repeat test for blood glucose with a result > 80 mg/dL within 5 minutes of the start of the initial low blood glucose test.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Moderate hypoglycemia event: <p>Blood glucose 40.0 mg/dL to 53.9 mg/dL as identified on CLD or prescription POC device with no subsequent repeat test for blood glucose with a result > 80 mg/dL within 5 minutes of the start of the initial low blood glucose test.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container">Severe hypoglycemia event: <p>Blood glucose < 40.0 mg/dL as identified on CLD or prescription POC device with no subsequent repeat test for blood glucose with a result > 80 mg/dL within 5 minutes of the start of the initial low blood glucose test.</p></td>
</tr>
<tr>
<th scope="row" class="row-header">Guidance (Usage)</th>
<td class="content-container"><p>All participating inpatient facilities reporting data to the NHSN Glycemic Control module must be able to report data electronically in adherence to HL7 FHIR US Core FHIR R4.0.1 data standards and specifications and NHSN instructions for reporting dQMs, including the HL7 NHSN dQM Reporting Implementation Guide (https://build.fhir.org/ig/HL7/nhsn-dqm/).</p></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Group_1)</th>
</tr>
<tr>
<th scope="row" class="row-header">Basis</th>
<td class="content-container">Encounter</td>
</tr>
<tr>
<th scope="row" class="row-header">Scoring</th>
<td class="content-container">[http://terminology.hl7.org/CodeSystem/measure-scoring#cohort: 'Cohort']</td>
</tr>
<tr>
<th scope="row" class="row-header">Type</th>
<td class="content-container">[http://terminology.hl7.org/CodeSystem/measure-type#process: 'Process']</td>
</tr>
<tr>
<th scope="row" class="row-header">Initial Population</th>
<td class="content-container">
<em>ID</em>: InitialPopulation_1
<br/>
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one"><p>All inpatient encounters, as well as ED and OBS encounters that end within 1 hour of the start of the inpatient encounter, for patients of all ages where at least one diabetes medication was ordered or administered during the encounter that is during the measurement period.</p></p>
<em>Logic Definition</em>: <a href="#primary-nhsnglycemiccontrolhypoglycemiainitialpopulation-initial-population">Initial Population</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Guidance</th>
<td class="content-container"><p>Supplemental Data</p></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Supplemental Data Elements</th>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-encounter-locations
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Encounter Locations
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-encounter-locations">SDE Encounter Locations</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-location
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Location
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-location">SDE Location</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-medication
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Medication
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-medication">SDE Medication</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-blood-glucose-observation
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Blood Glucose Observation
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-blood-glucose-observation">SDE Blood Glucose Observation</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-chief-complaint
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Chief Complaint
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-chief-complaint">SDE Chief Complaint</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-condition
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Condition
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-condition">SDE Condition</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-coverage
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Coverage
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-coverage">SDE Coverage</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-initial-population-encounters
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Initial Population Encounters
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-initial-population-encounters">SDE Initial Population Encounters</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-medication-administration
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Medication Administration
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-medication-administration">SDE Medication Administration</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-medication-request
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Medication Request
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-medication-request">SDE Medication Request</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-minimal-patient
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Minimal Patient
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-minimal-patient">SDE Minimal Patient</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-service-request
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Service Request
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-service-request">SDE Service Request</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-ethnicity
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Ethnicity
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-ethnicity">SDE Ethnicity</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-payer
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Payer
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-payer">SDE Payer</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-race
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Race
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-race">SDE Race</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Supplemental Data Element</th>
<td class="content-container">
<em>ID</em>: sde-sex
<br/>
<em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]
<br/>
<em>Description</em>: SDE Sex
<br/>
<em>Logic Definition</em>: <a href="#nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-sex">SDE Sex</a>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container">https://madie.cms.gov/Library/NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<th scope="row" class="row-header">Contents</th>
<td class="content-container">
<em><a href="#population-criteria">Population Criteria</a></em>
<br/>
<em><a href="#definitions">Logic Definitions</a></em>
<br/>
<em><a href="#terminology">Terminology</a></em>
<br/>
<em><a href="#dependencies">Dependencies</a></em>
<br/>
<em><a href="#data-requirements">Data Requirements</a></em>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Group_1)</th>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="primary-nhsnglycemiccontrolhypoglycemiainitialpopulation-initial-population"> </a>
Initial Population
</th>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// 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'
)</code></pre>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="supplementaldataelements-sde-race"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Race":
Patient.race R
return Tuple {
codes: R.ombCategory union R.detailed,
display: R.text
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="supplementaldataelements-sde-sex"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Sex":
case
when Patient.sex = '248153007' then "Male (finding)"
when Patient.sex = '248152002' then "Female (finding)"
else null
end</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="supplementaldataelements-sde-payer"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Payer":
[Coverage: type in "Payer Type"] Payer
return {
code: Payer.type,
period: Payer.period
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="supplementaldataelements-sde-ethnicity"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Ethnicity":
Patient.ethnicity E
return Tuple {
codes: { E.ombCategory } union E.detailed,
display: E.text
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="cqmcommon-getlocation"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> CQMCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns the Location resource specified by the given reference.
*/
define fluent function getLocation(reference Reference):
singleton from (
[Location] L where reference.references(L)
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="cqmcommon-getmedicationcode"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> CQMCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns the medication code for the given MedicationRequest
*/
define fluent function getMedicationCode(request MedicationRequest):
if request.medication is Concept then
request.medication as Concept
else
(singleton from ([Medication] M where request.medication.references(M))).code</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="cqmcommon-hospitalizationwithobservation"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> CQMCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Hospitalization with Observation returns the total interval from the start of any immediately prior emergency department visit through the observation visit to the discharge of the given encounter
*/
define fluent function hospitalizationWithObservation(TheEncounter Encounter ):
TheEncounter Visit
let ObsVisit: Last([Encounter: "Observation Services"] LastObs
where LastObs.status = 'finished'
and LastObs.period ends 1 hour or less on or before start of Visit.period
sort by end of period
),
VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),
EDVisit: Last([Encounter: "Emergency Department Visit"] LastED
where LastED.status = 'finished'
and LastED.period ends 1 hour or less on or before VisitStart
sort by end of period
)
return Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="fhirhelpers-tointerval"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
value to a CQL DateTime Interval
@comment: If the start value of the given period is unspecified, the starting
boundary of the resulting interval will be open (meaning the start of the interval
is unknown, as opposed to interpreted as the beginning of time).
*/
define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="fhirhelpers-toconcept"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
*/
define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="fhirhelpers-tocode"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
*/
define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="fhirhelpers-tostring"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value uri): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-inpatient-encounters-during-measurement-period"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Inpatient Encounters During Measurement Period":
[Encounter: "Encounter Inpatient"] InpatientEncounters
where InpatientEncounters.period ends during day of "Measurement Period"
and ( InpatientEncounters.class ~ QICoreCommon."inpatient non-acute"
or InpatientEncounters.class ~ QICoreCommon."inpatient non-acute"
or InpatientEncounters.class ~ QICoreCommon."short stay"
or InpatientEncounters.class ~ QICoreCommon."inpatient acute"
or InpatientEncounters.class ~ QICoreCommon."inpatient encounter"
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-encounters-with-patient-hospital-locations"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-medicationrequests"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "MedicationRequests":
[MedicationRequest]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-medicationadministrations"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "MedicationAdministrations":
[MedicationAdministration]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-antidiabetic-drugs-administered-or-ordered"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Antidiabetic Drugs Administered or Ordered":
( "MedicationRequests"
union "MedicationAdministrations" ) MedReqOrAdmin
where Coalesce(MedReqOrAdmin.getMedicationCode(), MedReqOrAdmin.getMedicationAdministrationCode()) in "Diabetes Medications"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-initial-population"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// 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'
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-coverage"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-medication-request"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-encounter-locations"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-race"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Race":
SDE."SDE Race"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-medication-administration"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-sex"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Sex":
SDE."SDE Sex"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-initial-population-encounters"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-blood-glucose-observation"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">//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 }
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-condition"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-payer"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Payer":
SDE."SDE Payer"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-ethnicity"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Ethnicity":
SDE."SDE Ethnicity"</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-get-locations-from-initial-population"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Get Locations from Initial Population":
flatten ( "Initial Population" IP
let locationElements: IP.location
return locationElements LE
let locationReference: LE.location
return ( locationReference.getLocation ( ) )
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-location"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-service-request"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-minimal-patient"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-medication"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-sde-chief-complaint"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "SDE Chief Complaint":
"Initial Population" IP
where exists ( IP.diagnosis InitialPopulationDiagnosis
where InitialPopulationDiagnosis.use ~ QICoreCommon."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 }</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-getmedicationadministrationcode"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define fluent function getMedicationAdministrationCode(admin MedicationAdministration):
if admin.medication is Concept then admin.medication as Concept
else ( singleton from ( [Medication] M
where admin.medication.references ( M )
)
).code</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="nhsnglycemiccontrolhypoglycemiainitialpopulation-getmedication"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> NHSNGlycemicControlHypoglycemiaInitialPopulation</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function "GetMedication"(reference Reference):
singleton from ( [Medication] Medication
where reference.references ( Medication )
)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="qicorecommon-references"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> QICoreCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns true if the given reference is to the given resource
@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference Reference, resource Resource):
resource.id = Last(Split(reference.reference, '/'))</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="qicorecommon-prevalenceinterval"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> QICoreCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns an interval representing the normalized prevalence period of a given Condition.
@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from
onset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting
interval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.
*/
define fluent function prevalenceInterval(condition Choice<"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns">):
if condition.clinicalStatus ~ "active"
or condition.clinicalStatus ~ "recurrence"
or condition.clinicalStatus ~ "relapse" then
Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]
else
(end of condition.abatementInterval()) abatementDate
return if abatementDate is null then
Interval[start of condition.onset.toInterval(), abatementDate)
else
Interval[start of condition.onset.toInterval(), abatementDate]</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="qicorecommon-abatementinterval"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> QICoreCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns an interval representing the normalized abatement of a given Condition.
@comment: If the abatement element of the Condition is represented as a DateTime, the result
is an interval beginning and ending on that DateTime.
If the abatement is represented as a Quantity, the quantity is expected to be a calendar-duration and is interpreted as the age of the patient. The
result is an interval from the date the patient turned that age to immediately before one year later.
If the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during
which the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately
before one year later than the date the patient turned the ending age of the quantity interval.
*/
define fluent function abatementInterval(condition Choice<"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns">):
if condition.abatement is DateTime then
Interval[condition.abatement as DateTime, condition.abatement as DateTime]
else if condition.abatement is Quantity then
Interval[Patient.birthDate + (condition.abatement as Quantity),
Patient.birthDate + (condition.abatement as Quantity) + 1 year)
else if condition.abatement is Interval<Quantity> then
Interval[Patient.birthDate + (condition.abatement.low as Quantity),
Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)
else if condition.abatement is Interval<DateTime> then
Interval[condition.abatement.low, condition.abatement.high)
else null as Interval<DateTime></code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="qicorecommon-getid"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> QICoreCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).
@comment: This function can be used to determine the logical id of a given resource. It can be used in
a single-server environment to trace references. However, this function does not attempt to resolve
or distinguish the base of the given url, and so cannot be used safely in multi-server environments.
*/
define fluent function getId(uri String):
Last(Split(uri, '/'))</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
<a name="qicorecommon-tointerval"> </a>
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> QICoreCommon</td>
</tr>
<tr>
<td>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of DateTime, Quanitty, Interval<DateTime>, or Interval<Quantity> types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in QICore, allowing this function to be used across any resource.
The input can be provided as a DateTime, Quantity, Interval<DateTime> or Interval<Quantity>.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.
If the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,
and the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.
If the input is a DateTime Interval, the result is the input.
If the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result
is a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending
immediately before one year later than the date the patient turned the age given as the end of the quantity interval.
If the input is a Timing, an error will be thrown indicating that Timing calculations are not implemented. Any other input will reslt in a null DateTime Interval
*/
define fluent function toInterval(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>, Timing>):
case
when choice is DateTime then
Interval[choice as DateTime, choice as DateTime]
when choice is Interval<DateTime> then
choice as Interval<DateTime>
when choice is Quantity then
Interval[Patient.birthDate + (choice as Quantity),
Patient.birthDate + (choice as Quantity) + 1 year)
when choice is Interval<Quantity> then
Interval[Patient.birthDate + (choice.low as Quantity),
Patient.birthDate + (choice.high as Quantity) + 1 year)
when choice is Timing then
Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval<DateTime>
else
null as Interval<DateTime>
end</code></pre>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system ActCode
<br/>
<em>Resource</em>: http://terminology.hl7.org/CodeSystem/v3-ActCode
<br/>
<em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/v3-ActCode</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system SNOMEDCT
<br/>
<em>Resource</em>: http://snomed.info/sct
<br/>
<em>Canonical URL</em>: <tt>http://snomed.info/sct</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system ConditionClinicalStatusCodes
<br/>
<em>Resource</em>: http://terminology.hl7.org/CodeSystem/condition-clinical
<br/>
<em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system Diagnosis Role
<br/>
<em>Resource</em>: http://terminology.hl7.org/CodeSystem/diagnosis-role
<br/>
<em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Encounter Inpatient
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Inpatient, Emergency, and Observation Locations
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Diabetes Medications
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.58
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.58</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Observation Services
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Emergency Department Visit
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Blood Glucose Laboratory and Point of Care Tests
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.38
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.38</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Value Set</th>
<td class="content-container">
<em>Description</em>: Value set Payer Type
<br/>
<em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
<br/>
<em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: inpatient non-acute
<br/>
<em>Code</em>: NONAC
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/v3-ActCode</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: short stay
<br/>
<em>Code</em>: SS
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/v3-ActCode</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: inpatient acute
<br/>
<em>Code</em>: ACUTE
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/v3-ActCode</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: inpatient encounter
<br/>
<em>Code</em>: IMP
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/v3-ActCode</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Male (finding)
<br/>
<em>Code</em>: 248153007
<br/>
<em>System</em>: <tt>http://snomed.info/sct</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Female (finding)
<br/>
<em>Code</em>: 248152002
<br/>
<em>System</em>: <tt>http://snomed.info/sct</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Active
<br/>
<em>Code</em>: active
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Recurrence
<br/>
<em>Code</em>: recurrence
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Relapse
<br/>
<em>Code</em>: relapse
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Display</em>: Chief complaint
<br/>
<em>Code</em>: CC
<br/>
<em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: QICore model information
<br/>
<em>Resource</em>: http://hl7.org/fhir/Library/QICore-ModelInfo
<br/>
<em>Canonical URL</em>: <tt>http://hl7.org/fhir/Library/QICore-ModelInfo</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library FHIRHelpers
<br/>
<em>Resource</em>: https://madie.cms.gov/Library/FHIRHelpers|4.4.000
<br/>
<em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/FHIRHelpers|4.4.000</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library QICoreCommon
<br/>
<em>Resource</em>: https://madie.cms.gov/Library/QICoreCommon|4.0.000
<br/>
<em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/QICoreCommon|4.0.000</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library CQMCommon
<br/>
<em>Resource</em>: https://madie.cms.gov/Library/CQMCommon|4.1.000
<br/>
<em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/CQMCommon|4.1.000</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library SDE
<br/>
<em>Resource</em>: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000
<br/>
<em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/SupplementalDataElements|5.1.000</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>Data Requirements</th>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
<br/>
<em>Must Support Elements</em>: type, status, status.value, period, location, id, id.value, meta, identifier, statusHistory, class, classHistory, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, partOf
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
<br/>
<em>Must Support Elements</em>: type, status, status.value, period, location, id, id.value, meta, identifier, statusHistory, class, classHistory, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, partOf
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Encounter
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
<br/>
<em>Must Support Elements</em>: type, period, class, status, status.value, location, id, id.value, meta, identifier, statusHistory, classHistory, serviceType, priority, subject, length, reasonCode, reasonReference, diagnosis, account, hospitalization, partOf
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Resource
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/StructureDefinition/Resource
<br/>
<em>Must Support Elements</em>: id, id.value
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Location
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location
<br/>
<em>Must Support Elements</em>: id, id.value, meta, extension, status, status.value, operationalStatus, name, name.value, alias, description, description.value, mode, mode.value, type, telecom, address, physicalType, position, managingOrganization, partOf, hoursOfOperation, availabilityExceptions, availabilityExceptions.value, endpoint
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: MedicationRequest
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
<br/>
<em>Must Support Elements</em>: medication, authoredOn, authoredOn.value, id, id.value, meta, status, status.value, statusReason, intent, intent.value, category, priority, priority.value, doNotPerform, doNotPerform.value, reported, subject, encounter, requester, recorder, reasonCode, reasonReference, instantiatesCanonical, instantiatesUri, courseOfTherapyType, dosageInstruction
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: MedicationAdministration
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationadministration
<br/>
<em>Must Support Elements</em>: medication, effective, id, id.value, meta, instantiates, partOf, status, status.value, statusReason, category, subject, context, supportingInformation, performer, reasonCode, reasonReference, request, device, note, dosage
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Medication
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication
<br/>
<em>Must Support Elements</em>: code
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Coverage
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
<br/>
<em>Must Support Elements</em>: period, id, id.value, meta, status, status.value, type, policyHolder, subscriber, subscriberId, subscriberId.value, beneficiary, dependent, dependent.value, relationship, payor, class, order, order.value, network, network.value, subrogation, subrogation.value, contract
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Coverage
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
<br/>
<em>Must Support Elements</em>: type, period
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: type</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Patient
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
<br/>
<em>Must Support Elements</em>: url, extension, birthDate, birthDate.value, id, id.value, meta, identifier, active, active.value, name, telecom, gender, gender.value, deceased, address, maritalStatus, multipleBirth, photo, contact, communication, generalPractitioner, managingOrganization, link
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab
<br/>
<em>Must Support Elements</em>: code, effective, issued, issued.value, id, id.value, extension, text, referenceRange, component, basedOn, partOf, category, status, status.value, subject, focus, encounter, performer, value, dataAbsentReason, interpretation, note, bodySite, method, specimen, device, hasMember, derivedFrom
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.38
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Condition
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns
<br/>
<em>Must Support Elements</em>: id, id.value, meta, clinicalStatus, verificationStatus, category, severity, code, bodySite, subject, encounter, encounter.reference, encounter.reference.value, onset, stage, evidence, note
<br/>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: ServiceRequest
<br/>
<em>Profile(s)</em>:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
<br/>
<em>Must Support Elements</em>: authoredOn, authoredOn.value, id, id.value, meta, instantiatesCanonical, instantiatesUri, basedOn, replaces, requisition, status, status.value, intent, intent.value, category, priority, priority.value, doNotPerform, doNotPerform.value, code, orderDetail, quantity, subject, encounter, occurrence, asNeeded, requester, performerType, performer, locationCode, reasonCode, reasonReference, insurance, bodySite, note, patientInstruction, patientInstruction.value
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="NONAC"/>
<display value="inpatient non-acute"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="SS"/>
<display value="short stay"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ACUTE"/>
<display value="inpatient acute"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="248153007"/>
<display value="Male (finding)"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="248152002"/>
<display value="Female (finding)"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="recurrence"/>
<display value="Recurrence"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="relapse"/>
<display value="Relapse"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="CC"/>
<display value="Chief complaint"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString
value="Inpatient Encounters During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="define "Inpatient Encounters During Measurement Period":
[Encounter: "Encounter Inpatient"] InpatientEncounters
where InpatientEncounters.period ends during day of "Measurement Period"
and ( InpatientEncounters.class ~ QICoreCommon."inpatient non-acute"
or InpatientEncounters.class ~ QICoreCommon."inpatient non-acute"
or InpatientEncounters.class ~ QICoreCommon."short stay"
or InpatientEncounters.class ~ QICoreCommon."inpatient acute"
or InpatientEncounters.class ~ QICoreCommon."inpatient encounter"
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="Encounters with Patient Hospital Locations"/>
</extension>
<extension url="statement">
<valueString
value="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
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="MedicationRequests"/>
</extension>
<extension url="statement">
<valueString
value="define "MedicationRequests":
[MedicationRequest]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="MedicationAdministrations"/>
</extension>
<extension url="statement">
<valueString
value="define "MedicationAdministrations":
[MedicationAdministration]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="Antidiabetic Drugs Administered or Ordered"/>
</extension>
<extension url="statement">
<valueString
value="define "Antidiabetic Drugs Administered or Ordered":
( "MedicationRequests"
union "MedicationAdministrations" ) MedReqOrAdmin
where Coalesce(MedReqOrAdmin.getMedicationCode(), MedReqOrAdmin.getMedicationAdministrationCode()) in "Diabetes Medications""/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="// 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'
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Coverage"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Medication Request"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Encounter Locations"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Race"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Race":
Patient.race R
return Tuple {
codes: R.ombCategory union R.detailed,
display: R.text
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Race"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Race":
SDE."SDE Race""/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Medication Administration"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Sex"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Sex":
case
when Patient.sex = '248153007' then "Male (finding)"
when Patient.sex = '248152002' then "Female (finding)"
else null
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Sex"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Sex":
SDE."SDE Sex""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Initial Population Encounters"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Blood Glucose Observation"/>
</extension>
<extension url="statement">
<valueString
value="//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 }
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Condition"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Payer"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Payer":
[Coverage: type in "Payer Type"] Payer
return {
code: Payer.type,
period: Payer.period
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Payer"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Payer":
SDE."SDE Payer""/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Ethnicity"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Ethnicity":
Patient.ethnicity E
return Tuple {
codes: { E.ombCategory } union E.detailed,
display: E.text
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Ethnicity"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Ethnicity":
SDE."SDE Ethnicity""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="Get Locations from Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="define "Get Locations from Initial Population":
flatten ( "Initial Population" IP
let locationElements: IP.location
return locationElements LE
let locationReference: LE.location
return ( locationReference.getLocation ( ) )
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Location"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Service Request"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Minimal Patient"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Medication"/>
</extension>
<extension url="statement">
<valueString
value="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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="SDE Chief Complaint"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Chief Complaint":
"Initial Population" IP
where exists ( IP.diagnosis InitialPopulationDiagnosis
where InitialPopulationDiagnosis.use ~ QICoreCommon."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 }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
value to a CQL DateTime Interval
@comment: If the start value of the given period is unspecified, the starting
boundary of the resulting interval will be open (meaning the start of the interval
is unknown, as opposed to interpreted as the beginning of time).
*/
define function ToInterval(period FHIR.Period):
if period is null then
null
else
if period."start" is null then
Interval(period."start".value, period."end".value]
else
Interval[period."start".value, period."end".value]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="CQMCommon"/>
</extension>
<extension url="name">
<valueString value="getLocation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns the Location resource specified by the given reference.
*/
define fluent function getLocation(reference Reference):
singleton from (
[Location] L where reference.references(L)
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="28"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="QICoreCommon"/>
</extension>
<extension url="name">
<valueString value="references"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns true if the given reference is to the given resource
@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference Reference, resource Resource):
resource.id = Last(Split(reference.reference, '/'))"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToConcept"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
*/
define function ToConcept(concept FHIR.CodeableConcept):
if concept is null then
null
else
System.Concept {
codes: concept.coding C return ToCode(C),
display: concept.text.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToCode"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
*/
define function ToCode(coding FHIR.Coding):
if coding is null then
null
else
System.Code {
code: coding.code.value,
system: coding.system.value,
version: coding.version.value,
display: coding.display.value
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="31"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="CQMCommon"/>
</extension>
<extension url="name">
<valueString value="getMedicationCode"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns the medication code for the given MedicationRequest
*/
define fluent function getMedicationCode(request MedicationRequest):
if request.medication is Concept then
request.medication as Concept
else
(singleton from ([Medication] M where request.medication.references(M))).code"/>
</extension>
<extension url="displaySequence">
<valueInteger value="32"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="getMedicationAdministrationCode"/>
</extension>
<extension url="statement">
<valueString
value="define fluent function getMedicationAdministrationCode(admin MedicationAdministration):
if admin.medication is Concept then admin.medication as Concept
else ( singleton from ( [Medication] M
where admin.medication.references ( M )
)
).code"/>
</extension>
<extension url="displaySequence">
<valueInteger value="33"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="CQMCommon"/>
</extension>
<extension url="name">
<valueString value="hospitalizationWithObservation"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Hospitalization with Observation returns the total interval from the start of any immediately prior emergency department visit through the observation visit to the discharge of the given encounter
*/
define fluent function hospitalizationWithObservation(TheEncounter Encounter ):
TheEncounter Visit
let ObsVisit: Last([Encounter: "Observation Services"] LastObs
where LastObs.status = 'finished'
and LastObs.period ends 1 hour or less on or before start of Visit.period
sort by end of period
),
VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),
EDVisit: Last([Encounter: "Emergency Department Visit"] LastED
where LastED.status = 'finished'
and LastED.period ends 1 hour or less on or before VisitStart
sort by end of period
)
return Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="34"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="FHIRHelpers"/>
</extension>
<extension url="name">
<valueString value="ToString"/>
</extension>
<extension url="statement">
<valueString
value="define function ToString(value uri): value.value"/>
</extension>
<extension url="displaySequence">
<valueInteger value="35"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="QICoreCommon"/>
</extension>
<extension url="name">
<valueString value="prevalenceInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns an interval representing the normalized prevalence period of a given Condition.
@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from
onset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting
interval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.
*/
define fluent function prevalenceInterval(condition Choice<"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns">):
if condition.clinicalStatus ~ "active"
or condition.clinicalStatus ~ "recurrence"
or condition.clinicalStatus ~ "relapse" then
Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]
else
(end of condition.abatementInterval()) abatementDate
return if abatementDate is null then
Interval[start of condition.onset.toInterval(), abatementDate)
else
Interval[start of condition.onset.toInterval(), abatementDate]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="36"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="QICoreCommon"/>
</extension>
<extension url="name">
<valueString value="abatementInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns an interval representing the normalized abatement of a given Condition.
@comment: If the abatement element of the Condition is represented as a DateTime, the result
is an interval beginning and ending on that DateTime.
If the abatement is represented as a Quantity, the quantity is expected to be a calendar-duration and is interpreted as the age of the patient. The
result is an interval from the date the patient turned that age to immediately before one year later.
If the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during
which the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately
before one year later than the date the patient turned the ending age of the quantity interval.
*/
define fluent function abatementInterval(condition Choice<"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns">):
if condition.abatement is DateTime then
Interval[condition.abatement as DateTime, condition.abatement as DateTime]
else if condition.abatement is Quantity then
Interval[Patient.birthDate + (condition.abatement as Quantity),
Patient.birthDate + (condition.abatement as Quantity) + 1 year)
else if condition.abatement is Interval<Quantity> then
Interval[Patient.birthDate + (condition.abatement.low as Quantity),
Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)
else if condition.abatement is Interval<DateTime> then
Interval[condition.abatement.low, condition.abatement.high)
else null as Interval<DateTime>"/>
</extension>
<extension url="displaySequence">
<valueInteger value="37"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="QICoreCommon"/>
</extension>
<extension url="name">
<valueString value="getId"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).
@comment: This function can be used to determine the logical id of a given resource. It can be used in
a single-server environment to trace references. However, this function does not attempt to resolve
or distinguish the base of the given url, and so cannot be used safely in multi-server environments.
*/
define fluent function getId(uri String):
Last(Split(uri, '/'))"/>
</extension>
<extension url="displaySequence">
<valueInteger value="38"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString
value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
</extension>
<extension url="name">
<valueString value="GetMedication"/>
</extension>
<extension url="statement">
<valueString
value="define function "GetMedication"(reference Reference):
singleton from ( [Medication] Medication
where reference.references ( Medication )
)"/>
</extension>
<extension url="displaySequence">
<valueInteger value="39"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="QICoreCommon"/>
</extension>
<extension url="name">
<valueString value="toInterval"/>
</extension>
<extension url="statement">
<valueString
value="/*
@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval
@comment: Normalizes a choice type of DateTime, Quanitty, Interval<DateTime>, or Interval<Quantity> types
to an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible
representations for timing-valued elements in QICore, allowing this function to be used across any resource.
The input can be provided as a DateTime, Quantity, Interval<DateTime> or Interval<Quantity>.
The intent of this function is to provide a clear and concise mechanism to treat single
elements that have multiple possible representations as intervals so that logic doesn't have to account
for the variability. More complex calculations (such as medication request period or dispense period
calculation) need specific guidance and consideration. That guidance may make use of this function, but
the focus of this function is on single element calculations where the semantics are unambiguous.
If the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.
If the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,
and the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.
If the input is a DateTime Interval, the result is the input.
If the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result
is a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending
immediately before one year later than the date the patient turned the age given as the end of the quantity interval.
If the input is a Timing, an error will be thrown indicating that Timing calculations are not implemented. Any other input will reslt in a null DateTime Interval
*/
define fluent function toInterval(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>, Timing>):
case
when choice is DateTime then
Interval[choice as DateTime, choice as DateTime]
when choice is Interval<DateTime> then
choice as Interval<DateTime>
when choice is Quantity then
Interval[Patient.birthDate + (choice as Quantity),
Patient.birthDate + (choice as Quantity) + 1 year)
when choice is Interval<Quantity> then
Interval[Patient.birthDate + (choice.low as Quantity),
Patient.birthDate + (choice.high as Quantity) + 1 year)
when choice is Timing then
Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval<DateTime>
else
null as Interval<DateTime>
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="40"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="QICore model information"/>
<resource value="http://hl7.org/fhir/Library/QICore-ModelInfo"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource value="https://madie.cms.gov/Library/FHIRHelpers|4.4.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library QICoreCommon"/>
<resource value="https://madie.cms.gov/Library/QICoreCommon|4.0.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library CQMCommon"/>
<resource value="https://madie.cms.gov/Library/CQMCommon|4.1.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library SDE"/>
<resource
value="https://madie.cms.gov/Library/SupplementalDataElements|5.1.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ActCode"/>
<resource value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system SNOMEDCT"/>
<resource value="http://snomed.info/sct"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionClinicalStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system Diagnosis Role"/>
<resource
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Encounter Inpatient"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Inpatient, Emergency, and Observation Locations"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Diabetes Medications"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.58"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Observation Services"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Emergency Department Visit"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Blood Glucose Laboratory and Point of Care Tests"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1190.38"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Payer Type"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Coverage"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Medication Request"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Encounter Locations"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Race"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Medication Administration"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Sex"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="SDE Initial Population Encounters"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Blood Glucose Observation"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Condition"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Payer"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Ethnicity"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Location"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Service Request"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Minimal Patient"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Medication"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Chief Complaint"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="status.value"/>
<mustSupport value="period"/>
<mustSupport value="location"/>
<mustSupport value="id"/>
<mustSupport value="id.value"/>
<mustSupport value="meta"/>
<mustSupport value="identifier"/>
<mustSupport value="statusHistory"/>
<mustSupport value="class"/>
<mustSupport value="classHistory"/>
<mustSupport value="serviceType"/>
<mustSupport value="priority"/>
<mustSupport value="subject"/>
<mustSupport value="length"/>
<mustSupport value="reasonCode"/>
<mustSupport value="reasonReference"/>
<mustSupport value="diagnosis"/>
<mustSupport value="account"/>
<mustSupport value="hospitalization"/>
<mustSupport value="partOf"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<mustSupport value="status.value"/>
<mustSupport value="period"/>
<mustSupport value="location"/>
<mustSupport value="id"/>
<mustSupport value="id.value"/>
<mustSupport value="meta"/>
<mustSupport value="identifier"/>
<mustSupport value="statusHistory"/>
<mustSupport value="class"/>
<mustSupport value="classHistory"/>
<mustSupport value="serviceType"/>
<mustSupport value="priority"/>
<mustSupport value="subject"/>
<mustSupport value="length"/>
<mustSupport value="reasonCode"/>
<mustSupport value="reasonReference"/>
<mustSupport value="diagnosis"/>
<mustSupport value="account"/>
<mustSupport value="hospitalization"/>
<mustSupport value="partOf"/>
<codeFilter>
<path value="type"/>
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<dataRequirement>
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<mustSupport value="dosage"/>
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<dataRequirement>
<type value="Medication"/>
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value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication"/>
<mustSupport value="code"/>
</dataRequirement>
<dataRequirement>
<type value="Coverage"/>
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value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
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<mustSupport value="beneficiary"/>
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<mustSupport value="network"/>
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<mustSupport value="subrogation"/>
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<mustSupport value="contract"/>
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<dataRequirement>
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value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
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<type value="Patient"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
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<mustSupport value="extension"/>
<mustSupport value="birthDate"/>
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<mustSupport value="name"/>
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<mustSupport value="deceased"/>
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<mustSupport value="maritalStatus"/>
<mustSupport value="multipleBirth"/>
<mustSupport value="photo"/>
<mustSupport value="contact"/>
<mustSupport value="communication"/>
<mustSupport value="generalPractitioner"/>
<mustSupport value="managingOrganization"/>
<mustSupport value="link"/>
</dataRequirement>
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<path value="code"/>
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<mustSupport value="onset"/>
<mustSupport value="stage"/>
<mustSupport value="evidence"/>
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<type value="ServiceRequest"/>
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<mustSupport value="code"/>
<mustSupport value="orderDetail"/>
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<mustSupport value="occurrence"/>
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<mustSupport value="requester"/>
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<mustSupport value="performer"/>
<mustSupport value="locationCode"/>
<mustSupport value="reasonCode"/>
<mustSupport value="reasonReference"/>
<mustSupport value="insurance"/>
<mustSupport value="bodySite"/>
<mustSupport value="note"/>
<mustSupport value="patientInstruction"/>
<mustSupport value="patientInstruction.value"/>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance" id="supplementalDataGuidance">
<extension url="guidance">
<valueString value="<p>Supplemental Data</p>"/>
</extension>
<extension url="usage">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
<display value="Supplemental Data"/>
</coding>
<text value="Supplemental Data Guidance"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString value="Blood glucose"/>
</extension>
<extension url="definition">
<valueMarkdown
value="Blood-glucose data refers to data from random, periprandial, or fasting tests; from capillary, serum, plasma, interstitial fluid, or whole-blood sources; using central laboratory device (CLD) or point-of-care (POC) testing. Data from continuous glucose monitoring (CGM) systems can only be captured if they are integrated into the EHR and exposed in the corresponding FHIR resources. Post-glucose administration tests are excluded. Events are based on the day/time the laboratory test was collected (drawn). If day/time collected is not available, the day/time the lab was ordered is used.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString
value="Emergency department (ED)/Observation (Obs) encounter"/>
</extension>
<extension url="definition">
<valueMarkdown
value="Any patient visit to an ED or observation location. One (1) patient visit equals one (1) encounter. ED/Observation encounters are considered outpatient locations.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString value="Hypoglycemic medication"/>
</extension>
<extension url="definition">
<valueMarkdown
value="All currently and previously commercially available oral or injectable hypoglycemic medications in the United States.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString value="Inpatient encounter"/>
</extension>
<extension url="definition">
<valueMarkdown
value="Includes all encounters in inpatient locations.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString value="Mild hypoglycemia event"/>
</extension>
<extension url="definition">
<valueMarkdown
value="Blood glucose 54.0 mg/dL to 69.9 mg/dL as identified on CLD or prescription POC device with no subsequent repeat test for blood glucose with a result \> 80 mg/dL within 5 minutes of the start of the initial low blood glucose test.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString value="Moderate hypoglycemia event"/>
</extension>
<extension url="definition">
<valueMarkdown
value="Blood glucose 40.0 mg/dL to 53.9 mg/dL as identified on CLD or prescription POC device with no subsequent repeat test for blood glucose with a result \> 80 mg/dL within 5 minutes of the start of the initial low blood glucose test.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
<extension url="term">
<valueString value="Severe hypoglycemia event"/>
</extension>
<extension url="definition">
<valueMarkdown
value="Blood glucose \< 40.0 mg/dL as identified on CLD or prescription POC device with no subsequent repeat test for blood glucose with a result \> 80 mg/dL within 5 minutes of the start of the initial low blood glucose test.
"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueReference>
<reference value="#effective-data-requirements"/>
</valueReference>
</extension>
<url
value="https://madie.cms.gov/Measure/NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
<code value="short-name"/>
<display value="Short Name"/>
</coding>
</type>
<system value="https://madie.cms.gov/measure/shortName"/>
<value value="NHSNHypoglycemia"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
<code value="version-independent"/>
<display value="Version Independent"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0d555fb6-f654-418c-a2b3-2dd0c3f0e7b4"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
<code value="version-specific"/>
<display value="Version Specific"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:dc9459ed-48ca-45f3-923e-3352d9547461"/>
</identifier>
<version value="0.0.003"/>
<name value="NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
<title value="NHSN Glycemic Control Hypoglycemia Initial Population
"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-08-21T20:27:09+00:00"/>
<publisher value="Centers for Disease Control and Prevention (CDC)"/>
<contact>
<telecom>
<system value="url"/>
<value value="www.cdc.gov/hiv/"/>
</telecom>
</contact>
<description
value="All inpatient encounters (including ED/Observation visits that end within 1 hour of the start of the inpatient encounter) for patients of all ages where at least one diabetes medication was ordered or administered during the encounter that is during the measurement period.
"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="venue"/>
<display value="Venue"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes"/>
<code value="eh"/>
<display value="EH"/>
</coding>
</valueCodeableConcept>
</useContext>
<purpose
value="The primary objective of the NHSN Glycemic Control module is to measure and benchmark medication-related hypoglycemia and hyperglycemia events within a facility. NHSN uses line-level data on medications and blood glucose reported by facilities to provide analytic reports to inform quality-improvement efforts for glycemic control and track patient safety events. As NHSN collects additional data, an additional objective will be to allow inter-facility benchmarking and evaluate national-level trends of medication-related hypoglycemia over time.
"/>
<usage
value="All participating inpatient facilities reporting data to the NHSN Glycemic Control module must be able to report data electronically in adherence to HL7 FHIR US Core FHIR R4.0.1 data standards and specifications and NHSN instructions for reporting dQMs, including the HL7 NHSN dQM Reporting Implementation Guide (https://build.fhir.org/ig/HL7/nhsn-dqm/).
"/>
<copyright
value="Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets.
"/>
<effectivePeriod>
<start value="2026-01-01"/>
<end value="2026-12-31"/>
</effectivePeriod>
<author>
<name value="Lantana Consulting Group"/>
<telecom>
<system value="url"/>
<value value="https://www.lantanagroup.com/"/>
</telecom>
</author>
<relatedArtifact>
<type value="citation"/>
<citation
value="American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care 2013;36:1033--46.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Bates, D. W., Levine, D. M., Salmasian, H., et al. (2023). The safety of inpatient health care. New England Journal of Medicine, 388(12), 142--153.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Classen, D. C., Resar, R., Griffin, F., et al. (2011). 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Affairs, 30(4), 581--589.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Cook, C. B., Kongable, G. L., Potter, D. J., et al. (2009). Inpatient glucose control: A glycemic survey of 126 U.S. hospitals. Journal of Hospital Medicine, 4(E7), E7--E14.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Curkendall, S. M., Natoli, J. L., Alexander, C. M., et al. (2009). Economic and clinical impact of inpatient diabetic hypoglycemia. Endocrine Practice, 15(3), 302--312.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Egi, M., Bellomo, R., Stachowski, E., et al. (2010). Hypoglycemia and outcome in critically ill patients. Mayo Clinic Proceedings, 85(3), 217--224.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Finfer, S., Liu, B., Chittock, D. R., et al. (2012). Hypoglycemia and risk of death in critically ill patients. New England Journal of Medicine, 367, 1108--1118.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Gates, P. J., Meyerson, S. A., Baysari, M. T., et al. (2018). Preventable adverse drug events among inpatients: A systematic review. Pediatrics, 142, e20180805.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Hulkower RD, Pollack RM, Zonszein J. Understanding hypoglycemia in hospitalized patients. Diabetes Manag (Lond) 2014;4:165-76.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Maynard, G., et al. (2014). How sweet is it? The use of benchmarking to optimize inpatient glycemic control. Diabetes Spectrum, 27, 212--217.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Moghissi ES, Korytkowski MT, DiNardo M. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Endocr Pract 2009;15:353-69.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Society of Hospital Medicine. Glycemic Control for Hospitalists. Optimizing Care, Preventing Hypoglycemia. Available at: https://www.hospitalmedicine.org/clinical-topics/glycemic-control.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Spector, W. D., Limcangco, R., Furukawa, M. F., Encinosa, W. E. (2017). The marginal costs of adverse drug events associated with exposures to anticoagulants and hypoglycemic agents during hospitalization. Medical Care, 55(8), 856--863.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Turchin, A., Matheny, M. E., Shubina, M., et al. (2009). Hypoglycemia and clinical outcomes in patients with diabetes hospitalized in the general ward. Diabetes Care, 32(7), 1153--1157.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Umpierrez, G. E., Isaacs, S. D., Bazargan, N., et al. (2002). Hyperglycemia: An independent marker of in-hospital mortality in patients with undiagnosed diabetes. Journal of Clinical Endocrinology \& Metabolism, 87(3), 978--982.
"/>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<citation
value="Wexler, D. J., et al. (2007). Prevalence of hyper- and hypoglycemia among inpatients with diabetes: A national survey of 44 U.S. hospitals. Diabetes Care, 30(2), 367--369.
"/>
</relatedArtifact>
<library
value="https://madie.cms.gov/Library/NHSNGlycemicControlHypoglycemiaInitialPopulation"/>
<disclaimer
value="Disclaimer This performance measure is not a clinical guideline, does not establish a standard of medical care and has not been tested for all potential applications.
THE MEASURES AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.
This measure and specifications are subject to further revisions.
"/>
<rationale
value="The NHSN Glycemic Control module supports an electronic health record (EHR)- and vendor-neutral standard for reporting patient-level, linked medication and blood glucose data for inpatients. These data support calculation of inpatient medication-related hypoglycemia events by the NHSN application, which are then returned as reports to the facility.
"/>
<clinicalRecommendationStatement
value="Inpatient hypoglycemia can be severe and life-threatening and is associated with longer hospital stays and increased medical costs (Wexler et al., 2007; Curkendall et al., 2009; Cook et al., 2009; Turchin et al., 2009; Egi et al., 2010). The prevalence of inpatient hypoglycemia varies with patient, hospital unit, timing of episodes, and glycemic threshold. Severe hypoglycemia (\<40 mg/dL) occurs in 2%--5% of hospitalized patients with diabetes mellitus (DM), while hypoglycemia \<70 mg/dL has been reported in up to 10% of all patients in the intensive care unit (Finfer et al., 2012). Patients with DM comprise more than 25% of all U.S. inpatient stays and medication-related hypoglycemia events are common causes of adverse drug events (ADEs) that occur in inpatient settings (Bates et al., 2023; Spector et al., 2017). Rates of severe hypoglycemia vary across hospitals, suggesting opportunities for improvement in glycemic-control quality of care (Hulkower et al., 2014; ADA, 2013; Cook et al., 2009).
Inpatient hyperglycemia can increase morbidity, prolong hospital stays, and increase the risk of mortality (Maynard et al., 2014; SHM, n.d.; Umpierrez et al., 2002; Kyi et al., 2019; Pratiwi et al., 2021). The prevalence of inpatient hyperglycemia varies depending upon glycemic threshold and setting, but blood glucose \>140 mg/dL likely occurs in approximately one-eighth to one-quarter of hospitalized patients (Pratiwi et al., 2021; Seisa et al., 2022; Barmanray et al., 2024). Tracking patient blood-glucose levels and implementing appropriate interventions may reduce complications associated with both hyperglycemia and hypoglycemia (ADA, 2013; Cook et al., 2009; Korytkowski et al., 2022; Moghissi et al., 2009).
"/>
<group id="Group_1">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="cohort"/>
<display value="Cohort"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
<display value="Process"/>
</coding>
</valueCodeableConcept>
</extension>
<population id="InitialPopulation_1">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<description
value="All inpatient encounters, as well as ED and OBS encounters that end within 1 hour of the start of the inpatient encounter, for patients of all ages where at least one diabetes medication was ordered or administered during the encounter that is during the measurement period.
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
</group>
<supplementalData id="sde-encounter-locations">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Encounter Locations
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Encounter Locations"/>
</criteria>
</supplementalData>
<supplementalData id="sde-location">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Location
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Location"/>
</criteria>
</supplementalData>
<supplementalData id="sde-medication">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Medication
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Medication"/>
</criteria>
</supplementalData>
<supplementalData id="sde-blood-glucose-observation">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Blood Glucose Observation
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Blood Glucose Observation"/>
</criteria>
</supplementalData>
<supplementalData id="sde-chief-complaint">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Chief Complaint
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Chief Complaint"/>
</criteria>
</supplementalData>
<supplementalData id="sde-condition">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Condition
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Condition"/>
</criteria>
</supplementalData>
<supplementalData id="sde-coverage">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Coverage
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Coverage"/>
</criteria>
</supplementalData>
<supplementalData id="sde-initial-population-encounters">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Initial Population Encounters
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Initial Population Encounters"/>
</criteria>
</supplementalData>
<supplementalData id="sde-medication-administration">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Medication Administration
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Medication Administration"/>
</criteria>
</supplementalData>
<supplementalData id="sde-medication-request">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Medication Request
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Medication Request"/>
</criteria>
</supplementalData>
<supplementalData id="sde-minimal-patient">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Minimal Patient
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Minimal Patient"/>
</criteria>
</supplementalData>
<supplementalData id="sde-service-request">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Service Request
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Service Request"/>
</criteria>
</supplementalData>
<supplementalData id="sde-ethnicity">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Ethnicity
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Ethnicity"/>
</criteria>
</supplementalData>
<supplementalData id="sde-payer">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Payer
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Payer"/>
</criteria>
</supplementalData>
<supplementalData id="sde-race">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Race
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Race"/>
</criteria>
</supplementalData>
<supplementalData id="sde-sex">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="individual"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="subject-list"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="summary"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
<valueCode value="data-collection"/>
</extension>
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<description value="SDE Sex
"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Sex"/>
</criteria>
</supplementalData>
</Measure>