<Library xmlns="http://hl7.org/fhir">
   <id value="SupplementalDataElements"></id>
   <meta>
      <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"></profile>
      <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"></profile>
      <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"></profile>
      <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"></profile>
      <profile value="http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"></profile>
      <profile value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"></profile>
      <profile value="http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"></profile>
   </meta>
   <language value="en"></language>
   <text>
      <status value="extensions"></status>
      <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">SupplementalDataElements</td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Version</th> 
                  <td class="content-container">5.1.000</td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Identifier</th> 
                  <td class="content-container">67e5bc4d88f4d211353e632e</td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Steward (Publisher)</th> 
                  <td class="content-container">ICF</td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Description</th> 
                  <td class="content-container">This is the QI-Core 6.0.0 version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Sex</td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Type</th> 
                  <td class="content-container">[http://terminology.hl7.org/CodeSystem/library-type#logic-library]</td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Data Requirement</th> 
                  <td class="content-container"> 
                     <em>Type</em>: Patient 
                     <br></br> 
                     <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient 
                     <br></br>   
                     <em>Must Support Elements</em>: extension, url 
                     <br></br>  
                  </td> 
               </tr> 
               <tr> 
                  <th scope="row" class="row-header">Data Requirement</th> 
                  <td class="content-container"> 
                     <em>Type</em>: Coverage 
                     <br></br> 
                     <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage 
                     <br></br>   
                     <em>Must Support Elements</em>: type, period 
                     <br></br>  
                     <em>Code Filter(s)</em>: 
                     <br></br>  
                     <span class="tab-one">
                        <em>Path</em>: type
                     </span> 
                     <br></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></br>   
                  </td> 
               </tr> 
               <tr> 
                  <th colspan="2" scope="row" class="row-header">Library Content</th> 
               </tr>  
               <tr> 
                  <th scope="row" class="row-header">CQL Content</th> 
                  <td> 
                     <a name="cql-content"> </a> 
                     <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
@update: GCW 2025-03-27 -&gt;
Updated to reflect valueset name change from CMS Sex to Federal Administrative Sex
*/
library SupplementalDataElements version '5.1.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers

codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset "Federal Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121'
valueset "Payer Type": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'
valueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'

code "Male (finding)": '248153007' from "SNOMEDCT" display 'Male (finding)'
code "Female (finding)": '248152002' from "SNOMEDCT" display 'Female (finding)'

context Patient

define "SDE Ethnicity":
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }

define "SDE Payer":
  [Coverage: type in "Payer Type"] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }

define "SDE Race":
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }

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 colspan="2" scope="row" class="row-header">Generated using version 0.4.9 of the sample-content-ig Liquid templates</th> 
               </tr> 
            </tbody> 
         </table> 
      </div>
   </text>
   <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
      <valueCoding>
         <system value="http://snomed.info/sct"></system>
         <code value="248153007"></code>
         <display value="Male (finding)"></display>
      </valueCoding>
   </extension>
   <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
      <valueCoding>
         <system value="http://snomed.info/sct"></system>
         <code value="248152002"></code>
         <display value="Female (finding)"></display>
      </valueCoding>
   </extension>
   <url value="https://madie.cms.gov/Library/SupplementalDataElements"></url>
   <identifier>
      <use value="official"></use>
      <system value="https://madie.cms.gov/login"></system>
      <value value="67e5bc4d88f4d211353e632e"></value>
   </identifier>
   <version value="5.1.000"></version>
   <name value="SupplementalDataElements"></name>
   <title value="SupplementalDataElements"></title>
   <status value="active"></status>
   <experimental value="false"></experimental>
   <type>
      <coding>
         <system value="http://terminology.hl7.org/CodeSystem/library-type"></system>
         <code value="logic-library"></code>
      </coding>
   </type>
   <date value="2025-11-24T17:18:51+00:00"></date>
   <publisher value="ICF"></publisher>
   <description value="This is the QI-Core 6.0.0 version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Sex"></description>
   <relatedArtifact>
      <type value="depends-on"></type>
      <display value="QICore model information"></display>
      <resource value="http://hl7.org/fhir/Library/QICore-ModelInfo"></resource>
   </relatedArtifact>
   <relatedArtifact>
      <type value="depends-on"></type>
      <display value="Library FHIRHelpers"></display>
      <resource value="https://madie.cms.gov/Library/FHIRHelpers|4.4.000"></resource>
   </relatedArtifact>
   <relatedArtifact>
      <type value="depends-on"></type>
      <display value="Code system SNOMEDCT"></display>
      <resource value="http://snomed.info/sct"></resource>
   </relatedArtifact>
   <relatedArtifact>
      <type value="depends-on"></type>
      <display value="Value set Payer Type"></display>
      <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"></resource>
   </relatedArtifact>
   <dataRequirement>
      <type value="Patient"></type>
      <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"></profile>
      <mustSupport value="extension"></mustSupport>
      <mustSupport value="url"></mustSupport>
   </dataRequirement>
   <dataRequirement>
      <type value="Coverage"></type>
      <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"></profile>
      <mustSupport value="type"></mustSupport>
      <mustSupport value="period"></mustSupport>
      <codeFilter>
         <path value="type"></path>
         <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"></valueSet>
      </codeFilter>
   </dataRequirement>
   <content>
      <contentType value="text/cql"></contentType>
      <data value="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"></data>
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</Library>