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                  <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">Children Who Have Dental Decay or CavitiesFHIR</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Version</th> 
                           <td class="content-container">1.0.000</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Short Name</th> 
                           <td class="content-container">CMS75FHIR</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">GUID (Version Independent)</th> 
                           <td class="content-container">urn:uuid:78ac4b65-61d7-45be-88c1-231c922ad656</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">GUID (Version Specific)</th> 
                           <td class="content-container">urn:uuid:3e5eaf0c-becf-4d12-80e9-cfb2fd1fd830</td> 
                        </tr>  
                        <tr> 
                           <th scope="row" class="row-header">CMS Identifier</th> 
                           <td class="content-container">75FHIR</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">Steward (Publisher)</th> 
                           <td class="content-container">Centers for Medicare &amp; Medicaid Services (CMS)</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Developer</th> 
                           <td class="content-container">American Institutes for Research (AIR)</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Description</th> 
                           <td class="content-container">Percentage of children, 1-20 years of age at the start of the measurement period, who have had dental decay or cavities during the measurement period as determined by a dentist</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Copyright</th> 
                           <td class="content-container">This electronic clinical quality measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare &amp; Medicaid Services (CMS). CMS contracted (Contract # 75FCMC18D0027/ Task Order #: 75FCMC24F0144) with the American Institutes for Research (AIR) to develop this electronic measure. AIR is not responsible for any use of the Measure. AIR makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and AIR has no liability to anyone who relies on such measures or specifications. 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. AIR disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. The American Dental Association (“ADA”) holds a copyright to the Current Dental Terminology (“CDT”) codes contained in certain measure specifications. The CDT codes in the measure specifications are included with the permission of the ADA. All uses of the CDT codes require a license from the ADA. No alteration, amendments, or modifications of the CDT or any portion thereof is allowed. Resale, transmission, or distribution of copies of the CDT or other portions of the CDT is also not allowed. To inquire about licensing, contact CDT-SNODENT@ada.org. The measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved. “HL7” is the registered trademark of Health Level Seven International.</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Disclaimer</th> 
                           <td class="content-container">The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Rationale</th> 
                           <td class="content-container">Dental caries is the most chronic disease among youth aged 6-19 years. Data from the National Health and Nutrition Examination Survey from 2015-2016 showed that approximately 45.8 percent of children and youth aged 2-19 years had total caries (untreated and treated). Prevalence of total dental caries (untreated and treated) in primary or permanent teeth increases with age, going from 21.4 percent, 50.5 percent, and 53.8 percent among ages 2-5, 6-11, and 12-19, respectively. Total dental caries was highest in Hispanic youths aged 2-19 at 57.1 percent compared to 48.1 percent for non-Hispanic black, 44.6 percent for non-Asian, and 40.4 percent for non-Hispanic white youth. Monitoring prevalence of untreated and total caries is vital to preventing and controlling oral disease (Fleming &amp; Afful, 2018). Children who have dental decay or cavities are less likely to be in very good or excellent overall health than children without decay or cavities (Edelstein &amp; Chinn, 2009). Children with decay are also more likely to have other oral health problems such as toothaches, broken teeth, and bleeding gums (Data Resource Center for Child and Adolescent Health, 2007).</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Clinical Recommendation Statement</th> 
                           <td class="content-container">The American Academy of Pediatric Dentistry (AAPD) provides clinical recommendations for pediatric oral health assessments and preventative services (AAPD, 2022). The recommendation states that the first clinical oral examination should occur around 12 months of age. The clinical oral exam should be repeated every 6 months or as indicated by the child’s risk status or susceptibility to disease. Further, caries risk assessment must be repeated regularly and frequently to maximize effectiveness.</td> 
                        </tr> 
                        <tr>   
                           <th scope="row" class="row-header">Citation</th>  
                           <td class="content-container">  
                              <p>American Academy of Pediatric Dentistry. (2022). Periodicity of examination, preventive dental services, anticipatory guidance/ counseling, and oral treatment for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2024:293-305</p>   
                           </td> 
                        </tr> 
                        <tr>   
                           <th scope="row" class="row-header">Citation</th>  
                           <td class="content-container">  Data Resource Center for Child and Adolescent Health, Child and Adolescent Health Measurement Initiative. (2007). 2007 National Survey of Children’s Health. Baltimore, MD: Author.   </td> 
                        </tr> 
                        <tr>   
                           <th scope="row" class="row-header">Citation</th>  
                           <td class="content-container">  Edelstein, B. L., &amp; Chinn, C. H. (2009). Update on Disparities in Oral Health and Access to Dental Care for America’s Children. Academic Pediatrics, 9(6), 415-419.    </td> 
                        </tr> 
                        <tr>   
                           <th scope="row" class="row-header">Citation</th>  
                           <td class="content-container">  Fleming, E., &amp; Afful, J. (2018). Prevalence of Total and Untreated Dental Carries Among Youth: United States, 2015-2016. NCHS Data Brief No. 307. Hyattsville, MD: National Center for Health Statistics.    </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Guidance (Usage)</th> 
                           <td class="content-container">This eCQM is a patient-based measure. Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth. This FHIR-based measure has been derived from the QDM-based measure CMS75v14. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6 (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html).</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">boolean</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Scoring</th> 
                           <td class="content-container">[http://terminology.hl7.org/CodeSystem/measure-scoring#proportion: 'Proportion']</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Type</th> 
                           <td class="content-container">[http://terminology.hl7.org/CodeSystem/measure-type#outcome: 'Outcome']</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Improvement Notation</th> 
                           <td class="content-container">[http://terminology.hl7.org/CodeSystem/measure-improvement-notation#decrease: 'Decreased score indicates improvement']</td> 
                        </tr>  
                        <tr>  
                           <th scope="row" class="row-header">Initial Population</th> 
                           <td class="content-container"> 
                              <em>ID</em>: InitialPopulation_1 
                              <br></br>  
                              <em>Description</em>: 
                              <p style="white-space: pre-line" class="tab-one">
                                 <p>Children, 1-20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period</p>
                              </p>   
                              <em>Logic Definition</em>: 
                              <a href="#primary-cms75fhirchildrendentaldecay-initial-population">Initial Population</a>  
                           </td> 
                        </tr>  
                        <tr>  
                           <th scope="row" class="row-header">Denominator</th> 
                           <td class="content-container"> 
                              <em>ID</em>: Denominator_1 
                              <br></br>  
                              <em>Description</em>: 
                              <p style="white-space: pre-line" class="tab-one">
                                 <p>Equals Initial Population</p>
                              </p>   
                              <em>Logic Definition</em>: 
                              <a href="#primary-cms75fhirchildrendentaldecay-denominator">Denominator</a>  
                           </td> 
                        </tr>  
                        <tr>  
                           <th scope="row" class="row-header">Denominator Exclusion</th> 
                           <td class="content-container"> 
                              <em>ID</em>: DenominatorExclusion_1 
                              <br></br>  
                              <em>Description</em>: 
                              <p style="white-space: pre-line" class="tab-one">
                                 <p>Exclude patients who are in hospice care or have a hospice care order documented during any part of the measurement period</p>
                              </p>   
                              <em>Logic Definition</em>: 
                              <a href="#primary-cms75fhirchildrendentaldecay-denominator-exclusions">Denominator Exclusions</a>  
                           </td> 
                        </tr>  
                        <tr>  
                           <th scope="row" class="row-header">Numerator</th> 
                           <td class="content-container"> 
                              <em>ID</em>: Numerator_1 
                              <br></br>  
                              <em>Description</em>: 
                              <p style="white-space: pre-line" class="tab-one">
                                 <p>Children who had a diagnosis of cavities or decayed teeth in any part of the measurement period</p>
                              </p>   
                              <em>Logic Definition</em>: 
                              <a href="#primary-cms75fhirchildrendentaldecay-numerator">Numerator</a>  
                           </td> 
                        </tr>   
                        <tr> 
                           <th scope="row" class="row-header">Supplemental Data Guidance</th> 
                           <td class="content-container">For every patient evaluated by this measure also identify payer, race, ethnicity and sex</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-ethnicity  
                              <br></br>   
                              <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]  
                              <br></br>  
                              <em>Description</em>: SDE Ethnicity   
                              <br></br> 
                              <em>Logic Definition</em>: 
                              <a href="#cms75fhirchildrendentaldecay-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></br>   
                              <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]  
                              <br></br>  
                              <em>Description</em>: SDE Payer   
                              <br></br> 
                              <em>Logic Definition</em>: 
                              <a href="#cms75fhirchildrendentaldecay-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></br>   
                              <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]  
                              <br></br>  
                              <em>Description</em>: SDE Race   
                              <br></br> 
                              <em>Logic Definition</em>: 
                              <a href="#cms75fhirchildrendentaldecay-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></br>   
                              <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]  
                              <br></br>  
                              <em>Description</em>: SDE Sex   
                              <br></br> 
                              <em>Logic Definition</em>: 
                              <a href="#cms75fhirchildrendentaldecay-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/CMS75FHIRChildrenDentalDecay</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></br> 
                              <em>
                                 <a href="#definitions">Logic Definitions</a>
                              </em> 
                              <br></br> 
                              <em>
                                 <a href="#terminology">Terminology</a>
                              </em> 
                              <br></br> 
                              <em>
                                 <a href="#dependencies">Dependencies</a>
                              </em> 
                              <br></br> 
                              <em>
                                 <a href="#data-requirements">Data Requirements</a>
                              </em> 
                              <br></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-cms75fhirchildrendentaldecay-initial-population"> </a>  Initial Population  
                           </th> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Initial Population":
  AgeInYearsAt(date from start of "Measurement Period") in Interval[1, 20]
    and exists ( "Qualifying Encounters" )</code></pre> 
                           </td> 
                        </tr>                              
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="primary-cms75fhirchildrendentaldecay-denominator"> </a>  Denominator  
                           </th> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Denominator":
  "Initial Population"</code></pre> 
                           </td> 
                        </tr>                                   
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="primary-cms75fhirchildrendentaldecay-denominator-exclusions"> </a>  Denominator Exclusion  
                           </th> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Denominator Exclusions":
  Hospice."Has Hospice Services"</code></pre> 
                           </td> 
                        </tr>                    
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="primary-cms75fhirchildrendentaldecay-numerator"> </a>  Numerator  
                           </th> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Numerator":
  exists ( [ConditionProblemsHealthConcerns: "Dental Caries"]
    union [ConditionEncounterDiagnosis: "Dental Caries"] ) DentalCaries
    where DentalCaries.prevalenceInterval ( ) overlaps day of "Measurement Period"</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="hospice-has-hospice-services"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> Hospice
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Has Hospice Services":
  exists ((([Encounter: "Encounter Inpatient"]).isEncounterPerformed()) InpatientEncounter
      where (InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
          or InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
      )
        and InpatientEncounter.period ends during day of "Measurement Period"
  )
    or exists ((([Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter
        where HospiceEncounter.period overlaps day of "Measurement Period"
    )
    or exists ((([ObservationScreeningAssessment: "Hospice care [Minimum Data Set]"]).isAssessmentPerformed()) HospiceAssessment
        where HospiceAssessment.value ~ "Yes (qualifier value)"
          and HospiceAssessment.effective.toInterval() overlaps day of "Measurement Period"
    )
    or exists ((([ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder
        where HospiceOrder.authoredOn during day of "Measurement Period"
    )
    or exists ((([Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed
        where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"
    )
    or exists ((([ConditionProblemsHealthConcerns: "Hospice Diagnosis"]
        union [ConditionEncounterDiagnosis: "Hospice Diagnosis"]).verified()) HospiceCareDiagnosis
        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
    )</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="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="cms75fhirchildrendentaldecay-sde-sex"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </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="cms75fhirchildrendentaldecay-numerator"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Numerator":
  exists ( [ConditionProblemsHealthConcerns: "Dental Caries"]
    union [ConditionEncounterDiagnosis: "Dental Caries"] ) DentalCaries
    where DentalCaries.prevalenceInterval ( ) overlaps day of "Measurement Period"</code></pre> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="cms75fhirchildrendentaldecay-qualifying-encounters"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Qualifying Encounters":
  ( ( [Encounter: "Clinical Oral Evaluation"] ).isEncounterPerformed ( ) ) ValidEncounter
    where ValidEncounter.period during day of "Measurement Period"</code></pre> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="cms75fhirchildrendentaldecay-initial-population"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Initial Population":
  AgeInYearsAt(date from start of "Measurement Period") in Interval[1, 20]
    and exists ( "Qualifying Encounters" )</code></pre> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="cms75fhirchildrendentaldecay-denominator"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Denominator":
  "Initial Population"</code></pre> 
                           </td> 
                        </tr>  
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="cms75fhirchildrendentaldecay-sde-payer"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </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="cms75fhirchildrendentaldecay-sde-ethnicity"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </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="cms75fhirchildrendentaldecay-denominator-exclusions"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Denominator Exclusions":
  Hospice."Has Hospice Services"</code></pre> 
                           </td> 
                        </tr>  
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="cms75fhirchildrendentaldecay-sde-race"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> CMS75FHIRChildrenDentalDecay
                           </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="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="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-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="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&lt;DateTime&gt;, or Interval&lt;Quantity&gt; 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&lt;DateTime&gt; or Interval&lt;Quantity&gt;.
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&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):
  case
	  when choice is DateTime then
    	Interval[choice as DateTime, choice as DateTime]
		when choice is Interval&lt;DateTime&gt; then
  		choice as Interval&lt;DateTime&gt;
		when choice is Quantity then
		  Interval[Patient.birthDate + (choice as Quantity),
			  Patient.birthDate + (choice as Quantity) + 1 year)
		when choice is Interval&lt;Quantity&gt; 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&lt;DateTime&gt;
		else
			null as Interval&lt;DateTime&gt;
	end</code></pre> 
                           </td> 
                        </tr>          
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="status-isencounterperformed"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> Status
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">//Encounter, Performed
//General usage unless required otherwise by measure intent (e.g., follow-up encounters)
define fluent function isEncounterPerformed(Enc List&lt;Encounter&gt;):
  Enc E
    where E.status = 'finished'</code></pre> 
                           </td> 
                        </tr>  
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="status-isassessmentperformed"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> Status
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">//Assessment, Performed
define fluent function isAssessmentPerformed(Obs List&lt;ObservationScreeningAssessment&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }</code></pre> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="status-isinterventionorder"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> Status
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">//Intervention, Order
define fluent function isInterventionOrder(ServiceRequest List&lt;ServiceRequest&gt;):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}</code></pre> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="status-isinterventionperformed"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> Status
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">//Intervention, Performed
define fluent function isInterventionPerformed(Proc List&lt;Procedure&gt;):
  Proc P
    where P.status ~ 'completed'</code></pre> 
                           </td> 
                        </tr>  
                        <tr> 
                           <th scope="row" rowspan="2" class="row-header">  
                              <a name="status-verified"> </a> Logic Definition 
                           </th> 
                           <td class="content-container">
                              <em>Library Name:</em> Status
                           </td> 
                        </tr> 
                        <tr> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">//This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.

//Condition
//Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential
define fluent function verified(conditions List&lt;Choice&lt;ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis&gt;&gt;):
  conditions C
    where C.verificationStatus is not null implies
      (C.verificationStatus ~ "confirmed"
        or C.verificationStatus ~ "unconfirmed"
        or C.verificationStatus ~ "provisional"
        or C.verificationStatus ~ "differential"
      )</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 SNOMEDCT  
                              <br></br>    
                              <em>Resource</em>: http://snomed.info/sct 
                              <br></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 LOINC 
                              <br></br>    
                              <em>Resource</em>: http://loinc.org 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://loinc.org</tt> 
                           </td> 
                        </tr> 
                        <tr>  
                           <th scope="row" class="row-header">Code System</th> 
                           <td class="content-container"> 
                              <em>Description</em>: Code system ConditionVerificationStatusCodes  
                              <br></br>    
                              <em>Resource</em>: http://terminology.hl7.org/CodeSystem/condition-ver-status 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt> 
                           </td> 
                        </tr> 
                        <tr>  
                           <th scope="row" class="row-header">Value Set</th>  
                           <td class="content-container"> 
                              <em>Description</em>: Value set Dental Caries  
                              <br></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004</tt> 
                           </td> 
                        </tr> 
                        <tr>  
                           <th scope="row" class="row-header">Value Set</th>  
                           <td class="content-container"> 
                              <em>Description</em>: Value set Clinical Oral Evaluation  
                              <br></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003</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></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 
                              <br></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">Value Set</th>  
                           <td class="content-container"> 
                              <em>Description</em>: Value set Encounter Inpatient  
                              <br></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 
                              <br></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 Hospice Encounter  
                              <br></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003</tt> 
                           </td> 
                        </tr> 
                        <tr>  
                           <th scope="row" class="row-header">Value Set</th>  
                           <td class="content-container"> 
                              <em>Description</em>: Value set Hospice Care Ambulatory  
                              <br></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584</tt> 
                           </td> 
                        </tr> 
                        <tr>  
                           <th scope="row" class="row-header">Value Set</th>  
                           <td class="content-container"> 
                              <em>Description</em>: Value set Hospice Diagnosis  
                              <br></br>    
                              <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165</tt> 
                           </td> 
                        </tr>  
                        <tr> 
                           <th scope="row" class="row-header">Direct Reference Code</th> 
                           <td class="content-container"> 
                              <em>Display</em>: Male (finding) 
                              <br></br> 
                              <em>Code</em>: 248153007 
                              <br></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></br> 
                              <em>Code</em>: 248152002 
                              <br></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>: Discharge to home for hospice care (procedure) 
                              <br></br> 
                              <em>Code</em>: 428361000124107 
                              <br></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>: Discharge to healthcare facility for hospice care (procedure) 
                              <br></br> 
                              <em>Code</em>: 428371000124100 
                              <br></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>: Hospice care [Minimum Data Set] 
                              <br></br> 
                              <em>Code</em>: 45755-6 
                              <br></br> 
                              <em>System</em>: 
                              <tt>http://loinc.org</tt> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Direct Reference Code</th> 
                           <td class="content-container"> 
                              <em>Display</em>: Yes (qualifier value) 
                              <br></br> 
                              <em>Code</em>: 373066001 
                              <br></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>: confirmed 
                              <br></br> 
                              <em>Code</em>: confirmed 
                              <br></br> 
                              <em>System</em>: 
                              <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Direct Reference Code</th> 
                           <td class="content-container"> 
                              <em>Display</em>: unconfirmed 
                              <br></br> 
                              <em>Code</em>: unconfirmed 
                              <br></br> 
                              <em>System</em>: 
                              <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Direct Reference Code</th> 
                           <td class="content-container"> 
                              <em>Display</em>: provisional 
                              <br></br> 
                              <em>Code</em>: provisional 
                              <br></br> 
                              <em>System</em>: 
                              <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</tt> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Direct Reference Code</th> 
                           <td class="content-container"> 
                              <em>Display</em>: differential 
                              <br></br> 
                              <em>Code</em>: differential 
                              <br></br> 
                              <em>System</em>: 
                              <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status</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></br>    
                              <em>Resource</em>: http://hl7.org/fhir/Library/QICore-ModelInfo 
                              <br></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 SDE  
                              <br></br>    
                              <em>Resource</em>: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>https://madie.cms.gov/Library/SupplementalDataElements|5.1.000</tt> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Dependency</th> 
                           <td class="content-container"> 
                              <em>Description</em>: Library FHIRHelpers  
                              <br></br>    
                              <em>Resource</em>: https://madie.cms.gov/Library/FHIRHelpers|4.4.000 
                              <br></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></br>    
                              <em>Resource</em>: https://madie.cms.gov/Library/QICoreCommon|4.0.000 
                              <br></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 Status  
                              <br></br>    
                              <em>Resource</em>: https://madie.cms.gov/Library/Status|1.15.000 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>https://madie.cms.gov/Library/Status|1.15.000</tt> 
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Dependency</th> 
                           <td class="content-container"> 
                              <em>Description</em>: Library Hospice  
                              <br></br>    
                              <em>Resource</em>: https://madie.cms.gov/Library/Hospice|6.18.000 
                              <br></br> 
                              <em>Canonical URL</em>: 
                              <tt>https://madie.cms.gov/Library/Hospice|6.18.000</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>: 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, birthDate, birthDate.value 
                              <br></br>  
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Encounter 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter 
                              <br></br>   
                              <em>Must Support Elements</em>: type, period, status, status.value 
                              <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/2.16.840.1.113883.3.464.1003.125.12.1003 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Encounter 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter 
                              <br></br>   
                              <em>Must Support Elements</em>: type, hospitalization, hospitalization.dischargeDisposition, period, status, status.value 
                              <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/2.16.840.1.113883.3.666.5.307 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Encounter 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter 
                              <br></br>   
                              <em>Must Support Elements</em>: type, period, status, status.value 
                              <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/2.16.840.1.113883.3.464.1003.1003 
                              <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 scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Observation 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment 
                              <br></br>   
                              <em>Must Support Elements</em>: code, value, effective, status, status.value 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>   
                              <span class="tab-one">
                                 <em>Code(s)</em>:  http://loinc.org#45755-6: 'Hospice care [Minimum Data Set]'  
                              </span> 
                              <br></br>  
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: ServiceRequest 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest 
                              <br></br>   
                              <em>Must Support Elements</em>: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Procedure 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure 
                              <br></br>   
                              <em>Must Support Elements</em>: code, performed, status, status.value 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 
                              <br></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 xmlns="http://hl7.org/fhir">
                  <id value="effective-data-requirements"></id>
                  <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>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://snomed.info/sct"></system>
                        <code value="428361000124107"></code>
                        <display value="Discharge to home for hospice care (procedure)"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://snomed.info/sct"></system>
                        <code value="428371000124100"></code>
                        <display value="Discharge to healthcare facility for hospice care (procedure)"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://loinc.org"></system>
                        <code value="45755-6"></code>
                        <display value="Hospice care [Minimum Data Set]"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://snomed.info/sct"></system>
                        <code value="373066001"></code>
                        <display value="Yes (qualifier value)"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                        <code value="confirmed"></code>
                        <display value="confirmed"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                        <code value="unconfirmed"></code>
                        <display value="unconfirmed"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                        <code value="provisional"></code>
                        <display value="provisional"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
                     <valueCoding>
                        <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                        <code value="differential"></code>
                        <display value="differential"></display>
                     </valueCoding>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="SupplementalDataElements"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Sex"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Sex&quot;:
  case
    when Patient.sex = '248153007' then &quot;Male (finding)&quot;
    when Patient.sex = '248152002' then &quot;Female (finding)&quot;
    else null
  end"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="0"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Sex"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Sex&quot;:
  SDE.&quot;SDE Sex&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="1"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="Numerator"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;Numerator&quot;:
  exists ( [ConditionProblemsHealthConcerns: &quot;Dental Caries&quot;]
    union [ConditionEncounterDiagnosis: &quot;Dental Caries&quot;] ) DentalCaries
    where DentalCaries.prevalenceInterval ( ) overlaps day of &quot;Measurement Period&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="2"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="Qualifying Encounters"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;Qualifying Encounters&quot;:
  ( ( [Encounter: &quot;Clinical Oral Evaluation&quot;] ).isEncounterPerformed ( ) ) ValidEncounter
    where ValidEncounter.period during day of &quot;Measurement Period&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="3"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="Initial Population"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;Initial Population&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) in Interval[1, 20]
    and exists ( &quot;Qualifying Encounters&quot; )"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="4"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="Denominator"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;Denominator&quot;:
  &quot;Initial Population&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="5"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="SupplementalDataElements"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Payer"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Payer&quot;:
  [Coverage: type in &quot;Payer Type&quot;] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="6"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Payer"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="7"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="SupplementalDataElements"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Ethnicity"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Ethnicity&quot;:
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="8"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Ethnicity"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="9"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="Hospice"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="Has Hospice Services"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;Has Hospice Services&quot;:
  exists ((([Encounter: &quot;Encounter Inpatient&quot;]).isEncounterPerformed()) InpatientEncounter
      where (InpatientEncounter.hospitalization.dischargeDisposition ~ &quot;Discharge to home for hospice care (procedure)&quot;
          or InpatientEncounter.hospitalization.dischargeDisposition ~ &quot;Discharge to healthcare facility for hospice care (procedure)&quot;
      )
        and InpatientEncounter.period ends during day of &quot;Measurement Period&quot;
  )
    or exists ((([Encounter: &quot;Hospice Encounter&quot;]).isEncounterPerformed()) HospiceEncounter
        where HospiceEncounter.period overlaps day of &quot;Measurement Period&quot;
    )
    or exists ((([ObservationScreeningAssessment: &quot;Hospice care [Minimum Data Set]&quot;]).isAssessmentPerformed()) HospiceAssessment
        where HospiceAssessment.value ~ &quot;Yes (qualifier value)&quot;
          and HospiceAssessment.effective.toInterval() overlaps day of &quot;Measurement Period&quot;
    )
    or exists ((([ServiceRequest: &quot;Hospice Care Ambulatory&quot;]).isInterventionOrder()) HospiceOrder
        where HospiceOrder.authoredOn during day of &quot;Measurement Period&quot;
    )
    or exists ((([Procedure: &quot;Hospice Care Ambulatory&quot;]).isInterventionPerformed()) HospicePerformed
        where HospicePerformed.performed.toInterval() overlaps day of &quot;Measurement Period&quot;
    )
    or exists ((([ConditionProblemsHealthConcerns: &quot;Hospice Diagnosis&quot;]
        union [ConditionEncounterDiagnosis: &quot;Hospice Diagnosis&quot;]).verified()) HospiceCareDiagnosis
        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of &quot;Measurement Period&quot;
    )"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="10"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="Denominator Exclusions"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;Denominator Exclusions&quot;:
  Hospice.&quot;Has Hospice Services&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="11"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="SupplementalDataElements"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Race"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Race&quot;:
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="12"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="CMS75FHIRChildrenDentalDecay"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="SDE Race"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="13"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="FHIRHelpers"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="ToString"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="define function ToString(value uri): value.value"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="14"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="Status"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="isEncounterPerformed"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="//Encounter, Performed
//General usage unless required otherwise by measure intent (e.g., follow-up encounters)
define fluent function isEncounterPerformed(Enc List&lt;Encounter&gt;):
  Enc E
    where E.status = 'finished'"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="15"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="FHIRHelpers"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="ToInterval"></valueString>
                     </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.&quot;start&quot; is null then
            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]
        else
            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="16"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="FHIRHelpers"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="ToCode"></valueString>
                     </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
        }"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="17"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="Status"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="isAssessmentPerformed"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="//Assessment, Performed
define fluent function isAssessmentPerformed(Obs List&lt;ObservationScreeningAssessment&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="18"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="Status"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="isInterventionOrder"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="//Intervention, Order
define fluent function isInterventionOrder(ServiceRequest List&lt;ServiceRequest&gt;):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="19"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="Status"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="isInterventionPerformed"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="//Intervention, Performed
define fluent function isInterventionPerformed(Proc List&lt;Procedure&gt;):
  Proc P
    where P.status ~ 'completed'"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="20"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="QICoreCommon"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="toInterval"></valueString>
                     </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&lt;DateTime&gt;, or Interval&lt;Quantity&gt; 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&lt;DateTime&gt; or Interval&lt;Quantity&gt;.
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&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):
  case
	  when choice is DateTime then
    	Interval[choice as DateTime, choice as DateTime]
		when choice is Interval&lt;DateTime&gt; then
  		choice as Interval&lt;DateTime&gt;
		when choice is Quantity then
		  Interval[Patient.birthDate + (choice as Quantity),
			  Patient.birthDate + (choice as Quantity) + 1 year)
		when choice is Interval&lt;Quantity&gt; 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&lt;DateTime&gt;
		else
			null as Interval&lt;DateTime&gt;
	end"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="21"></valueInteger>
                     </extension>
                  </extension>
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
                     <extension url="libraryName">
                        <valueString value="Status"></valueString>
                     </extension>
                     <extension url="name">
                        <valueString value="verified"></valueString>
                     </extension>
                     <extension url="statement">
                        <valueString value="//This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.

//Condition
//Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential
define fluent function verified(conditions List&lt;Choice&lt;ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis&gt;&gt;):
  conditions C
    where C.verificationStatus is not null implies
      (C.verificationStatus ~ &quot;confirmed&quot;
        or C.verificationStatus ~ &quot;unconfirmed&quot;
        or C.verificationStatus ~ &quot;provisional&quot;
        or C.verificationStatus ~ &quot;differential&quot;
      )"></valueString>
                     </extension>
                     <extension url="displaySequence">
                        <valueInteger value="22"></valueInteger>
                     </extension>
                  </extension>
                  <name value="EffectiveDataRequirements"></name>
                  <status value="active"></status>
                  <type>
                     <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/library-type"></system>
                        <code value="module-definition"></code>
                     </coding>
                  </type>
                  <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 SDE"></display>
                     <resource value="https://madie.cms.gov/Library/SupplementalDataElements|5.1.000"></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="Library QICoreCommon"></display>
                     <resource value="https://madie.cms.gov/Library/QICoreCommon|4.0.000"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Library Status"></display>
                     <resource value="https://madie.cms.gov/Library/Status|1.15.000"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Library Hospice"></display>
                     <resource value="https://madie.cms.gov/Library/Hospice|6.18.000"></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="Code system LOINC"></display>
                     <resource value="http://loinc.org"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Code system ConditionVerificationStatusCodes"></display>
                     <resource value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Value set Dental Caries"></display>
                     <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Value set Clinical Oral Evaluation"></display>
                     <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003"></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>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Value set Encounter Inpatient"></display>
                     <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Value set Hospice Encounter"></display>
                     <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Value set Hospice Care Ambulatory"></display>
                     <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"></resource>
                  </relatedArtifact>
                  <relatedArtifact>
                     <type value="depends-on"></type>
                     <display value="Value set Hospice Diagnosis"></display>
                     <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"></resource>
                  </relatedArtifact>
                  <parameter>
                     <name value="Measurement Period"></name>
                     <use value="in"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="Period"></type>
                  </parameter>
                  <parameter>
                     <name value="Numerator"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="boolean"></type>
                  </parameter>
                  <parameter>
                     <name value="Denominator"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="boolean"></type>
                  </parameter>
                  <parameter>
                     <name value="Initial Population"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="boolean"></type>
                  </parameter>
                  <parameter>
                     <name value="Denominator Exclusions"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="boolean"></type>
                  </parameter>
                  <parameter>
                     <name value="SDE Sex"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="Coding"></type>
                  </parameter>
                  <parameter>
                     <name value="SDE Payer"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="*"></max>
                     <type value="Resource"></type>
                  </parameter>
                  <parameter>
                     <name value="SDE Ethnicity"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="Resource"></type>
                  </parameter>
                  <parameter>
                     <name value="SDE Race"></name>
                     <use value="out"></use>
                     <min value="0"></min>
                     <max value="1"></max>
                     <type value="Resource"></type>
                  </parameter>
                  <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>
                     <mustSupport value="birthDate"></mustSupport>
                     <mustSupport value="birthDate.value"></mustSupport>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Condition"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns"></profile>
                     <mustSupport value="code"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Condition"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns"></profile>
                     <mustSupport value="code"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Condition"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"></profile>
                     <mustSupport value="code"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Condition"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"></profile>
                     <mustSupport value="code"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Encounter"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"></profile>
                     <mustSupport value="type"></mustSupport>
                     <mustSupport value="period"></mustSupport>
                     <mustSupport value="status"></mustSupport>
                     <mustSupport value="status.value"></mustSupport>
                     <codeFilter>
                        <path value="type"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Encounter"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"></profile>
                     <mustSupport value="type"></mustSupport>
                     <mustSupport value="hospitalization"></mustSupport>
                     <mustSupport value="hospitalization.dischargeDisposition"></mustSupport>
                     <mustSupport value="period"></mustSupport>
                     <mustSupport value="status"></mustSupport>
                     <mustSupport value="status.value"></mustSupport>
                     <codeFilter>
                        <path value="type"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Encounter"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"></profile>
                     <mustSupport value="type"></mustSupport>
                     <mustSupport value="period"></mustSupport>
                     <mustSupport value="status"></mustSupport>
                     <mustSupport value="status.value"></mustSupport>
                     <codeFilter>
                        <path value="type"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003"></valueSet>
                     </codeFilter>
                  </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>
                  <dataRequirement>
                     <type value="Observation"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment"></profile>
                     <mustSupport value="code"></mustSupport>
                     <mustSupport value="value"></mustSupport>
                     <mustSupport value="effective"></mustSupport>
                     <mustSupport value="status"></mustSupport>
                     <mustSupport value="status.value"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <code>
                           <system value="http://loinc.org"></system>
                           <code value="45755-6"></code>
                           <display value="Hospice care [Minimum Data Set]"></display>
                        </code>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="ServiceRequest"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"></profile>
                     <mustSupport value="code"></mustSupport>
                     <mustSupport value="authoredOn"></mustSupport>
                     <mustSupport value="authoredOn.value"></mustSupport>
                     <mustSupport value="status"></mustSupport>
                     <mustSupport value="status.value"></mustSupport>
                     <mustSupport value="intent"></mustSupport>
                     <mustSupport value="intent.value"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"></valueSet>
                     </codeFilter>
                  </dataRequirement>
                  <dataRequirement>
                     <type value="Procedure"></type>
                     <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"></profile>
                     <mustSupport value="code"></mustSupport>
                     <mustSupport value="performed"></mustSupport>
                     <mustSupport value="status"></mustSupport>
                     <mustSupport value="status.value"></mustSupport>
                     <codeFilter>
                        <path value="code"></path>
                        <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"></valueSet>
                     </codeFilter>
                  </dataRequirement>
               </Library>
            </contained>
            <extension id="supplementalDataGuidance" url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance">
               <extension url="guidance">
                  <valueString value="For every patient evaluated by this measure also identify payer, race, ethnicity and sex"></valueString>
               </extension>
               <extension url="usage">
                  <valueCodeableConcept>
                     <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"></system>
                        <code value="supplemental-data"></code>
                        <display value="Supplemental Data"></display>
                     </coding>
                     <text value="Supplemental Data Guidance"></text>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
               <valueReference>
                  <reference value="#effective-data-requirements"></reference>
               </valueReference>
            </extension>
            <url value="https://madie.cms.gov/Measure/CMS75FHIRChildrenDentalDecay"></url>
            <identifier>
               <use value="usual"></use>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"></system>
                     <code value="short-name"></code>
                     <display value="Short Name"></display>
                  </coding>
               </type>
               <system value="https://madie.cms.gov/measure/shortName"></system>
               <value value="CMS75FHIR"></value>
            </identifier>
            <identifier>
               <use value="official"></use>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"></system>
                     <code value="version-independent"></code>
                     <display value="Version Independent"></display>
                  </coding>
               </type>
               <system value="urn:ietf:rfc:3986"></system>
               <value value="urn:uuid:78ac4b65-61d7-45be-88c1-231c922ad656"></value>
            </identifier>
            <identifier>
               <use value="official"></use>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"></system>
                     <code value="version-specific"></code>
                     <display value="Version Specific"></display>
                  </coding>
               </type>
               <system value="urn:ietf:rfc:3986"></system>
               <value value="urn:uuid:3e5eaf0c-becf-4d12-80e9-cfb2fd1fd830"></value>
            </identifier>
            <identifier>
               <use value="official"></use>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"></system>
                     <code value="publisher"></code>
                     <display value="Publisher"></display>
                  </coding>
               </type>
               <system value="https://madie.cms.gov/measure/cmsId"></system>
               <value value="75FHIR"></value>
               <assigner>
                  <display value="CMS"></display>
               </assigner>
            </identifier>
            <version value="1.0.000"></version>
            <name value="CMS75FHIRChildrenDentalDecay"></name>
            <title value="Children Who Have Dental Decay or CavitiesFHIR
"></title>
            <status value="active"></status>
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            <date value="2025-08-20T20:34:28+00:00"></date>
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            <description value="Percentage of children, 1-20 years of age at the start of the measurement period, who have had dental decay or cavities during the measurement period as determined by a dentist
"></description>
            <usage value="This eCQM is a patient-based measure. Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth. This FHIR-based measure has been derived from the QDM-based measure CMS75v14. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU6/) for more information on QI-Core and mapping recommendations from QDM to QI-Core STU 6 (https://hl7.org/fhir/us/qicore/STU6/qdm-to-qicore.html).
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            <copyright value="This electronic clinical quality measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare \&amp; Medicaid Services (CMS). CMS contracted (Contract # 75FCMC18D0027/ Task Order #: 75FCMC24F0144) with the American Institutes for Research (AIR) to develop this electronic measure. AIR is not responsible for any use of the Measure. AIR makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and AIR has no liability to anyone who relies on such measures or specifications. 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. AIR disclaims all liability for use or accuracy of any third-party codes contained in the specifications. CPT(R) codes, descriptions and other data are copyright 2024. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. The American Dental Association (&quot;ADA&quot;) holds a copyright to the Current Dental Terminology (&quot;CDT&quot;) codes contained in certain measure specifications. The CDT codes in the measure specifications are included with the permission of the ADA. All uses of the CDT codes require a license from the ADA. No alteration, amendments, or modifications of the CDT or any portion thereof is allowed. Resale, transmission, or distribution of copies of the CDT or other portions of the CDT is also not allowed. To inquire about licensing, contact CDT-SNODENT@ada.org. The measure specifications contain coding from LOINC(R) (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright 2004-2024 Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee, and are available at no cost under the license at http://loinc.org/terms-of-use. This material contains SNOMED Clinical Terms(R) (SNOMED CT\[R\]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 copyright 2024 World Health Organization. All Rights Reserved. &quot;HL7&quot; is the registered trademark of Health Level Seven International.
"></copyright>
            <effectivePeriod>
               <start value="2026-01-01"></start>
               <end value="2026-12-31"></end>
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            <author>
               <name value="American Institutes for Research (AIR)"></name>
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                  <value value="https://www.air.org"></value>
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            <relatedArtifact>
               <type value="citation"></type>
               <citation value="American Academy of Pediatric Dentistry. (2022). Periodicity of examination, preventive dental services, anticipatory guidance/ counseling, and oral treatment for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2024:293-305
"></citation>
            </relatedArtifact>
            <relatedArtifact>
               <type value="citation"></type>
               <citation value="Data Resource Center for Child and Adolescent Health, Child and Adolescent Health Measurement Initiative. (2007). 2007 National Survey of Children's Health. Baltimore, MD: Author.
"></citation>
            </relatedArtifact>
            <relatedArtifact>
               <type value="citation"></type>
               <citation value="Edelstein, B. L., \&amp; Chinn, C. H. (2009). Update on Disparities in Oral Health and Access to Dental Care for America's Children. Academic Pediatrics, 9(6), 415-419.
"></citation>
            </relatedArtifact>
            <relatedArtifact>
               <type value="citation"></type>
               <citation value="Fleming, E., \&amp; Afful, J. (2018). Prevalence of Total and Untreated Dental Carries Among Youth: United States, 2015-2016. NCHS Data Brief No. 307. Hyattsville, MD: National Center for Health Statistics.
"></citation>
            </relatedArtifact>
            <library value="https://madie.cms.gov/Library/CMS75FHIRChildrenDentalDecay"></library>
            <disclaimer value="The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED &quot;AS IS&quot; WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or \[R\] and unregistered trademarks are indicated by (TM) or \[TM\].
"></disclaimer>
            <rationale value="Dental caries is the most chronic disease among youth aged 6-19 years. Data from the National Health and Nutrition Examination Survey from 2015-2016 showed that approximately 45.8 percent of children and youth aged 2-19 years had total caries (untreated and treated). Prevalence of total dental caries (untreated and treated) in primary or permanent teeth increases with age, going from 21.4 percent, 50.5 percent, and 53.8 percent among ages 2-5, 6-11, and 12-19, respectively. Total dental caries was highest in Hispanic youths aged 2-19 at 57.1 percent compared to 48.1 percent for non-Hispanic black, 44.6 percent for non-Asian, and 40.4 percent for non-Hispanic white youth. Monitoring prevalence of untreated and total caries is vital to preventing and controlling oral disease (Fleming \&amp; Afful, 2018). Children who have dental decay or cavities are less likely to be in very good or excellent overall health than children without decay or cavities (Edelstein \&amp; Chinn, 2009). Children with decay are also more likely to have other oral health problems such as toothaches, broken teeth, and bleeding gums (Data Resource Center for Child and Adolescent Health, 2007).
"></rationale>
            <clinicalRecommendationStatement value="The American Academy of Pediatric Dentistry (AAPD) provides clinical recommendations for pediatric oral health assessments and preventative services (AAPD, 2022). The recommendation states that the first clinical oral examination should occur around 12 months of age. The clinical oral exam should be repeated every 6 months or as indicated by the child's risk status or susceptibility to disease. Further, caries risk assessment must be repeated regularly and frequently to maximize effectiveness.
"></clinicalRecommendationStatement>
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                  <expression value="SDE Sex"></expression>
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      <request>
         <method value="POST"></method>
         <url value="Measure/CMS75FHIRChildrenDentalDecay"></url>
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   </entry>
   <entry>
      <fullUrl value="https://madie.cms.gov/Library/CMS75FHIRChildrenDentalDecay"></fullUrl>
      <resource>
         <Library xmlns="http://hl7.org/fhir">
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               <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">CMS75FHIRChildrenDentalDecay</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Version</th> 
                           <td class="content-container">1.0.000</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Identifier</th> 
                           <td class="content-container">CMS75FHIRChildrenDentalDecay</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Steward (Publisher)</th> 
                           <td class="content-container">Centers for Medicare &amp; Medicaid Services (CMS)</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Description</th> 
                           <td class="content-container">CMS75FHIRChildrenDentalDecay</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>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004 
                              <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> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">library CMS75FHIRChildrenDentalDecay version '1.0.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include SupplementalDataElements version '5.1.000' called SDE
include QICoreCommon version '4.0.000' called QICoreCommon
include Hospice version '6.18.000' called Hospice
include Status version '1.15.000' called Status

valueset "Clinical Oral Evaluation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1003'
valueset "Dental Caries": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.125.12.1004'

parameter "Measurement Period" Interval&lt;DateTime&gt;

context Patient

define "Initial Population":
  AgeInYearsAt(date from start of "Measurement Period") in Interval[1, 20]
    and exists ( "Qualifying Encounters" )

define "Qualifying Encounters":
  ( ( [Encounter: "Clinical Oral Evaluation"] ).isEncounterPerformed ( ) ) ValidEncounter
    where ValidEncounter.period during day of "Measurement Period"

define "Denominator":
  "Initial Population"

define "Denominator Exclusions":
  Hospice."Has Hospice Services"

define "Numerator":
  exists ( [ConditionProblemsHealthConcerns: "Dental Caries"]
    union [ConditionEncounterDiagnosis: "Dental Caries"] ) DentalCaries
    where DentalCaries.prevalenceInterval ( ) overlaps day of "Measurement Period"

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

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

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

define "SDE Sex":
  SDE."SDE Sex"</code></pre> 
                           </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>
            <url value="https://madie.cms.gov/Library/CMS75FHIRChildrenDentalDecay"></url>
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            <name value="CMS75FHIRChildrenDentalDecay"></name>
            <title value="CMS75FHIRChildrenDentalDecay"></title>
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            <experimental value="false"></experimental>
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            <description value="CMS75FHIRChildrenDentalDecay"></description>
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                  <table class="narrative-table"> 
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                        <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> 
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                        <tr> 
                           <th scope="row" class="row-header">Steward (Publisher)</th> 
                           <td class="content-container">ICF</td> 
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                        <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> 
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                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
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                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient 
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                              <em>Must Support Elements</em>: extension, url 
                              <br></br>  
                           </td> 
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                        <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 
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                              <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> 
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                              <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>   
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                        <tr> 
                           <th colspan="2" scope="row" class="row-header">Library Content</th> 
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                           <th scope="row" class="row-header">CQL Content</th> 
                           <td> 
                              <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> 
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                  <display value="Female (finding)"></display>
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            </extension>
            <url value="https://madie.cms.gov/Library/SupplementalDataElements"></url>
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               <system value="https://madie.cms.gov/login"></system>
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            <name value="SupplementalDataElements"></name>
            <title value="SupplementalDataElements"></title>
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               <display value="Value set Payer Type"></display>
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               <mustSupport value="url"></mustSupport>
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               <mustSupport value="type"></mustSupport>
               <mustSupport value="period"></mustSupport>
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   <entry>
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      <resource>
         <Library xmlns="http://hl7.org/fhir">
            <id value="Hospice"></id>
            <meta>
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            <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">Hospice</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Version</th> 
                           <td class="content-container">6.18.000</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Identifier</th> 
                           <td class="content-container">684c52bf0d70b65363c69ee2</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Steward (Publisher)</th> 
                           <td class="content-container">National Committee for Quality Assurance</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Description</th> 
                           <td class="content-container">This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period.</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>: Encounter 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter 
                              <br></br>   
                              <em>Must Support Elements</em>: type, hospitalization, hospitalization.dischargeDisposition, period 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: type
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                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 
                              <br></br>   
                           </td> 
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                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Encounter 
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                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter 
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                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Observation 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment 
                              <br></br>   
                              <em>Must Support Elements</em>: code, value, effective 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>   
                              <span class="tab-one">
                                 <em>Code(s)</em>:  http://loinc.org#45755-6: 'Hospice care [Minimum Data Set]'  
                              </span> 
                              <br></br>  
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: ServiceRequest 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest 
                              <br></br>   
                              <em>Must Support Elements</em>: code, authoredOn, authoredOn.value 
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                              <span class="tab-one">
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                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Procedure 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure 
                              <br></br>   
                              <em>Must Support Elements</em>: code, performed 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
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                              <span class="tab-one">
                                 <em>Path</em>: code
                              </span> 
                              <br></br>  
                              <span class="tab-one">
                                 <em>ValueSet</em>:
                              </span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 
                              <br></br>   
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: Condition 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis 
                              <br></br>   
                              <em>Must Support Elements</em>: code 
                              <br></br>  
                              <em>Code Filter(s)</em>: 
                              <br></br>  
                              <span class="tab-one">
                                 <em>Path</em>: code
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                              <span class="tab-one">
                                 <em>ValueSet</em>:
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                              <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> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">library Hospice version '6.18.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers
include QICoreCommon version '4.0.000' called QICoreCommon
include Status version '1.15.000' called Status

codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct'

valueset "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
valueset "Hospice Care Ambulatory": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584'
valueset "Hospice Encounter": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003'
valueset "Hospice Diagnosis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165'

code "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' from "SNOMEDCT" display 'Discharge to healthcare facility for hospice care (procedure)'
code "Discharge to home for hospice care (procedure)": '428361000124107' from "SNOMEDCT" display 'Discharge to home for hospice care (procedure)'
code "Hospice care [Minimum Data Set]": '45755-6' from "LOINC" display 'Hospice care [Minimum Data Set]'
code "Yes (qualifier value)": '373066001' from "SNOMEDCT" display 'Yes (qualifier value)'

parameter "Measurement Period" Interval&lt;DateTime&gt;

context Patient

define "Has Hospice Services":
  exists ((([Encounter: "Encounter Inpatient"]).isEncounterPerformed()) InpatientEncounter
      where (InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
          or InpatientEncounter.hospitalization.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
      )
        and InpatientEncounter.period ends during day of "Measurement Period"
  )
    or exists ((([Encounter: "Hospice Encounter"]).isEncounterPerformed()) HospiceEncounter
        where HospiceEncounter.period overlaps day of "Measurement Period"
    )
    or exists ((([ObservationScreeningAssessment: "Hospice care [Minimum Data Set]"]).isAssessmentPerformed()) HospiceAssessment
        where HospiceAssessment.value ~ "Yes (qualifier value)"
          and HospiceAssessment.effective.toInterval() overlaps day of "Measurement Period"
    )
    or exists ((([ServiceRequest: "Hospice Care Ambulatory"]).isInterventionOrder()) HospiceOrder
        where HospiceOrder.authoredOn during day of "Measurement Period"
    )
    or exists ((([Procedure: "Hospice Care Ambulatory"]).isInterventionPerformed()) HospicePerformed
        where HospicePerformed.performed.toInterval() overlaps day of "Measurement Period"
    )
    or exists ((([ConditionProblemsHealthConcerns: "Hospice Diagnosis"]
        union [ConditionEncounterDiagnosis: "Hospice Diagnosis"]).verified()) HospiceCareDiagnosis
        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of "Measurement Period"
    )</code></pre> 
                           </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>
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                  <code value="428371000124100"></code>
                  <display value="Discharge to healthcare facility for hospice care (procedure)"></display>
               </valueCoding>
            </extension>
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               <valueCoding>
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                  <code value="428361000124107"></code>
                  <display value="Discharge to home for hospice care (procedure)"></display>
               </valueCoding>
            </extension>
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               <valueCoding>
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                  <code value="45755-6"></code>
                  <display value="Hospice care [Minimum Data Set]"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://snomed.info/sct"></system>
                  <code value="373066001"></code>
                  <display value="Yes (qualifier value)"></display>
               </valueCoding>
            </extension>
            <url value="https://madie.cms.gov/Library/Hospice"></url>
            <identifier>
               <use value="official"></use>
               <system value="https://madie.cms.gov/login"></system>
               <value value="684c52bf0d70b65363c69ee2"></value>
            </identifier>
            <version value="6.18.000"></version>
            <name value="Hospice"></name>
            <title value="Hospice"></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="2025-08-20T20:34:33+00:00"></date>
            <publisher value="National Committee for Quality Assurance"></publisher>
            <description value="This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period."></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 Status"></display>
               <resource value="https://madie.cms.gov/Library/Status|1.15.000"></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="Library QICoreCommon"></display>
               <resource value="https://madie.cms.gov/Library/QICoreCommon|4.0.000"></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="Code system LOINC"></display>
               <resource value="http://loinc.org"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Value set Encounter Inpatient"></display>
               <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Value set Hospice Encounter"></display>
               <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Value set Hospice Care Ambulatory"></display>
               <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Value set Hospice Diagnosis"></display>
               <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"></resource>
            </relatedArtifact>
            <dataRequirement>
               <type value="Encounter"></type>
               <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"></profile>
               <mustSupport value="type"></mustSupport>
               <mustSupport value="hospitalization"></mustSupport>
               <mustSupport value="hospitalization.dischargeDisposition"></mustSupport>
               <mustSupport value="period"></mustSupport>
               <codeFilter>
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               <mustSupport value="code"></mustSupport>
               <mustSupport value="value"></mustSupport>
               <mustSupport value="effective"></mustSupport>
               <codeFilter>
                  <path value="code"></path>
                  <code>
                     <system value="http://loinc.org"></system>
                     <code value="45755-6"></code>
                     <display value="Hospice care [Minimum Data Set]"></display>
                  </code>
               </codeFilter>
            </dataRequirement>
            <dataRequirement>
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               <mustSupport value="authoredOn"></mustSupport>
               <mustSupport value="authoredOn.value"></mustSupport>
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               <mustSupport value="code"></mustSupport>
               <mustSupport value="performed"></mustSupport>
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            <dataRequirement>
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               <mustSupport value="code"></mustSupport>
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      </resource>
      <request>
         <method value="POST"></method>
         <url value="Library/Hospice"></url>
      </request>
   </entry>
   <entry>
      <fullUrl value="https://madie.cms.gov/Library/Status"></fullUrl>
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            <id value="Status"></id>
            <meta>
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               <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">Status</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Version</th> 
                           <td class="content-container">1.15.000</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Identifier</th> 
                           <td class="content-container">684c4d910d70b65363c69edf</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Steward (Publisher)</th> 
                           <td class="content-container">National Committee for Quality Assurance</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Description</th> 
                           <td class="content-container">This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.</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 colspan="2" scope="row" class="row-header">Library Content</th> 
                        </tr>  
                        <tr> 
                           <th scope="row" class="row-header">CQL Content</th> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">library Status version '1.15.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers

codesystem "ObservationCategoryCodes": 'http://terminology.hl7.org/CodeSystem/observation-category'
codesystem "ConditionVerificationStatusCodes": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'

code "exam": 'exam' from "ObservationCategoryCodes" display 'exam'
code "imaging": 'imaging' from "ObservationCategoryCodes" display 'imaging'
code "confirmed": 'confirmed' from ConditionVerificationStatusCodes display 'confirmed'
code "unconfirmed": 'unconfirmed' from ConditionVerificationStatusCodes display 'unconfirmed'
code "provisional": 'provisional' from ConditionVerificationStatusCodes display 'provisional'
code "differential": 'differential' from ConditionVerificationStatusCodes display 'differential'

context Patient

//This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.

//Condition
//Returns conditions in the given list that either have no verification status or have a verification status of confirmed, unconfirmed, provisional, or differential
define fluent function verified(conditions List&lt;Choice&lt;ConditionProblemsHealthConcerns, ConditionEncounterDiagnosis&gt;&gt;):
  conditions C
    where C.verificationStatus is not null implies
      (C.verificationStatus ~ "confirmed"
        or C.verificationStatus ~ "unconfirmed"
        or C.verificationStatus ~ "provisional"
        or C.verificationStatus ~ "differential"
      )

//Assessment, Performed
define fluent function isAssessmentPerformed(Obs List&lt;ObservationScreeningAssessment&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }

//Device, Order - Personal Use Devices
define fluent function isDeviceOrderPersonalUseDevices(DeviceRequest List&lt;DeviceRequest&gt;):
  DeviceRequest D
    where D.status in { 'active', 'completed' }
      and D.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}

//Diagnostic Study, Order
define fluent function isDiagnosticStudyOrder(ServiceRequest List&lt;ServiceRequest&gt;):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}
      
//Intervention, Order
define fluent function isInterventionOrder(ServiceRequest List&lt;ServiceRequest&gt;):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}    

//Laboratory Test, Order
define fluent function isLaboratoryTestOrder(ServiceRequest List&lt;ServiceRequest&gt;):
  ServiceRequest S
    where S.status in { 'active', 'completed' }
      and S.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}       

//Diagnostic Study, Performed
define fluent function isDiagnosticStudyPerformed(Obs List&lt;ObservationClinicalResult&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
        and exists ( O.category ObservationCategory
        where ( ObservationCategory ) ~ "imaging"
    )
    
//Encounter, Performed
//General usage unless required otherwise by measure intent (e.g., follow-up encounters)
define fluent function isEncounterPerformed(Enc List&lt;Encounter&gt;):
  Enc E
    where E.status = 'finished'

//Immunization, Administered
define fluent function isImmunizationAdministered(Immunization List&lt;Immunization&gt;):
  Immunization I
    where I.status ~ 'completed'

//Intervention, Performed
define fluent function isInterventionPerformed(Proc List&lt;Procedure&gt;):
  Proc P
    where P.status ~ 'completed'

//Procedure, Performed
define fluent function isProcedurePerformed(Proc List&lt;Procedure&gt;):
  Proc P
    where P.status ~ 'completed'

//Laboratory Test, Performed
define fluent function isLaboratoryTestPerformed(Obs List&lt;LaboratoryResultObservation&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }

//Medication, Active
define fluent function isMedicationActive(MedicationRequest List&lt;MedicationRequest&gt;):
  MedicationRequest M
    where M.status = 'active'
      and M.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}

//Medication, Dispensed
define fluent function isMedicationDispensed(Med List&lt;MedicationDispense&gt;):
  Med M
    where M.status in { 'completed', 'in-progress', 'on-hold' }

//Medication, Order
define fluent function isMedicationOrder(MedicationRequest List&lt;MedicationRequest&gt;):
  MedicationRequest M
    where M.status in { 'active', 'completed' }
    and M.intent in {'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order'}

//Physical Exam, Performed
define fluent function isPhysicalExamPerformed(Obs List&lt;ObservationClinicalResult&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      and exists ( O.category ObservationCategory
          where ( ObservationCategory ) ~ "exam"
      )

//Observation Vital Signs
define fluent function isObservationBP(Obs List&lt;USCoreBloodPressureProfile&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      
define fluent function isObservationBodyHeight(Obs List&lt;USCoreBodyHeightProfile&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      
define fluent function isObservationBodyWeight(Obs List&lt;USCoreBodyWeightProfile&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
      
define fluent function isObservationBMI(Obs List&lt;USCoreBMIProfile&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' }
 
//Observation Pediatric BMI
define fluent function isObservationPediatricBMI(Obs List&lt;USCorePediatricBMIforAgeObservationProfile&gt;):
  Obs O
    where O.status in { 'final', 'amended', 'corrected' } 
   
//Observation Smoking Status
define fluent function isObservationSmokingStatus(Obs List&lt;USCoreSmokingStatusProfile&gt;):
  Obs O
    where O.status = 'final' 

//Symptom
define fluent function isSymptom(Obs List&lt;SimpleObservation&gt;):
  Obs O
    where O.status in { 'preliminary', 'final', 'amended', 'corrected' }</code></pre> 
                           </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>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="exam"></code>
                  <display value="exam"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="imaging"></code>
                  <display value="imaging"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="confirmed"></code>
                  <display value="confirmed"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="unconfirmed"></code>
                  <display value="unconfirmed"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="provisional"></code>
                  <display value="provisional"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="differential"></code>
                  <display value="differential"></display>
               </valueCoding>
            </extension>
            <url value="https://madie.cms.gov/Library/Status"></url>
            <identifier>
               <use value="official"></use>
               <system value="https://madie.cms.gov/login"></system>
               <value value="684c4d910d70b65363c69edf"></value>
            </identifier>
            <version value="1.15.000"></version>
            <name value="Status"></name>
            <title value="Status"></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="2025-08-20T20:34:33+00:00"></date>
            <publisher value="National Committee for Quality Assurance"></publisher>
            <description value="This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA."></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 ObservationCategoryCodes"></display>
               <resource value="http://terminology.hl7.org/CodeSystem/observation-category"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Code system ConditionVerificationStatusCodes"></display>
               <resource value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></resource>
            </relatedArtifact>
            <content>
               <contentType value="text/cql"></contentType>
               <data value="[encoded data, 8456 characters]"></data>
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         </Library>
      </resource>
      <request>
         <method value="POST"></method>
         <url value="Library/Status"></url>
      </request>
   </entry>
   <entry>
      <fullUrl value="https://madie.cms.gov/Library/QICoreCommon"></fullUrl>
      <resource>
         <Library xmlns="http://hl7.org/fhir">
            <id value="QICoreCommon"></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>
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            </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">QICoreCommon</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Version</th> 
                           <td class="content-container">4.0.000</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Identifier</th> 
                           <td class="content-container">67cb33c19e9ab93ec36dad45</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">Common terminologies and functions used in QI-Core-based CQL artifacts</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>: Resource 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/StructureDefinition/Resource 
                              <br></br>   
                              <em>Must Support Elements</em>: id, id.value 
                              <br></br>  
                           </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>: birthDate, birthDate.value 
                              <br></br>  
                           </td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Data Requirement</th> 
                           <td class="content-container"> 
                              <em>Type</em>: DeviceRequest 
                              <br></br> 
                              <em>Profile(s)</em>:  http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest 
                              <br></br>   
                              <em>Must Support Elements</em>: modifierExtension 
                              <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> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">library QICoreCommon version '4.0.000'

using QICore version '6.0.0'

include FHIRHelpers version '4.4.000' called FHIRHelpers

codesystem "LOINC": 'http://loinc.org'
codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "ActCode": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'
codesystem "RoleCode": 'http://terminology.hl7.org/CodeSystem/v3-RoleCode'
codesystem "Diagnosis Role": 'http://terminology.hl7.org/CodeSystem/diagnosis-role'
codesystem "RequestIntent": 'http://hl7.org/fhir/request-intent'
codesystem "MedicationRequestCategory": 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'
codesystem "ConditionClinicalStatusCodes": 'http://terminology.hl7.org/CodeSystem/condition-clinical'
codesystem "ConditionVerificationStatusCodes": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'
codesystem "AllergyIntoleranceClinicalStatusCodes": 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical'
codesystem "AllergyIntoleranceVerificationStatusCodes": 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification'
codesystem "ObservationCategoryCodes": 'http://terminology.hl7.org/CodeSystem/observation-category'
codesystem "USCoreObservationCategoryExtensionCodes": 'http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category'  
codesystem "ConditionCategory": 'http://terminology.hl7.org/CodeSystem/condition-category'
codesystem "USCoreConditionCategoryExtensionCodes": 'http://hl7.org/fhir/us/core/CodeSystem/condition-category'
codesystem "TaskCodeSystem": 'http://hl7.org/fhir/CodeSystem/task-code' 



code "Birthdate": '21112-8' from "LOINC" display 'Birth date'
code "Dead": '419099009' from "SNOMEDCT" display 'Dead'
code "ER": 'ER' from "RoleCode" display 'Emergency room'
code "ICU": 'ICU' from "RoleCode" display 'Intensive care unit'
code "Billing": 'billing' from "Diagnosis Role" display 'Billing'

//Task codes
code "Fulfill": 'fulfill' from "TaskCodeSystem" display 'Fulfill'

// Encounter Class Codes
code "ambulatory": 'AMB' from ActCode display 'ambulatory'
code "emergency": 'EMER' from ActCode display 'emergency'
code "field": 'FLD' from ActCode display 'field'
code "home health": 'HH' from ActCode display 'home health'
code "inpatient encounter": 'IMP' from ActCode display 'inpatient encounter'
code "inpatient acute": 'ACUTE' from ActCode display 'inpatient acute'
code "inpatient non-acute": 'NONAC' from ActCode display 'inpatient non-acute'
code "observation encounter": 'OBSENC' from ActCode display 'observation encounter'
code "pre-admission": 'PRENC' from ActCode display 'pre-admission'
code "short stay": 'SS' from ActCode display 'short stay'
code "virtual": 'VR' from ActCode display 'Virtual'

// Condition Category Codes
code "problem-list-item": 'problem-list-item' from "ConditionCategory" display 'Problem List Item'
code "encounter-diagnosis": 'encounter-diagnosis' from "ConditionCategory" display 'Encounter Diagnosis'
code "health-concern": 'health-concern' from "USCoreConditionCategoryExtensionCodes" display 'Health Concern'

// Condition Clinical Status Codes - Consider value sets for these
code "active": 'active' from "ConditionClinicalStatusCodes" display 'Active'
code "recurrence": 'recurrence' from "ConditionClinicalStatusCodes" display 'Recurrence'
code "relapse": 'relapse' from "ConditionClinicalStatusCodes" display 'Relapse'
code "inactive": 'inactive' from "ConditionClinicalStatusCodes" display 'Inactive'
code "remission": 'remission' from "ConditionClinicalStatusCodes" display 'Remission'
code "resolved": 'resolved' from "ConditionClinicalStatusCodes" display 'Resolved'

// Condition Verification Status Codes - Consider value sets for these
code "unconfirmed": 'unconfirmed' from ConditionVerificationStatusCodes display 'Unconfirmed'
code "provisional": 'provisional' from ConditionVerificationStatusCodes display 'Provisional'
code "differential": 'differential' from ConditionVerificationStatusCodes display 'Differential'
code "confirmed": 'confirmed' from ConditionVerificationStatusCodes display 'Confirmed'
code "refuted": 'refuted' from ConditionVerificationStatusCodes display 'Refuted'
code "entered-in-error": 'entered-in-error' from ConditionVerificationStatusCodes display 'Entered in Error'

code "allergy-active": 'active' from "AllergyIntoleranceClinicalStatusCodes" display 'Active'
code "allergy-inactive": 'inactive' from "AllergyIntoleranceClinicalStatusCodes" display 'Inactive'
code "allergy-resolved": 'resolved' from "AllergyIntoleranceClinicalStatusCodes" display 'Resolved'

// Allergy/Intolerance Verification Status Codes - Consider value sets for these
code "allergy-unconfirmed": 'unconfirmed' from AllergyIntoleranceVerificationStatusCodes display 'Unconfirmed'
code "allergy-confirmed": 'confirmed' from AllergyIntoleranceVerificationStatusCodes display 'Confirmed'
code "allergy-refuted": 'refuted' from AllergyIntoleranceVerificationStatusCodes display 'Refuted'

// MedicationRequest Category Codes
code "Inpatient": 'inpatient' from "MedicationRequestCategory" display 'Inpatient'
code "Outpatient": 'outpatient' from "MedicationRequestCategory" display 'Outpatient'
code "Community": 'community' from "MedicationRequestCategory" display 'Community'
code "Discharge": 'discharge' from "MedicationRequestCategory" display 'Discharge'

// Diagnosis Role Codes
code "AD": 'AD' from "Diagnosis Role" display 'Admission diagnosis'
code "DD": 'DD' from "Diagnosis Role" display 'Discharge diagnosis'
code "CC": 'CC' from "Diagnosis Role" display 'Chief complaint'
code "CM": 'CM' from "Diagnosis Role" display 'Comorbidity diagnosis'
code "pre-op": 'pre-op' from "Diagnosis Role" display 'pre-op diagnosis'
code "post-op": 'post-op' from "Diagnosis Role" display 'post-op diagnosis'
code "billing": 'billing' from "Diagnosis Role" display 'Billing'

// Observation Category Codes
code "social-history": 'social-history' from "ObservationCategoryCodes" display 'Social History'
code "vital-signs": 'vital-signs' from "ObservationCategoryCodes" display 'Vital Signs'
code "imaging": 'imaging' from "ObservationCategoryCodes" display 'Imaging'
code "laboratory": 'laboratory' from "ObservationCategoryCodes" display 'Laboratory'
code "procedure": 'procedure' from "ObservationCategoryCodes" display 'Procedure'
code "survey": 'survey' from "ObservationCategoryCodes" display 'Survey'
code "exam": 'exam' from "ObservationCategoryCodes" display 'Exam'
code "therapy": 'therapy' from "ObservationCategoryCodes" display 'Therapy'
code "activity": 'activity' from "ObservationCategoryCodes" display 'Activity'

context Patient

/* Candidates for FHIRCommon */

/*
@description: Returns true if the given condition has a clinical status of active, recurrence, or relapse
*/
define fluent function isActive(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
  condition.clinicalStatus ~ "active"
    or condition.clinicalStatus ~ "recurrence"
    or condition.clinicalStatus ~ "relapse"

/*
@description: Returns true if the given condition has the given category
*/
define fluent function hasCategory(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;, category Code):
  exists (condition.category C
    where C ~ category
  )

/*
@description: Returns true if the given condition is a problem list item.
*/
define fluent function isProblemListItem(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
  exists (condition.category C
    where C ~ "problem-list-item"
  )

/*
@description: Returns true if the given condition is an encounter diagnosis
*/
define fluent function isEncounterDiagnosis(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
  exists (condition.category C
    where C ~ "encounter-diagnosis"
  )

/*
@description: Returns true if the given condition is a health concern
*/
define fluent function isHealthConcern(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
  exists (condition.category C
    where C ~ "health-concern"
  )

/*
@description: Returns true if the given observation has the given category
*/
define fluent function hasCategory(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;, 
category Code):
  exists (observation.category C
    where C ~ category
  )

/*
@description: Returns true if the given observation is a social history observation
*/
define fluent function isSocialHistory(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "social-history"
  )

/*
@description: Returns true if the given observation is a vital sign
*/
define fluent function isVitalSign(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "vital-signs"
  )

/*
@description: Returns true if the given observation is an imaging observation
*/
define fluent function isImaging(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "imaging"
  )

/*
@description: Returns true if the given observation is a laboratory observation
*/
define fluent function isLaboratory(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "laboratory"
  )

/*
@description: Returns true if the given observation is a procedure observation
*/
define fluent function isProcedure(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "procedure"
  )

/*
@description: Returns true if the given observation is a survey observation
*/
define fluent function isSurvey(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "survey"
  )

/*
@description: Returns true if the given observation is an exam observation
*/
define fluent function isExam(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "exam"
  )

/*
@description: Returns true if the given observation is a therapy observation
*/
define fluent function isTherapy(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "therapy"
  )

/*
@description: Returns true if the given observation is an activity observation
*/
define fluent function isActivity(observation Choice&lt;"SimpleObservation", 
"ObservationCancelled",
"NonPatientObservation",
"LaboratoryResultObservation",
"ObservationClinicalResult",
"ObservationScreeningAssessment"&gt;):
  exists (observation.category C
    where C ~ "activity"
  )

/*
@description: Returns true if the given MedicationRequest has a category of Community
*/
define fluent function isCommunity(medicationRequest Choice&lt;MedicationRequest, MedicationNotRequested&gt;):
  exists (medicationRequest.category C
    where C ~ Community
  )

/*
@description: Returns true if the given MedicationRequest has a category of Discharge
*/
define fluent function isDischarge(medicationRequest Choice&lt;MedicationRequest, MedicationNotRequested&gt;):
  exists (medicationRequest.category C
    where C ~ Discharge
  )

/*
@description: Returns true if the given DeviceRequest is a negation (i.e. do not perform this order)
@deprecated: This function is no longer required in QICore 6.0.0 and above
*/
define fluent function doNotPerform(deviceRequest DeviceRequest):
  // KNOWN ISSUE: The translator reports this as an error but the execution still works, this is under investigation
  deviceRequest.doNotPerform

/*
@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&lt;DateTime&gt;, or Interval&lt;Quantity&gt; 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&lt;DateTime&gt; or Interval&lt;Quantity&gt;.
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
@deprecated: This function is deprecated. Use the fluent function `toInterval()` instead
*/
define function ToInterval(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):
  case
	  when choice is DateTime then
    	Interval[choice as DateTime, choice as DateTime]
		when choice is Interval&lt;DateTime&gt; then
  		choice as Interval&lt;DateTime&gt;
		when choice is Quantity then
		  Interval[Patient.birthDate + (choice as Quantity),
			  Patient.birthDate + (choice as Quantity) + 1 year)
		when choice is Interval&lt;Quantity&gt; 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&lt;DateTime&gt;
		else
			null as Interval&lt;DateTime&gt;
	end

/*
@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&lt;DateTime&gt;, or Interval&lt;Quantity&gt; 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&lt;DateTime&gt; or Interval&lt;Quantity&gt;.
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&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):
  case
	  when choice is DateTime then
    	Interval[choice as DateTime, choice as DateTime]
		when choice is Interval&lt;DateTime&gt; then
  		choice as Interval&lt;DateTime&gt;
		when choice is Quantity then
		  Interval[Patient.birthDate + (choice as Quantity),
			  Patient.birthDate + (choice as Quantity) + 1 year)
		when choice is Interval&lt;Quantity&gt; 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&lt;DateTime&gt;
		else
			null as Interval&lt;DateTime&gt;
	end

/*
@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.
@deprecated: This function is deprecated. Use the fluent function `abatementInterval()` instead.
*/
define function ToAbatementInterval(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
	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&lt;Quantity&gt; then
	  Interval[Patient.birthDate + (condition.abatement.low as Quantity),
		  Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)
	else if condition.abatement is Interval&lt;DateTime&gt; then
	  Interval[condition.abatement.low, condition.abatement.high)
	else null as Interval&lt;DateTime&gt;

/*
@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&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
	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&lt;Quantity&gt; then
	  Interval[Patient.birthDate + (condition.abatement.low as Quantity),
		  Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)
	else if condition.abatement is Interval&lt;DateTime&gt; then
	  Interval[condition.abatement.low, condition.abatement.high)
	else null as Interval&lt;DateTime&gt;

/*
@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.
@deprecated: This function is deprecated. Use the `prevalenceInterval()` fluent function instead
*/
define function ToPrevalenceInterval(condition Choice&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
if condition.clinicalStatus ~ "active"
  or condition.clinicalStatus ~ "recurrence"
  or condition.clinicalStatus ~ "relapse" then
  Interval[start of ToInterval(condition.onset), end of ToAbatementInterval(condition)]
else
   (end of ToAbatementInterval(condition)) abatementDate
    return if abatementDate is null then
      Interval[start of ToInterval(condition.onset), abatementDate)
    else
      Interval[start of ToInterval(condition.onset), abatementDate]

/*
@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&lt;"ConditionEncounterDiagnosis", "ConditionProblemsHealthConcerns"&gt;):
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]

/*
@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.
@deprecated: This function is deprecated. Use the fluent function `getId()` instead
*/
define function GetId(uri String):
  Last(Split(uri, '/'))

/*
@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, '/'))

/*
@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, '/'))  

/*
@description: Returns true if the given reference is to the given resourceId
@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(reference Reference, resourceId String):
  resourceId = Last(Split(reference.reference, '/'))

/*
@description: Returns true if any of the given references are to the given resource
@comment: Returns true if the `id` element of the given resource exactly equals the tail of any of the given references.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(references List&lt;Reference&gt;, resource Resource):
  exists (references R where R.references(resource))
  
/*
@description: Returns true if any of the given references are to the given resourceId
@comment: Returns true if the `resourceId` parameter exactly equals the tail of any of the given references.
NOTE: This function assumes resources from the same source server.
*/
define fluent function references(references List&lt;Reference&gt;, resourceId String):
  exists (references R where R.references(resourceId))

/*
@description: Returns true if the given code is in the given codeList
@comment: Returns true if the `code` is equivalent to any of the codes in the given `codeList`, false otherwise.
*/
define fluent function includesCode(codeList List&lt;Concept&gt;, code Code):
  exists (codeList C where C ~ code)

/*
@description: Given an interval, return true if the interval has a starting boundary specified
(i.e. the start of the interval is not null and not the minimum DateTime value)
@deprecated: This function is deprecated. Uee the fluent function `hasStart()` instead
*/
define function "HasStart"(period Interval&lt;DateTime&gt; ):
  not ( start of period is null
      or start of period = minimum DateTime
  )

/*
@description: Given an interval, return true if the interval has a starting boundary specified
(i.e. the start of the interval is not null and not the minimum DateTime value)
*/
define fluent function hasStart(period Interval&lt;DateTime&gt; ):
  not ( start of period is null
      or start of period = minimum DateTime
  )

/*
@description: Given an interval, returns true if the interval has an ending boundary specified
(i.e. the end of the interval is not null and not the maximum DateTime value)
@deprecated: This function is deprecated. Use the fluent function `hasEnd()` instead
*/
define function "HasEnd"(period Interval&lt;DateTime&gt; ):
  not (
    end of period is null
      or end of period = maximum DateTime
  )

/*
@description: Given an interval, returns true if the interval has an ending boundary specified
(i.e. the end of the interval is not null and not the maximum DateTime value)
*/
define fluent function hasEnd(period Interval&lt;DateTime&gt; ):
  not (
    end of period is null
      or end of period = maximum DateTime
  )

/*
@description: Given an interval, returns the ending point if the interval has an ending boundary specified,
otherwise, returns the starting point
@deprecated: This function is deprecated. Use the fluent function `latest()` instead
*/
define function "Latest"(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):
  (choice.toInterval()) period
    return
      if (HasEnd(period)) then end of period
      else start of period

/*
@description: Given an interval, returns the ending point if the interval has an ending boundary specified,
otherwise, returns the starting point
*/
define fluent function latest(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):
  (choice.toInterval()) period
    return
      if (period."hasEnd"()) then end of period
      else start of period

/*
@description: Given an interval, return the starting point if the interval has a starting boundary specified,
otherwise, return the ending point
@deprecated: This function is deprecated. Use the fluent function `earliest()` instead
*/
define function "Earliest"(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):
  (choice.toInterval()) period
    return
      if (HasStart(period)) then start of period
      else end of period

/*
@description: Given an interval, return the starting point if the interval has a starting boundary specified,
otherwise, return the ending point
*/
define fluent function earliest(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):
  (choice.toInterval()) period
    return
      if (period."hasStart"()) then start of period
      else end of period

/*
@description: Creates a list of integers from 1 to how many days are in the interval. Note, this wont create an index for
the final day if it is less than 24 hours. This also includes the first 24 hour period.
@deprecated: This function is deprecated. Use the fluent function `toDayNumbers()` instead
*/
define function "Interval To Day Numbers"(Period Interval&lt;DateTime&gt;):
  ( expand { Interval[1, duration in days between start of Period and end of Period]} ) DayNumber
    return end of DayNumber

/*
@description: Creates a list of integers from 1 to how many days are in the interval. Note, this wont create an index for
the final day if it is less than 24 hours. This also includes the first 24 hour period.
*/
define fluent function toDayNumbers(Period Interval&lt;DateTime&gt;):
  ( expand { Interval[1, duration in days between start of Period and end of Period]} ) DayNumber
    return end of DayNumber

/*
@description: Creates a list of 24 hour long intervals in an interval paired with the index (1 indexed) to which 24 hour interval it is.
Note that the result will include intervals that are closed at the beginning and open at the end
@deprecated: This function is deprecated. Use the fluent function `daysInPeriod()` instead
*/
define function "Days In Period"(Period Interval&lt;DateTime&gt;):
  ( "Interval To Day Numbers"(Period)) DayIndex
    let startPeriod: start of Period + (24 hours * (DayIndex - 1)),
    endPeriod: if (hours between startPeriod and end of Period &lt; 24) then startPeriod
      else start of Period + (24 hours * DayIndex)
    return Tuple {
      dayIndex: DayIndex,
      dayPeriod: Interval[startPeriod, endPeriod)
    }

/*
@description: Creates a list of 24 hour long intervals in an interval paired with the index (1 indexed) to which 24 hour interval it is.
Note that the result will include intervals that are closed at the beginning and open at the end
*/
define fluent function daysInPeriod(Period Interval&lt;DateTime&gt;):
  ( "Interval To Day Numbers"(Period)) DayIndex
    let startPeriod: start of Period + (24 hours * (DayIndex - 1)),
    endPeriod: if (hours between startPeriod and end of Period &lt; 24) then startPeriod
      else start of Period + (24 hours * DayIndex)
    return Tuple {
      dayIndex: DayIndex,
      dayPeriod: Interval[startPeriod, endPeriod)
    }</code></pre> 
                           </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>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://loinc.org"></system>
                  <code value="21112-8"></code>
                  <display value="Birthdate"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://snomed.info/sct"></system>
                  <code value="419099009"></code>
                  <display value="Dead"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
                  <code value="ER"></code>
                  <display value="ER"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
                  <code value="ICU"></code>
                  <display value="ICU"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="billing"></code>
                  <display value="Billing"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://hl7.org/fhir/CodeSystem/task-code"></system>
                  <code value="fulfill"></code>
                  <display value="Fulfill"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="AMB"></code>
                  <display value="ambulatory"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="EMER"></code>
                  <display value="emergency"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="FLD"></code>
                  <display value="field"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="HH"></code>
                  <display value="home health"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="IMP"></code>
                  <display value="inpatient encounter"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="ACUTE"></code>
                  <display value="inpatient acute"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="NONAC"></code>
                  <display value="inpatient non-acute"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="OBSENC"></code>
                  <display value="observation encounter"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="PRENC"></code>
                  <display value="pre-admission"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="SS"></code>
                  <display value="short stay"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
                  <code value="VR"></code>
                  <display value="virtual"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"></system>
                  <code value="problem-list-item"></code>
                  <display value="problem-list-item"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"></system>
                  <code value="encounter-diagnosis"></code>
                  <display value="encounter-diagnosis"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://hl7.org/fhir/us/core/CodeSystem/condition-category"></system>
                  <code value="health-concern"></code>
                  <display value="health-concern"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"></system>
                  <code value="active"></code>
                  <display value="active"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"></system>
                  <code value="recurrence"></code>
                  <display value="recurrence"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"></system>
                  <code value="relapse"></code>
                  <display value="relapse"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"></system>
                  <code value="inactive"></code>
                  <display value="inactive"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"></system>
                  <code value="remission"></code>
                  <display value="remission"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"></system>
                  <code value="resolved"></code>
                  <display value="resolved"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="unconfirmed"></code>
                  <display value="unconfirmed"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="provisional"></code>
                  <display value="provisional"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="differential"></code>
                  <display value="differential"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="confirmed"></code>
                  <display value="confirmed"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="refuted"></code>
                  <display value="refuted"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></system>
                  <code value="entered-in-error"></code>
                  <display value="entered-in-error"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"></system>
                  <code value="active"></code>
                  <display value="allergy-active"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"></system>
                  <code value="inactive"></code>
                  <display value="allergy-inactive"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"></system>
                  <code value="resolved"></code>
                  <display value="allergy-resolved"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"></system>
                  <code value="unconfirmed"></code>
                  <display value="allergy-unconfirmed"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"></system>
                  <code value="confirmed"></code>
                  <display value="allergy-confirmed"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"></system>
                  <code value="refuted"></code>
                  <display value="allergy-refuted"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></system>
                  <code value="inpatient"></code>
                  <display value="Inpatient"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></system>
                  <code value="outpatient"></code>
                  <display value="Outpatient"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></system>
                  <code value="community"></code>
                  <display value="Community"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></system>
                  <code value="discharge"></code>
                  <display value="Discharge"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="AD"></code>
                  <display value="AD"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="DD"></code>
                  <display value="DD"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="CC"></code>
                  <display value="CC"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="CM"></code>
                  <display value="CM"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="pre-op"></code>
                  <display value="pre-op"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="post-op"></code>
                  <display value="post-op"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></system>
                  <code value="billing"></code>
                  <display value="billing"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="social-history"></code>
                  <display value="social-history"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="vital-signs"></code>
                  <display value="vital-signs"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="imaging"></code>
                  <display value="imaging"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="laboratory"></code>
                  <display value="laboratory"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="procedure"></code>
                  <display value="procedure"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="survey"></code>
                  <display value="survey"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="exam"></code>
                  <display value="exam"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="therapy"></code>
                  <display value="therapy"></display>
               </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
               <valueCoding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"></system>
                  <code value="activity"></code>
                  <display value="activity"></display>
               </valueCoding>
            </extension>
            <url value="https://madie.cms.gov/Library/QICoreCommon"></url>
            <identifier>
               <use value="official"></use>
               <system value="https://madie.cms.gov/login"></system>
               <value value="67cb33c19e9ab93ec36dad45"></value>
            </identifier>
            <version value="4.0.000"></version>
            <name value="QICoreCommon"></name>
            <title value="QICoreCommon"></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="2025-08-20T20:34:33+00:00"></date>
            <publisher value="ICF"></publisher>
            <description value="Common terminologies and functions used in QI-Core-based CQL artifacts"></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 USCoreConditionCategoryExtensionCodes"></display>
               <resource value="http://hl7.org/fhir/us/core/CodeSystem/condition-category"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Code system ObservationCategoryCodes"></display>
               <resource value="http://terminology.hl7.org/CodeSystem/observation-category"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Code system ConditionClinicalStatusCodes"></display>
               <resource value="http://terminology.hl7.org/CodeSystem/condition-clinical"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Code system MedicationRequestCategory"></display>
               <resource value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></resource>
            </relatedArtifact>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="Code system ConditionCategory"></display>
               <resource value="http://terminology.hl7.org/CodeSystem/condition-category"></resource>
            </relatedArtifact>
            <dataRequirement>
               <type value="Resource"></type>
               <profile value="http://hl7.org/fhir/StructureDefinition/Resource"></profile>
               <mustSupport value="id"></mustSupport>
               <mustSupport value="id.value"></mustSupport>
            </dataRequirement>
            <dataRequirement>
               <type value="Patient"></type>
               <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"></profile>
               <mustSupport value="birthDate"></mustSupport>
               <mustSupport value="birthDate.value"></mustSupport>
            </dataRequirement>
            <dataRequirement>
               <type value="DeviceRequest"></type>
               <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest"></profile>
               <mustSupport value="modifierExtension"></mustSupport>
            </dataRequirement>
            <content>
               <contentType value="text/cql"></contentType>
               <data value="[encoded data, 43100 characters]"></data>
            </content>
            <content>
               <contentType value="application/elm+xml"></contentType>
               <data value="[encoded data, 1733416 characters]"></data>
            </content>
            <content>
               <contentType value="application/elm+json"></contentType>
               <data value="[encoded data, 2930368 characters]"></data>
            </content>
         </Library>
      </resource>
      <request>
         <method value="POST"></method>
         <url value="Library/QICoreCommon"></url>
      </request>
   </entry>
   <entry>
      <fullUrl value="https://madie.cms.gov/Library/FHIRHelpers"></fullUrl>
      <resource>
         <Library xmlns="http://hl7.org/fhir">
            <id value="FHIRHelpers"></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">FHIRHelpers</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Version</th> 
                           <td class="content-container">4.4.000</td> 
                        </tr> 
                        <tr> 
                           <th scope="row" class="row-header">Identifier</th> 
                           <td class="content-container">660d90bc01598d085de46056</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 library defines functions to convert between FHIR
 data types and CQL system-defined types, as well as functions to support FHIRPath implementation. For more information, the FHIRHelpers wiki page:
 https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers</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 colspan="2" scope="row" class="row-header">Library Content</th> 
                        </tr>  
                        <tr> 
                           <th scope="row" class="row-header">CQL Content</th> 
                           <td> 
                              <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">library FHIRHelpers version '4.4.000'

using FHIR version '4.0.1'

/*
@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]

/*
@description: Converts a UCUM definite duration unit to a CQL calendar duration
unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) 
topic of the CQL specification.
@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate
*/
define function ToCalendarUnit(unit System.String):
    case unit
        when 'ms' then 'millisecond'
        when 's' then 'second'
        when 'min' then 'minute'
        when 'h' then 'hour'
        when 'd' then 'day'
        when 'wk' then 'week'
        when 'mo' then 'month'
        when 'a' then 'year'
        else unit
    end

/*
@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) 
value to a CQL Quantity
@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity
has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)
an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.
@seealso: ToCalendarUnit
*/
define function ToQuantity(quantity FHIR.Quantity):
    case
        when quantity is null then null
        when quantity.value is null then null
        when quantity.comparator is not null then
            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
        else
            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')
    end

/*
@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) value to a CQL Quantity, ignoring
the comparator element. This function should only be used when an application is justified in ignoring the comparator value (i.e. the
context is looking for boundary).
@comment: If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units 
(i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function 
is used.
@seealso: ToCalendarUnit
*/
define function ToQuantityIgnoringComparator(quantity FHIR.Quantity):
    case
        when quantity is null then null
        when quantity.value is null then null
        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
        else
            Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')
    end

/*
@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) value to a CQL Interval of Quantity.
@comment: If the given quantity has a comparator, it is used to construct an interval based on the value of the comparator. If the comparator
is less than, the resulting interval will start with a null closed boundary and end with an open boundary on the quantity. If the comparator
is less than or equal, the resulting interval will start with a null closed boundary and end with a closed boundary on the quantity. If the 
comparator is greater or equal, the resulting interval will start with a closed boundary on the quantity and end with a closed null boundary.
If the comparator is greatter than, the resulting interval will start with an open boundary on the quantity and end with a closed null boundary.
If no comparator is specified, the resulting interval will start and end with a closed boundary on the quantity.
*/
define function ToInterval(quantity FHIR.Quantity):
    if quantity is null then null else
        case quantity.comparator.value
            when '&lt;' then
                Interval[
                    null,
                    ToQuantityIgnoringComparator(quantity)
                )
            when '&lt;=' then
                Interval[
                    null,
                    ToQuantityIgnoringComparator(quantity)
                ]
            when '&gt;=' then
                Interval[
                    ToQuantityIgnoringComparator(quantity),
                    null
                ]
            when '&gt;' then
                Interval(
                    ToQuantityIgnoringComparator(quantity),
                    null
                ]
            else
                Interval[ToQuantity(quantity), ToQuantity(quantity)]
        end

/*
@description: Converts the given FHIR [Ratio](https://hl7.org/fhir/datatypes.html#Ratio) value to a CQL Ratio.
*/
define function ToRatio(ratio FHIR.Ratio):
    if ratio is null then
        null
    else
        System.Ratio { numerator: ToQuantity(ratio.numerator), denominator: ToQuantity(ratio.denominator) }

/*
@description: Converts the given FHIR [Range](https://hl7.org/fhir/datatypes.html#Range) value to a CQL Interval of Quantity
*/
define function ToInterval(range FHIR.Range):
    if range is null then
        null
    else
        Interval[ToQuantity(range.low), ToQuantity(range.high)]

/*
@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
        }

/*
@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
        }

/*
@description: Converts the given value (assumed to be a URI) to a CQL [ValueSet](https://cql.hl7.org/09-b-cqlreference.html#valueset)
*/
define function ToValueSet(uri String):
    if uri is null then
        null
    else
        System.ValueSet {
            id: uri
        }

/*
@description: Constructs a FHIR [Reference](https://hl7.org/fhir/datatypes.html#Reference) from the given reference (assumed to be a FHIR resource URL)
*/
define function reference(reference String):
    if reference is null then
        null
    else
        Reference { reference: string { value: reference } }

/*
@description: Converts the given value to a CQL value using the appropriate accessor or conversion function.
@comment: TODO: document conversion
*/
define function ToValue(value Choice&lt;base64Binary,
        boolean,
        canonical,
        code,
        date,
        dateTime,
        decimal,
        id,
        instant,
        integer,
        markdown,
        oid,
        positiveInt,
        string,
        time,
        unsignedInt,
        uri,
        url,
        uuid,
        Address,
        Age,
        Annotation,
        Attachment,
        CodeableConcept,
        Coding,
        ContactPoint,
        Count,
        Distance,
        Duration,
        HumanName,
        Identifier,
        Money,
        Period,
        Quantity,
        Range,
        Ratio,
        Reference,
        SampledData,
        Signature,
        Timing,
        ContactDetail,
        Contributor,
        DataRequirement,
        Expression,
        ParameterDefinition,
        RelatedArtifact,
        TriggerDefinition,
        UsageContext,
        Dosage,
        Meta&gt;):
    case
      when value is base64Binary then (value as base64Binary).value
      when value is boolean then (value as boolean).value
      when value is canonical then (value as canonical).value
      when value is code then (value as code).value
      when value is date then (value as date).value
      when value is dateTime then (value as dateTime).value
      when value is decimal then (value as decimal).value
      when value is id then (value as id).value
      when value is instant then (value as instant).value
      when value is integer then (value as integer).value
      when value is markdown then (value as markdown).value
      when value is oid then (value as oid).value
      when value is positiveInt then (value as positiveInt).value
      when value is string then (value as string).value
      when value is time then (value as time).value
      when value is unsignedInt then (value as unsignedInt).value
      when value is uri then (value as uri).value
      when value is url then (value as url).value
      when value is uuid then (value as uuid).value
      when value is Age then ToQuantity(value as Age)
      when value is CodeableConcept then ToConcept(value as CodeableConcept)
      when value is Coding then ToCode(value as Coding)
      when value is Count then ToQuantity(value as Count)
      when value is Distance then ToQuantity(value as Distance)
      when value is Duration then ToQuantity(value as Duration)
      when value is Quantity then ToQuantity(value as Quantity)
      when value is Range then ToInterval(value as Range)
      when value is Period then ToInterval(value as Period)
      when value is Ratio then ToRatio(value as Ratio)
      else value as Choice&lt;Address,
        Annotation,
        Attachment,
        ContactPoint,
        HumanName,
        Identifier,
        Money,
        Reference,
        SampledData,
        Signature,
        Timing,
        ContactDetail,
        Contributor,
        DataRequirement,
        Expression,
        ParameterDefinition,
        RelatedArtifact,
        TriggerDefinition,
        UsageContext,
        Dosage,
        Meta&gt;
    end

/*
@description: Resolve the given reference as a url to a resource. If the item resolves, the Resource is returned, otherwise the result is null.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function resolve(reference String) returns Resource: external
/*
@description: Resolve the reference element of the given Reference. If the item resolves, the Resource is returned, otherwise the result is null.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function resolve(reference Reference) returns Resource: external
/*
@description: Constructs a Reference to the given Resource. The resulting reference will typically be relative, but implementations may provide a base URL if one can be unambiguously determined.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function reference(resource Resource) returns Reference: external
/*
@description: Returns any extensions with the given url defined on the given element.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function extension(element Element, url String) returns List&lt;Extension&gt;: external
/*
@description: Returns any extensions with the given url defined on the given resource.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function extension(resource DomainResource, url String) returns List&lt;Extension&gt;: external
/*
@description: Returns any modifier extensions with the given url defined on the given element.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function modifierExtension(element BackboneElement, url String) returns List&lt;Extension&gt;: external
/*
@description: Returns any modifier extensions with the given url defined on the given resource.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function modifierExtension(resource DomainResource, url String) returns List&lt;Extension&gt;: external
/*
@description: Returns true if the element is a FHIR primitive type with a value element (as opposed to having only extensions); false otherwise
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function hasValue(element Element) returns Boolean: external
/*
@description: Returns the value of the FHIR primitive; null otherwise
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function getValue(element Element) returns Any: external
/*
@description: Returns a list containing only those elements in the input that are of the given type, specified as a string.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function ofType(identifier String) returns List&lt;Any&gt;: external
/*
@description: Returns true if the input is of the given type; false otherwise
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function is(identifier String) returns Boolean: external
/*
@description: If the input is of the given type; returns the value as that type; null otherwise.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function as(identifier String) returns Any: external
/*
@description: Returns the FHIR element definition for the given element
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function elementDefinition(element Element) returns ElementDefinition: external
/*
@description: Returns the given slice as defined in the given structure definition. The structure argument is a uri that resolves to the structure definition, and the name must be the name of a slice within that structure definition. If the structure cannot be resolved, or the name of the slice within the resolved structure is not present, an error is thrown.
@comment: For every element in the input collection, if the resolved slice is present on the element, it will be returned. If the slice does not match any element in the input collection, or if the input collection is empty, the result is an empty collection ({ }).
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function slice(element Element, url String, name String) returns List&lt;Element&gt;: external
/*
@description: For each element in the input collection, verifies that there are no modifying extensions defined other than the ones given by the modifier argument. If the check passes, the input collection is returned. Otherwise, an error is thrown.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function checkModifiers(resource Resource) returns Resource: external
/*
@description: For each element in the input collection, verifies that there are no modifying extensions defined other than the ones given by the modifier argument. If the check passes, the input collection is returned. Otherwise, an error is thrown.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function checkModifiers(resource Resource, modifier String) returns Resource: external
/*
@description: For each element in the input collection, verifies that there are no modifying extensions defined other than the ones given by the modifier argument. If the check passes, the input collection is returned. Otherwise, an error is thrown.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function checkModifiers(element Element) returns Element: external
/*
@description: For each element in the input collection, verifies that there are no modifying extensions defined other than the ones given by the modifier argument. If the check passes, the input collection is returned. Otherwise, an error is thrown.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function checkModifiers(element Element, modifier String) returns Element: external
/*
@description: Returns true if the single input element conforms to the profile specified by the structure argument, and false otherwise. If the structure cannot be resolved to a valid profile, an error is thrown. If the input contains more than one element, an error is thrown. If the input is empty, the result is empty.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function conformsTo(resource Resource, structure String) returns Boolean: external
/*
@description: Returns true if the given code is equal to a code in the valueset, so long as the valueset only contains one codesystem. If the valueset contains more than one codesystem, an error is thrown.
@comment: If the valueset cannot be resolved as a uri to a value set, an error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
For example:
```fhirpath
Observation.component.where(code.memberOf('http://hl7.org/fhir/ValueSet/observation-vitalsignresult'))
```
This expression returns components that have a code that is a member of the observation-vitalsignresult valueset.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function memberOf(code code, valueSet String) returns Boolean: external
/*
@description: Returns true if the code is a member of the given valueset.
@comment: If the valueset cannot be resolved as a uri to a value set, an error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
For example:
```fhirpath
Observation.component.where(code.memberOf('http://hl7.org/fhir/ValueSet/observation-vitalsignresult'))
```
This expression returns components that have a code that is a member of the observation-vitalsignresult valueset.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function memberOf(coding Coding, valueSet String) returns Boolean: external
/*
@description: Returns true if any code in the concept is a member of the given valueset.
@comment: If the valueset cannot be resolved as a uri to a value set, an error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
For example:
```fhirpath
Observation.component.where(code.memberOf('http://hl7.org/fhir/ValueSet/observation-vitalsignresult'))
```
This expression returns components that have a code that is a member of the observation-vitalsignresult valueset.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function memberOf(concept CodeableConcept, valueSet String) returns Boolean: external
/*
@description: Returns true if the source code is equivalent to the given code, or if the source code subsumes the given code (i.e. the source code is an ancestor of the given code in a subsumption hierarchy), and false otherwise.
@comment: If the Codings are from different code systems, the relationships between the code systems must be well-defined or a run-time error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function subsumes(coding Coding, subsumedCoding Coding) returns Boolean: external
/*
@description: Returns true if any Coding in the source or given elements is equivalent to or subsumes the given code.
@comment: If the Codings are from different code systems, the relationships between the code systems must be well-defined or a run-time error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function subsumes(concept CodeableConcept, subsumedConcept CodeableConcept) returns Boolean: external
/*
@description: Returns true if the source code is equivalent to the given code, or if the source code is subsumed by the given code (i.e. the source code is a descendant of the given code in a subsumption hierarchy), and false otherwise.
@comment: If the Codings are from different code systems, the relationships between the code systems must be well-defined or a run-time error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function subsumedBy(coding Coding, subsumingCoding Coding) returns Boolean: external
/*
@description: Returns true if any Coding in the source or given elements is equivalent to or subsumed by the given code.
@comment: If the Codings are from different code systems, the relationships between the code systems must be well-defined or a run-time error is thrown.
Note that implementations are encouraged to make use of a terminology service to provide this functionality.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function subsumedBy(concept CodeableConcept, subsumingConcept CodeableConcept) returns Boolean: external
/*
@description: When invoked on an xhtml element, returns true if the rules around HTML usage are met, and false if they are not. The return value is undefined (null) on any other kind of element.
@seealso: https://hl7.org/fhir/fhirpath.html#functions
*/
define function htmlChecks(element Element) returns Boolean: external

define function ToString(value AccountStatus): value.value
define function ToString(value ActionCardinalityBehavior): value.value
define function ToString(value ActionConditionKind): value.value
define function ToString(value ActionGroupingBehavior): value.value
define function ToString(value ActionParticipantType): value.value
define function ToString(value ActionPrecheckBehavior): value.value
define function ToString(value ActionRelationshipType): value.value
define function ToString(value ActionRequiredBehavior): value.value
define function ToString(value ActionSelectionBehavior): value.value
define function ToString(value ActivityDefinitionKind): value.value
define function ToString(value ActivityParticipantType): value.value
define function ToString(value AddressType): value.value
define function ToString(value AddressUse): value.value
define function ToString(value AdministrativeGender): value.value
define function ToString(value AdverseEventActuality): value.value
define function ToString(value AggregationMode): value.value
define function ToString(value AllergyIntoleranceCategory): value.value
define function ToString(value AllergyIntoleranceCriticality): value.value
define function ToString(value AllergyIntoleranceSeverity): value.value
define function ToString(value AllergyIntoleranceType): value.value
define function ToString(value AppointmentStatus): value.value
define function ToString(value AssertionDirectionType): value.value
define function ToString(value AssertionOperatorType): value.value
define function ToString(value AssertionResponseTypes): value.value
define function ToString(value AuditEventAction): value.value
define function ToString(value AuditEventAgentNetworkType): value.value
define function ToString(value AuditEventOutcome): value.value
define function ToString(value BindingStrength): value.value
define function ToString(value BiologicallyDerivedProductCategory): value.value
define function ToString(value BiologicallyDerivedProductStatus): value.value
define function ToString(value BiologicallyDerivedProductStorageScale): value.value
define function ToString(value BundleType): value.value
define function ToString(value CapabilityStatementKind): value.value
define function ToString(value CarePlanActivityKind): value.value
define function ToString(value CarePlanActivityStatus): value.value
define function ToString(value CarePlanIntent): value.value
define function ToString(value CarePlanStatus): value.value
define function ToString(value CareTeamStatus): value.value
define function ToString(value CatalogEntryRelationType): value.value
define function ToString(value ChargeItemDefinitionPriceComponentType): value.value
define function ToString(value ChargeItemStatus): value.value
define function ToString(value ClaimResponseStatus): value.value
define function ToString(value ClaimStatus): value.value
define function ToString(value ClinicalImpressionStatus): value.value
define function ToString(value CodeSearchSupport): value.value
define function ToString(value CodeSystemContentMode): value.value
define function ToString(value CodeSystemHierarchyMeaning): value.value
define function ToString(value CommunicationPriority): value.value
define function ToString(value CommunicationRequestStatus): value.value
define function ToString(value CommunicationStatus): value.value
define function ToString(value CompartmentCode): value.value
define function ToString(value CompartmentType): value.value
define function ToString(value CompositionAttestationMode): value.value
define function ToString(value CompositionStatus): value.value
define function ToString(value ConceptMapEquivalence): value.value
define function ToString(value ConceptMapGroupUnmappedMode): value.value
define function ToString(value ConditionalDeleteStatus): value.value
define function ToString(value ConditionalReadStatus): value.value
define function ToString(value ConsentDataMeaning): value.value
define function ToString(value ConsentProvisionType): value.value
define function ToString(value ConsentState): value.value
define function ToString(value ConstraintSeverity): value.value
define function ToString(value ContactPointSystem): value.value
define function ToString(value ContactPointUse): value.value
define function ToString(value ContractPublicationStatus): value.value
define function ToString(value ContractStatus): value.value
define function ToString(value ContributorType): value.value
define function ToString(value CoverageStatus): value.value
define function ToString(value CurrencyCode): value.value
define function ToString(value DayOfWeek): value.value
define function ToString(value DaysOfWeek): value.value
define function ToString(value DetectedIssueSeverity): value.value
define function ToString(value DetectedIssueStatus): value.value
define function ToString(value DeviceMetricCalibrationState): value.value
define function ToString(value DeviceMetricCalibrationType): value.value
define function ToString(value DeviceMetricCategory): value.value
define function ToString(value DeviceMetricColor): value.value
define function ToString(value DeviceMetricOperationalStatus): value.value
define function ToString(value DeviceNameType): value.value
define function ToString(value DeviceRequestStatus): value.value
define function ToString(value DeviceUseStatementStatus): value.value
define function ToString(value DiagnosticReportStatus): value.value
define function ToString(value DiscriminatorType): value.value
define function ToString(value DocumentConfidentiality): value.value
define function ToString(value DocumentMode): value.value
define function ToString(value DocumentReferenceStatus): value.value
define function ToString(value DocumentRelationshipType): value.value
define function ToString(value EligibilityRequestPurpose): value.value
define function ToString(value EligibilityRequestStatus): value.value
define function ToString(value EligibilityResponsePurpose): value.value
define function ToString(value EligibilityResponseStatus): value.value
define function ToString(value EnableWhenBehavior): value.value
define function ToString(value EncounterLocationStatus): value.value
define function ToString(value EncounterStatus): value.value
define function ToString(value EndpointStatus): value.value
define function ToString(value EnrollmentRequestStatus): value.value
define function ToString(value EnrollmentResponseStatus): value.value
define function ToString(value EpisodeOfCareStatus): value.value
define function ToString(value EventCapabilityMode): value.value
define function ToString(value EventTiming): value.value
define function ToString(value EvidenceVariableType): value.value
define function ToString(value ExampleScenarioActorType): value.value
define function ToString(value ExplanationOfBenefitStatus): value.value
define function ToString(value ExposureState): value.value
define function ToString(value ExtensionContextType): value.value
define function ToString(value FHIRAllTypes): value.value
define function ToString(value FHIRDefinedType): value.value
define function ToString(value FHIRDeviceStatus): value.value
define function ToString(value FHIRResourceType): value.value
define function ToString(value FHIRSubstanceStatus): value.value
define function ToString(value FHIRVersion): value.value
define function ToString(value FamilyHistoryStatus): value.value
define function ToString(value FilterOperator): value.value
define function ToString(value FlagStatus): value.value
define function ToString(value GoalLifecycleStatus): value.value
define function ToString(value GraphCompartmentRule): value.value
define function ToString(value GraphCompartmentUse): value.value
define function ToString(value GroupMeasure): value.value
define function ToString(value GroupType): value.value
define function ToString(value GuidanceResponseStatus): value.value
define function ToString(value GuidePageGeneration): value.value
define function ToString(value GuideParameterCode): value.value
define function ToString(value HTTPVerb): value.value
define function ToString(value IdentifierUse): value.value
define function ToString(value IdentityAssuranceLevel): value.value
define function ToString(value ImagingStudyStatus): value.value
define function ToString(value ImmunizationEvaluationStatus): value.value
define function ToString(value ImmunizationStatus): value.value
define function ToString(value InvoicePriceComponentType): value.value
define function ToString(value InvoiceStatus): value.value
define function ToString(value IssueSeverity): value.value
define function ToString(value IssueType): value.value
define function ToString(value LinkType): value.value
define function ToString(value LinkageType): value.value
define function ToString(value ListMode): value.value
define function ToString(value ListStatus): value.value
define function ToString(value LocationMode): value.value
define function ToString(value LocationStatus): value.value
define function ToString(value MeasureReportStatus): value.value
define function ToString(value MeasureReportType): value.value
define function ToString(value MediaStatus): value.value
define function ToString(value MedicationAdministrationStatus): value.value
define function ToString(value MedicationDispenseStatus): value.value
define function ToString(value MedicationKnowledgeStatus): value.value
define function ToString(value MedicationRequestIntent): value.value
define function ToString(value MedicationRequestPriority): value.value
define function ToString(value MedicationRequestStatus): value.value
define function ToString(value MedicationStatementStatus): value.value
define function ToString(value MedicationStatus): value.value
define function ToString(value MessageSignificanceCategory): value.value
define function ToString(value Messageheader_Response_Request): value.value
define function ToString(value MimeType): value.value
define function ToString(value NameUse): value.value
define function ToString(value NamingSystemIdentifierType): value.value
define function ToString(value NamingSystemType): value.value
define function ToString(value NarrativeStatus): value.value
define function ToString(value NoteType): value.value
define function ToString(value NutritiionOrderIntent): value.value
define function ToString(value NutritionOrderStatus): value.value
define function ToString(value ObservationDataType): value.value
define function ToString(value ObservationRangeCategory): value.value
define function ToString(value ObservationStatus): value.value
define function ToString(value OperationKind): value.value
define function ToString(value OperationParameterUse): value.value
define function ToString(value OrientationType): value.value
define function ToString(value ParameterUse): value.value
define function ToString(value ParticipantRequired): value.value
define function ToString(value ParticipantStatus): value.value
define function ToString(value ParticipationStatus): value.value
define function ToString(value PaymentNoticeStatus): value.value
define function ToString(value PaymentReconciliationStatus): value.value
define function ToString(value ProcedureStatus): value.value
define function ToString(value PropertyRepresentation): value.value
define function ToString(value PropertyType): value.value
define function ToString(value ProvenanceEntityRole): value.value
define function ToString(value PublicationStatus): value.value
define function ToString(value QualityType): value.value
define function ToString(value QuantityComparator): value.value
define function ToString(value QuestionnaireItemOperator): value.value
define function ToString(value QuestionnaireItemType): value.value
define function ToString(value QuestionnaireResponseStatus): value.value
define function ToString(value ReferenceHandlingPolicy): value.value
define function ToString(value ReferenceVersionRules): value.value
define function ToString(value ReferredDocumentStatus): value.value
define function ToString(value RelatedArtifactType): value.value
define function ToString(value RemittanceOutcome): value.value
define function ToString(value RepositoryType): value.value
define function ToString(value RequestIntent): value.value
define function ToString(value RequestPriority): value.value
define function ToString(value RequestStatus): value.value
define function ToString(value ResearchElementType): value.value
define function ToString(value ResearchStudyStatus): value.value
define function ToString(value ResearchSubjectStatus): value.value
define function ToString(value ResourceType): value.value
define function ToString(value ResourceVersionPolicy): value.value
define function ToString(value ResponseType): value.value
define function ToString(value RestfulCapabilityMode): value.value
define function ToString(value RiskAssessmentStatus): value.value
define function ToString(value SPDXLicense): value.value
define function ToString(value SearchComparator): value.value
define function ToString(value SearchEntryMode): value.value
define function ToString(value SearchModifierCode): value.value
define function ToString(value SearchParamType): value.value
define function ToString(value SectionMode): value.value
define function ToString(value SequenceType): value.value
define function ToString(value ServiceRequestIntent): value.value
define function ToString(value ServiceRequestPriority): value.value
define function ToString(value ServiceRequestStatus): value.value
define function ToString(value SlicingRules): value.value
define function ToString(value SlotStatus): value.value
define function ToString(value SortDirection): value.value
define function ToString(value SpecimenContainedPreference): value.value
define function ToString(value SpecimenStatus): value.value
define function ToString(value Status): value.value
define function ToString(value StrandType): value.value
define function ToString(value StructureDefinitionKind): value.value
define function ToString(value StructureMapContextType): value.value
define function ToString(value StructureMapGroupTypeMode): value.value
define function ToString(value StructureMapInputMode): value.value
define function ToString(value StructureMapModelMode): value.value
define function ToString(value StructureMapSourceListMode): value.value
define function ToString(value StructureMapTargetListMode): value.value
define function ToString(value StructureMapTransform): value.value
define function ToString(value SubscriptionChannelType): value.value
define function ToString(value SubscriptionStatus): value.value
define function ToString(value SupplyDeliveryStatus): value.value
define function ToString(value SupplyRequestStatus): value.value
define function ToString(value SystemRestfulInteraction): value.value
define function ToString(value TaskIntent): value.value
define function ToString(value TaskPriority): value.value
define function ToString(value TaskStatus): value.value
define function ToString(value TestReportActionResult): value.value
define function ToString(value TestReportParticipantType): value.value
define function ToString(value TestReportResult): value.value
define function ToString(value TestReportStatus): value.value
define function ToString(value TestScriptRequestMethodCode): value.value
define function ToString(value TriggerType): value.value
define function ToString(value TypeDerivationRule): value.value
define function ToString(value TypeRestfulInteraction): value.value
define function ToString(value UDIEntryType): value.value
define function ToString(value UnitsOfTime): value.value
define function ToString(value Use): value.value
define function ToString(value VariableType): value.value
define function ToString(value VisionBase): value.value
define function ToString(value VisionEyes): value.value
define function ToString(value VisionStatus): value.value
define function ToString(value XPathUsageType): value.value
define function ToString(value base64Binary): value.value
define function ToBoolean(value boolean): value.value
define function ToDate(value date): value.value
define function ToDateTime(value dateTime): value.value
define function ToDecimal(value decimal): value.value
define function ToDateTime(value instant): value.value
define function ToInteger(value integer): value.value
define function ToString(value string): value.value
define function ToTime(value time): value.value
define function ToString(value uri): value.value
define function ToString(value xhtml): value.value</code></pre> 
                           </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>
            <url value="https://madie.cms.gov/Library/FHIRHelpers"></url>
            <identifier>
               <use value="official"></use>
               <system value="https://madie.cms.gov/login"></system>
               <value value="660d90bc01598d085de46056"></value>
            </identifier>
            <version value="4.4.000"></version>
            <name value="FHIRHelpers"></name>
            <title value="FHIRHelpers"></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="2025-08-20T20:34:32+00:00"></date>
            <publisher value="ICF"></publisher>
            <description value="This library defines functions to convert between FHIR
 data types and CQL system-defined types, as well as functions to support
 FHIRPath implementation. For more information, the FHIRHelpers wiki page:
 https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers"></description>
            <relatedArtifact>
               <type value="depends-on"></type>
               <display value="FHIR model information"></display>
               <resource value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"></resource>
            </relatedArtifact>
            <content>
               <contentType value="text/cql"></contentType>
               <data value="[encoded data, 52440 characters]"></data>
            </content>
            <content>
               <contentType value="application/elm+xml"></contentType>
               <data value="[encoded data, 1342916 characters]"></data>
            </content>
            <content>
               <contentType value="application/elm+json"></contentType>
               <data value="[encoded data, 2177516 characters]"></data>
            </content>
         </Library>
      </resource>
      <request>
         <method value="POST"></method>
         <url value="Library/FHIRHelpers"></url>
      </request>
   </entry>
</Bundle>