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    "fullUrl": "https://madie.cms.gov/Measure/QOLNeurologicConditions",
    "resource": {
      "resourceType": "Measure",
      "id": "QOLNeurologicConditions",
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        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" class=\"col-12\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">Quality of Life Outcome for Patients with Neurologic Conditions</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">Draft based on 0.1.000</td>\n</tr>\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Short Name</th>\n\n\n<td class=\"content-container\">CMS1234QOLNeurologicConditions</td>\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">GUID (Version Independent)</th>\n\n\n<td class=\"content-container\">urn:uuid:772ddd9d-27e5-456d-87bb-7fe47aa2afb6</td>\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">GUID (Version Specific)</th>\n\n\n<td class=\"content-container\">urn:uuid:5def8f3e-8c71-411c-bcbf-460552aaa131</td>\n</tr>\n\n\n\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n\n<td class=\"content-container\">2026-01-01 through 2026-12-31</td>\n</tr>\n\n  \n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n<td class=\"content-container\">draft</td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n<td class=\"content-container\">org.hl7.fhir.r5.model.UsageContext@42a7d630</td>\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">American Academy of Neurology</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Developer</th>\n\n\n<td class=\"content-container\">American Academy of Neurology</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Developer</th>\n\n\n<td class=\"content-container\">Lantana Consulting Group</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\">Percentage of adult patients with a diagnosis of a neurologic condition whose quality of life assessment results are maintained or improved in the twelve months following the first Patient-Reported Outcomes Measurement Information System (PROMIS) score</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n\n<td class=\"content-container\">Copyright: (C)2024 American Academy of Neurology Institute (AANI). All rights reserved.</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Disclaimer</th>\n\n\n<td class=\"content-container\">Quality Measures published by the American Academy of Neurology and its affiliates are assessments of current scientific and clinical information provided as an educational service. The information: 1) should not be considered inclusive of all proper treatments, methods of care, or as a statement of the standard of care; 2) is not continually updated and may not reflect the most recent evidence (new evidence may emerge between the time information is developed and when it is published or read); 3) addresses only the question(s) or topic(s) specifically identified; 4) does not mandate any particular course of medical care; and 5) is not intended to substitute for the independent professional judgment of the treating provider, as the information does not account for individual variation among patients. In all cases, the selected course of action should be considered by the treating provider in the context of treating the individual patient. Use of the information is voluntary. AAN provides this information on an “as is” basis, and makes no warranty, expressed or implied, regarding the information. AAN specifically disclaims any warranties of merchantability or fitness for a particular use or purpose. AAN assumes no responsibility for any injury or damage to persons or property arising out of or related to any use of this information or for any errors or omissions. Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary coding sets should obtain all necessary licenses from the owners of these code sets. The AAN and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications. ICD10 copyright 2025 International Health Terminology Standards Development Organization CPT(R) contained in the Measure specifications is copyright 2004-2025 American Medical Association. LOINC(R) is copyright 2004-2024 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 is copyright 2025 World Health Organization. All Rights Reserved.</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Rationale</th>\n\n\n<td class=\"content-container\">Measuring quality of life allows patients and providers to identify areas of concern and develop appropriate treatment plan adjustments and collecting quality of life data in a neurology ambulatory setting was found to be meaningful (Katzan, et al. 2018) (Moura, et al. 2016).</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Clinical Recommendation Statement</th>\n\n\n<td class=\"content-container\">While there is no clinical guideline recommending that clinicians assess quality of life for patients with neurologic conditions, there is general support for the use of Patient-Reported Outcomes Measurement Information System [PROMIS]-10-Global as a meaningful assessment to aid in assessing patient concerns (Hays, et al. 2009).</td>\n</tr>\n\n\n\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    Etkind, S. N., Daveson, B. A., Kwok, W., Witt, J., Lovell, N., Bajwah, S., ... Higginson, I. J. (2015). Capture, transfer, and feedback of patient-centered outcomes data in palliative care populations: Does it make a difference? Journal of Pain and Symptom Management, 49(3), 611–624. https://doi.org/10.1016/j.jpainsymman.2014.07.010\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., &amp; Cella, D. (2009). Development of physical and mental health summary scores from the Patient-Reported Outcomes Measurement Information System (PROMIS) global items. Quality of Life Research, 18(7), 873–880. https://doi.org/10.1007/s11136-009-9496-9\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    Katzan, I. L., &amp; Lapin, B. (2018). PROMIS GH (Patient-Reported Outcomes Measurement Information System Global Health) scale in stroke: A validation study. Stroke, 49(1), 147–154. https://doi.org/10.1161/STROKEAHA.117.018766\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    Moura, L. M. V. R., Schwamm, E., Moura, V., Jr., Shubina, M., Cole, A. J., Kizer, J. S., &amp; Kent, D. M. (2016). Feasibility of the collection of patient-reported outcomes in an ambulatory neurology clinic. Neurology, 87(1), 1–8. https://doi.org/10.1212/WNL.0000000000002801\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    Sico, J. J., Sarwal, A., Benish, S. M., Lum, H. D., Damush, T. M., Bravata, D. M., &amp; Cheng, E. M. (2020). Quality improvement in neurology: Neurology Outcomes Quality Measurement Set. Neurology, 94(22), 982–990. https://doi.org/10.1212/WNL.0000000000009386\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n\n\n\n\n\n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Definition</th>\n\n\n<td class=\"content-container\">Denominator Identification Period: The period in which eligible patients can have an index event. The denominator identification period occurs prior to the measurement period and is defined as 14 months to two months prior to the start of the measurement period. For example, the denominator identification period for the 2023 measurement period is from 11/1/2021 to 10/31/2022. For patients with an index event, there needs to be enough time following index for the patients to have the opportunity to reach comparison twelve months +/- 60 days after the index event date.</td>\n</tr>\n\n\n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Definition</th>\n\n\n<td class=\"content-container\">Index Event: An index event includes ALL of the following criteria 1) Outpatient and virtual visits during the Denominator Identification Period 2) Patients with an active diagnosis of a neurologic condition 3) and includes the first instance a PROMIS Global Health-10 score was recorded</td>\n</tr>\n\n\n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Definition</th>\n\n\n<td class=\"content-container\">Index Event Date: The date the Index Event occurred</td>\n</tr>\n\n\n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Definition</th>\n\n\n<td class=\"content-container\">Measure Assessment Period: The Index Event Date marks the start of the measurement assessment period and concludes at twelve months allowing a grace period of sixty days prior to and sixty days after this date (+/-60 days) for the follow-up PROMIS score. For patients with more than 2 scores present at twelve months (+/- 60 days) the last score recorded shall be compared to the Index Event score.</td>\n</tr>\n\n\n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Definition</th>\n\n\n<td class=\"content-container\">PROMIS 10: A validated 10 question survey to assess physical and mental health.</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Guidance (Usage)</th>\n\n\n<td class=\"content-container\">Patients meeting the Index event criteria are excluded from the measure regardless if both PROMIS Assessments are performed prior to death. The measure is not expected to have a 100% performance rate given the goal of implementing this quality measure is to establish an individual benchmark in the first measurement period and drive performance improvement over time in subsequent measurement periods. The work group discussed the potential value of exclusions and unintended consequences of excluding specific neurologic conditions such as ALS and Huntington disease. The work group ultimately determined that there would be value in the continued assessment of quality of life for those with a terminal illness and/or neurodegenerative disease. Existing data demonstrates that patient outcome measures reported within palliative care populations enhance patients’ quality of life (Etkind, et al. 2015), including patients with neurodegenerative diseases. There are opportunities to identify unmet or underappreciated patient needs and improve quality of life throughout disease stages. It was also noted that if a neurologist is working strictly with an ALS population, the benchmarks identified would be meaningful and could drive change over time (Sico, et al. 2020). Virtual visits are acceptable for this measure. This digital quality measure (dQM) is a patient-based measure. Regarding Index Event, the above criteria are required, and the patient is NOT in a prior index period. Regarding the exception, the work group recommends that clinics and providers reach out to all patients and their care partners to provide this information. The work group is aware that patients with advanced disease activity may not be able to provide accurate responses to this question, but efforts should be made to engage care partners to provide information. For example, some patients may be unable to hold a pen or type on a keyboard to answer the question while others may experience delusional beliefs preventing an accurate assessment of provider performance. These scenarios include patients with reduced cognitive ability. Providers are encouraged to gain proxy information on performance when possible, and the work group recognizes this is not always possible. The AAN will monitor the measure over time for unintended consequences of having such an exception.</td>\n</tr>\n\n\n\n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: Group_1)</th>\n\n\n</tr>\n  \n  \n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Basis</th>\n\n\n<td class=\"content-container\">boolean</td>\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/measure-scoring#proportion: 'Proportion']</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/measure-type#outcome: 'Outcome']</td>\n</tr>\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase: 'Increased score indicates improvement']</td>\n</tr>\n\n\n  \n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: InitialPopulation_1\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Patients aged 18 years and older at the time of the first PROMIS assessment visit who have a diagnosis of a neurological condition</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-qolneurologicconditions-initial-population\">Initial Population</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: Denominator_1\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Equals Initial Population</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-qolneurologicconditions-denominator\">Denominator</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator Exclusion</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: DenominatorExclusion_1\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">*Patients who died *Second PROMIS Global Health-10 score not collected at twelve months (+/-60 days)</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-qolneurologicconditions-denominator-exclusion\">Denominator Exclusion</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: Numerator_1\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Patients whose PROMIS Global Health-10 score at twelve months (+/-60 days) following the Index Event was maintained or improved from the index score</p>\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#primary-qolneurologicconditions-numerator\">Numerator</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n\n\n  \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Guidance</th>\n\n\n<td class=\"content-container\">For every patient evaluated by this measure also identify payer, race, ethnicity and sex</td>\n</tr>\n\n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Supplemental Data Elements</th>\n\n\n</tr>\n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-ethnicity\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: SDE Ethnicity\n    \n    \n      \n        <br/>\n        \n        <em>Logic Definition</em>: <a href=\"#qolneurologicconditions-sde-ethnicity\">SDE Ethnicity</a> \n      \n    \n  </td>\n</tr>\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-payer\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: SDE Payer\n    \n    \n      \n        <br/>\n        \n        <em>Logic Definition</em>: <a href=\"#qolneurologicconditions-sde-payer\">SDE Payer</a> \n      \n    \n  </td>\n</tr>\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-race\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: SDE Race\n    \n    \n      \n        <br/>\n        \n        <em>Logic Definition</em>: <a href=\"#qolneurologicconditions-sde-race\">SDE Race</a> \n      \n    \n  </td>\n</tr>\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-sex\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: [http://terminology.hl7.org/CodeSystem/measure-data-usage#supplemental-data]\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: SDE Sex\n    \n    \n      \n        <br/>\n        \n        <em>Logic Definition</em>: <a href=\"#qolneurologicconditions-sde-sex\">SDE Sex</a> \n      \n    \n  </td>\n</tr>\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n<td class=\"content-container\">https://madie.cms.gov/Library/QOLNeurologicConditions</td>\n</tr>\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#population-criteria\">Population Criteria</a></em>\n    <br/>\n    <em><a href=\"#definitions\">Logic Definitions</a></em>\n    <br/>\n    <em><a href=\"#terminology\">Terminology</a></em>\n    <br/>\n    <em><a href=\"#dependencies\">Dependencies</a></em>\n    <br/>\n    <em><a href=\"#data-requirements\">Data Requirements</a></em>\n    <br/>\n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"population-criteria\"> </a>Population Criteria</th>\n\n\n</tr>\n  \n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: Group_1)</th>\n\n\n</tr>\n  \n  \n  \n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-qolneurologicconditions-initial-population\"> </a>\n    \n    \n    Initial Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Initial Population&quot;:\n  &quot;Age 18 Or Older At Time Of First PROMIS&quot;</code></pre>\n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-qolneurologicconditions-denominator\"> </a>\n    \n    \n    Denominator\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Denominator&quot;:\n  &quot;Initial Population&quot;</code></pre>\n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-qolneurologicconditions-denominator-exclusion\"> </a>\n    \n    \n    Denominator Exclusion\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Denominator Exclusion&quot;:\n  &quot;Patient Expired&quot;\n    or &quot;Second PROMIS Not Collected&quot;</code></pre>\n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"primary-qolneurologicconditions-numerator\"> </a>\n    \n    \n    Numerator\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Numerator&quot;:\n  &quot;Last PROMIS Same Or Higher Score Compared To First PROMIS&quot;</code></pre>\n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n  \n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"definitions\"> </a>Logic Definitions</th>\n\n\n</tr>\n  \n  \n          \n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"supplementaldataelements-sde-sex\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Sex&quot;:\n  case\n    when Patient.sex = '248153007' then &quot;Male (finding)&quot;\n    when Patient.sex = '248152002' then &quot;Female (finding)&quot;\n    else null\n  end</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"supplementaldataelements-sde-payer\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Payer&quot;:\n  [Coverage: type in &quot;Payer Type&quot;] Payer\n    return {\n      code: Payer.type,\n      period: Payer.period\n    }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"supplementaldataelements-sde-ethnicity\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Ethnicity&quot;:\n  Patient.ethnicity E\n    return Tuple {\n      codes: { E.ombCategory } union E.detailed,\n      display: E.text\n    }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"supplementaldataelements-sde-race\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Race&quot;:\n  Patient.race R\n    return Tuple {\n      codes: R.ombCategory union R.detailed,\n      display: R.text\n    }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-sde-sex\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Sex&quot;:\n  SDE.&quot;SDE Sex&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-promis-10-global-health\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;PROMIS 10 Global Health&quot;:\n  ( [ObservationScreeningAssessment: &quot;Global Health 10 (LOINC)&quot;] PROMISAssessment\n      where PROMISAssessment.effective.toInterval ( ) is not null\n        and PROMISAssessment.value is not null\n        and PROMISAssessment.status ~ 'final'\n  )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-encounters-with-neurologic-disorders-during-id-period\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Encounters With Neurologic Disorders During ID Period&quot;:\n  ( [Encounter: &quot;Office Visit&quot;]\n    union [Encounter: &quot;Outpatient Consultation&quot;]\n    union [Encounter: &quot;Online Evaluation and Management Encounters&quot;]\n    union [Encounter: &quot;Telephone Visits All&quot;] ) ValidEncounter\n    where ValidEncounter.&quot;encounterDiagnosis&quot; ( ).code in &quot;Neurologic Disorders&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-outpatient-encounters-with-neurologic-disorders-during-id-period\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Outpatient Encounters With Neurologic Disorders During ID Period&quot;:\n  &quot;Encounters With Neurologic Disorders During ID Period&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-denominator-identification-period\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Denominator Identification Period&quot;:\n  Interval[start of &quot;Measurement Period&quot; - 14 months, start of &quot;Measurement Period&quot; - 2 months )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-first-index-promis-assessment-score\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;First Index PROMIS Assessment Score&quot;:\n  First(&quot;PROMIS 10 Global Health&quot; PROMISAssessment\n      with &quot;Outpatient Encounters With Neurologic Disorders During ID Period&quot; QualifyingEncounter\n        such that PROMISAssessment.effective.toInterval() starts during day of &quot;Denominator Identification Period&quot;\n      sort by start of effective.toInterval()\n  ).value as Integer</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-first-index-promis-assessment-with-encounter-during-id-period\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;First Index PROMIS Assessment With Encounter During ID Period&quot;:\n  First(&quot;PROMIS 10 Global Health&quot; PROMISAssessment\n      with &quot;Outpatient Encounters With Neurologic Disorders During ID Period&quot; QualifyingEncounter\n        such that PROMISAssessment.effective.toInterval() starts during day of &quot;Denominator Identification Period&quot;\n      sort by start of effective.toInterval()\n  )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-measure-assessment-period\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Measure Assessment Period&quot;:\n  &quot;First Index PROMIS Assessment With Encounter During ID Period&quot; FirstIndexAssessment\n    let YearAfterIndexAssessment: date from start of FirstIndexAssessment.effective.toInterval ( ) + 12 months\n    return Interval[YearAfterIndexAssessment - 60 days, YearAfterIndexAssessment + 60 days]</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-last-promis-assessment\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Last PROMIS Assessment&quot;:\n  Last(&quot;PROMIS 10 Global Health&quot; PROMISAssessment\n      where start of PROMISAssessment.effective.toInterval() during day of &quot;Measure Assessment Period&quot;\n      sort by start of effective.toInterval()\n  ).value as Integer</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-last-promis-same-or-higher-score-compared-to-first-promis\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Last PROMIS Same Or Higher Score Compared To First PROMIS&quot;:\n  ( &quot;First Index PROMIS Assessment Score&quot; IndexScore\n      with &quot;Last PROMIS Assessment&quot; MeasureAssessmentScore\n        such that MeasureAssessmentScore &gt;= IndexScore\n  ) is not null</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-numerator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Numerator&quot;:\n  &quot;Last PROMIS Same Or Higher Score Compared To First PROMIS&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-age-18-or-older-at-time-of-first-promis\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Age 18 Or Older At Time Of First PROMIS&quot;:\n  AgeInYearsAt(date from start of &quot;First Index PROMIS Assessment With Encounter During ID Period&quot;.effective) &gt;= 18</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-initial-population\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Initial Population&quot;:\n  &quot;Age 18 Or Older At Time Of First PROMIS&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-denominator\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Denominator&quot;:\n  &quot;Initial Population&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-sde-payer\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Payer&quot;:\n  SDE.&quot;SDE Payer&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-sde-ethnicity\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Ethnicity&quot;:\n  SDE.&quot;SDE Ethnicity&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-patient-expired\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Patient Expired&quot;:\n  Patient.deceased as DateTime on or before end of &quot;Measure Assessment Period&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-second-promis-not-collected\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Second PROMIS Not Collected&quot;:\n  not exists ( ( &quot;PROMIS 10 Global Health&quot; PROMISAssessment\n        where start of PROMISAssessment.effective.toInterval ( ) during day of &quot;Measure Assessment Period&quot;\n        sort by start of effective.toInterval ( )\n    )\n  )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-denominator-exclusion\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Denominator Exclusion&quot;:\n  &quot;Patient Expired&quot;\n    or &quot;Second PROMIS Not Collected&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qolneurologicconditions-sde-race\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QOLNeurologicConditions</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;SDE Race&quot;:\n  SDE.&quot;SDE Race&quot;</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"cqmcommon-encounterdiagnosis\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CQMCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*  \n@description: Returns the Condition resources referenced by the diagnosis element of the Encounter  \n*/\ndefine fluent function encounterDiagnosis(Encounter Encounter ):\n  Encounter.reasonReference D\n    return singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where D.references(C.id))</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"qicorecommon-references\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference Reference, resourceId String):\n  resourceId = Last(Split(reference.reference, '/'))</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value uri): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tointerval\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.&quot;start&quot; is null then\n            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]\n        else\n            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n      \n      <a name=\"fhirhelpers-tocode\"> </a>\n    \n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }</code></pre>\n  </td>\n\n</tr>\n\n\n\n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"terminology\"> </a>Terminology</th>\n\n\n</tr>\n  \n  \n  \n\n \n\n \n\n \n\n \n\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system SNOMEDCT\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://snomed.info/sct\n    <br/>\n    <em>Canonical URL</em>: <tt>http://snomed.info/sct</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Global Health 10 (LOINC)\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Office Visit\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Outpatient Consultation\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Online Evaluation and Management Encounters\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Telephone Visits All\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Neurologic Disorders\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.640\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.640</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Payer Type\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</tt>\n    \n  </td>\n</tr>\n \n\n\n  \n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Male (finding)\n        <br/>\n      \n      <em>Code</em>: 248153007\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n        <em>Display</em>: Female (finding)\n        <br/>\n      \n      <em>Code</em>: 248152002\n      <br/>\n      <em>System</em>: <tt>http://snomed.info/sct</tt>\n    </td>\n  </tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"dependencies\"> </a>Dependencies</th>\n\n\n</tr>\n  \n  \n  \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: QICore model information\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: http://hl7.org/fhir/Library/QICore-ModelInfo\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/Library/QICore-ModelInfo</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library SDE\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: https://madie.cms.gov/Library/SupplementalDataElements|5.1.000\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/SupplementalDataElements|5.1.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: https://madie.cms.gov/Library/FHIRHelpers|4.4.000\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/FHIRHelpers|4.4.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library QICoreCommon\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: https://madie.cms.gov/Library/QICoreCommon|4.0.000\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/QICoreCommon|4.0.000</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library CQMCommon\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: https://madie.cms.gov/Library/CQMCommon|4.1.000\n    <br/>\n    <em>Canonical URL</em>: <tt>https://madie.cms.gov/Library/CQMCommon|4.1.000</tt>\n    \n  </td>\n</tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"data-requirements\"> </a>Data Requirements</th>\n\n\n</tr>\n  \n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: extension, url, deceased\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: value, effective\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, value, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Coverage\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n  \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
      },
      "contained": [ {
        "resourceType": "Library",
        "id": "effective-data-requirements",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "248153007",
            "display": "Male (finding)"
          }
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "248152002",
            "display": "Female (finding)"
          }
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "SupplementalDataElements"
          }, {
            "url": "name",
            "valueString": "SDE Sex"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Sex\":\n  case\n    when Patient.sex = '248153007' then \"Male (finding)\"\n    when Patient.sex = '248152002' then \"Female (finding)\"\n    else null\n  end"
          }, {
            "url": "displaySequence",
            "valueInteger": 0
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "SDE Sex"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Sex\":\n  SDE.\"SDE Sex\""
          }, {
            "url": "displaySequence",
            "valueInteger": 1
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "PROMIS 10 Global Health"
          }, {
            "url": "statement",
            "valueString": "define \"PROMIS 10 Global Health\":\n  ( [ObservationScreeningAssessment: \"Global Health 10 (LOINC)\"] PROMISAssessment\n      where PROMISAssessment.effective.toInterval ( ) is not null\n        and PROMISAssessment.value is not null\n        and PROMISAssessment.status ~ 'final'\n  )"
          }, {
            "url": "displaySequence",
            "valueInteger": 2
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Encounters With Neurologic Disorders During ID Period"
          }, {
            "url": "statement",
            "valueString": "define \"Encounters With Neurologic Disorders During ID Period\":\n  ( [Encounter: \"Office Visit\"]\n    union [Encounter: \"Outpatient Consultation\"]\n    union [Encounter: \"Online Evaluation and Management Encounters\"]\n    union [Encounter: \"Telephone Visits All\"] ) ValidEncounter\n    where ValidEncounter.\"encounterDiagnosis\" ( ).code in \"Neurologic Disorders\""
          }, {
            "url": "displaySequence",
            "valueInteger": 3
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Outpatient Encounters With Neurologic Disorders During ID Period"
          }, {
            "url": "statement",
            "valueString": "define \"Outpatient Encounters With Neurologic Disorders During ID Period\":\n  \"Encounters With Neurologic Disorders During ID Period\""
          }, {
            "url": "displaySequence",
            "valueInteger": 4
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Denominator Identification Period"
          }, {
            "url": "statement",
            "valueString": "define \"Denominator Identification Period\":\n  Interval[start of \"Measurement Period\" - 14 months, start of \"Measurement Period\" - 2 months )"
          }, {
            "url": "displaySequence",
            "valueInteger": 5
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "First Index PROMIS Assessment Score"
          }, {
            "url": "statement",
            "valueString": "define \"First Index PROMIS Assessment Score\":\n  First(\"PROMIS 10 Global Health\" PROMISAssessment\n      with \"Outpatient Encounters With Neurologic Disorders During ID Period\" QualifyingEncounter\n        such that PROMISAssessment.effective.toInterval() starts during day of \"Denominator Identification Period\"\n      sort by start of effective.toInterval()\n  ).value as Integer"
          }, {
            "url": "displaySequence",
            "valueInteger": 6
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "First Index PROMIS Assessment With Encounter During ID Period"
          }, {
            "url": "statement",
            "valueString": "define \"First Index PROMIS Assessment With Encounter During ID Period\":\n  First(\"PROMIS 10 Global Health\" PROMISAssessment\n      with \"Outpatient Encounters With Neurologic Disorders During ID Period\" QualifyingEncounter\n        such that PROMISAssessment.effective.toInterval() starts during day of \"Denominator Identification Period\"\n      sort by start of effective.toInterval()\n  )"
          }, {
            "url": "displaySequence",
            "valueInteger": 7
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Measure Assessment Period"
          }, {
            "url": "statement",
            "valueString": "define \"Measure Assessment Period\":\n  \"First Index PROMIS Assessment With Encounter During ID Period\" FirstIndexAssessment\n    let YearAfterIndexAssessment: date from start of FirstIndexAssessment.effective.toInterval ( ) + 12 months\n    return Interval[YearAfterIndexAssessment - 60 days, YearAfterIndexAssessment + 60 days]"
          }, {
            "url": "displaySequence",
            "valueInteger": 8
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Last PROMIS Assessment"
          }, {
            "url": "statement",
            "valueString": "define \"Last PROMIS Assessment\":\n  Last(\"PROMIS 10 Global Health\" PROMISAssessment\n      where start of PROMISAssessment.effective.toInterval() during day of \"Measure Assessment Period\"\n      sort by start of effective.toInterval()\n  ).value as Integer"
          }, {
            "url": "displaySequence",
            "valueInteger": 9
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Last PROMIS Same Or Higher Score Compared To First PROMIS"
          }, {
            "url": "statement",
            "valueString": "define \"Last PROMIS Same Or Higher Score Compared To First PROMIS\":\n  ( \"First Index PROMIS Assessment Score\" IndexScore\n      with \"Last PROMIS Assessment\" MeasureAssessmentScore\n        such that MeasureAssessmentScore >= IndexScore\n  ) is not null"
          }, {
            "url": "displaySequence",
            "valueInteger": 10
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Numerator"
          }, {
            "url": "statement",
            "valueString": "define \"Numerator\":\n  \"Last PROMIS Same Or Higher Score Compared To First PROMIS\""
          }, {
            "url": "displaySequence",
            "valueInteger": 11
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Age 18 Or Older At Time Of First PROMIS"
          }, {
            "url": "statement",
            "valueString": "define \"Age 18 Or Older At Time Of First PROMIS\":\n  AgeInYearsAt(date from start of \"First Index PROMIS Assessment With Encounter During ID Period\".effective) >= 18"
          }, {
            "url": "displaySequence",
            "valueInteger": 12
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Initial Population"
          }, {
            "url": "statement",
            "valueString": "define \"Initial Population\":\n  \"Age 18 Or Older At Time Of First PROMIS\""
          }, {
            "url": "displaySequence",
            "valueInteger": 13
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Denominator"
          }, {
            "url": "statement",
            "valueString": "define \"Denominator\":\n  \"Initial Population\""
          }, {
            "url": "displaySequence",
            "valueInteger": 14
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "SupplementalDataElements"
          }, {
            "url": "name",
            "valueString": "SDE Payer"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Payer\":\n  [Coverage: type in \"Payer Type\"] Payer\n    return {\n      code: Payer.type,\n      period: Payer.period\n    }"
          }, {
            "url": "displaySequence",
            "valueInteger": 15
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "SDE Payer"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Payer\":\n  SDE.\"SDE Payer\""
          }, {
            "url": "displaySequence",
            "valueInteger": 16
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "SupplementalDataElements"
          }, {
            "url": "name",
            "valueString": "SDE Ethnicity"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Ethnicity\":\n  Patient.ethnicity E\n    return Tuple {\n      codes: { E.ombCategory } union E.detailed,\n      display: E.text\n    }"
          }, {
            "url": "displaySequence",
            "valueInteger": 17
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "SDE Ethnicity"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""
          }, {
            "url": "displaySequence",
            "valueInteger": 18
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Patient Expired"
          }, {
            "url": "statement",
            "valueString": "define \"Patient Expired\":\n  Patient.deceased as DateTime on or before end of \"Measure Assessment Period\""
          }, {
            "url": "displaySequence",
            "valueInteger": 19
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Second PROMIS Not Collected"
          }, {
            "url": "statement",
            "valueString": "define \"Second PROMIS Not Collected\":\n  not exists ( ( \"PROMIS 10 Global Health\" PROMISAssessment\n        where start of PROMISAssessment.effective.toInterval ( ) during day of \"Measure Assessment Period\"\n        sort by start of effective.toInterval ( )\n    )\n  )"
          }, {
            "url": "displaySequence",
            "valueInteger": 20
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "Denominator Exclusion"
          }, {
            "url": "statement",
            "valueString": "define \"Denominator Exclusion\":\n  \"Patient Expired\"\n    or \"Second PROMIS Not Collected\""
          }, {
            "url": "displaySequence",
            "valueInteger": 21
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "SupplementalDataElements"
          }, {
            "url": "name",
            "valueString": "SDE Race"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Race\":\n  Patient.race R\n    return Tuple {\n      codes: R.ombCategory union R.detailed,\n      display: R.text\n    }"
          }, {
            "url": "displaySequence",
            "valueInteger": 22
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QOLNeurologicConditions"
          }, {
            "url": "name",
            "valueString": "SDE Race"
          }, {
            "url": "statement",
            "valueString": "define \"SDE Race\":\n  SDE.\"SDE Race\""
          }, {
            "url": "displaySequence",
            "valueInteger": 23
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "FHIRHelpers"
          }, {
            "url": "name",
            "valueString": "ToString"
          }, {
            "url": "statement",
            "valueString": "define function ToString(value uri): value.value"
          }, {
            "url": "displaySequence",
            "valueInteger": 24
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "CQMCommon"
          }, {
            "url": "name",
            "valueString": "encounterDiagnosis"
          }, {
            "url": "statement",
            "valueString": "/*  \n@description: Returns the Condition resources referenced by the diagnosis element of the Encounter  \n*/\ndefine fluent function encounterDiagnosis(Encounter Encounter ):\n  Encounter.reasonReference D\n    return singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where D.references(C.id))"
          }, {
            "url": "displaySequence",
            "valueInteger": 25
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "QICoreCommon"
          }, {
            "url": "name",
            "valueString": "references"
          }, {
            "url": "statement",
            "valueString": "/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference Reference, resourceId String):\n  resourceId = Last(Split(reference.reference, '/'))"
          }, {
            "url": "displaySequence",
            "valueInteger": 26
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "FHIRHelpers"
          }, {
            "url": "name",
            "valueString": "ToInterval"
          }, {
            "url": "statement",
            "valueString": "/*\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\nvalue to a CQL DateTime Interval\n@comment: If the start value of the given period is unspecified, the starting\nboundary of the resulting interval will be open (meaning the start of the interval\nis unknown, as opposed to interpreted as the beginning of time).\n*/\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.\"start\" is null then\n            Interval(period.\"start\".value, period.\"end\".value]\n        else\n            Interval[period.\"start\".value, period.\"end\".value]"
          }, {
            "url": "displaySequence",
            "valueInteger": 27
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
          "extension": [ {
            "url": "libraryName",
            "valueString": "FHIRHelpers"
          }, {
            "url": "name",
            "valueString": "ToCode"
          }, {
            "url": "statement",
            "valueString": "/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }"
          }, {
            "url": "displaySequence",
            "valueInteger": 28
          } ]
        } ],
        "name": "EffectiveDataRequirements",
        "status": "active",
        "type": {
          "coding": [ {
            "system": "http://terminology.hl7.org/CodeSystem/library-type",
            "code": "module-definition"
          } ]
        },
        "relatedArtifact": [ {
          "type": "depends-on",
          "display": "QICore model information",
          "resource": "http://hl7.org/fhir/Library/QICore-ModelInfo"
        }, {
          "type": "depends-on",
          "display": "Library SDE",
          "resource": "https://madie.cms.gov/Library/SupplementalDataElements|5.1.000"
        }, {
          "type": "depends-on",
          "display": "Library FHIRHelpers",
          "resource": "https://madie.cms.gov/Library/FHIRHelpers|4.4.000"
        }, {
          "type": "depends-on",
          "display": "Library QICoreCommon",
          "resource": "https://madie.cms.gov/Library/QICoreCommon|4.0.000"
        }, {
          "type": "depends-on",
          "display": "Library CQMCommon",
          "resource": "https://madie.cms.gov/Library/CQMCommon|4.1.000"
        }, {
          "type": "depends-on",
          "display": "Code system SNOMEDCT",
          "resource": "http://snomed.info/sct"
        }, {
          "type": "depends-on",
          "display": "Value set Global Health 10 (LOINC)",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595"
        }, {
          "type": "depends-on",
          "display": "Value set Office Visit",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005"
        }, {
          "type": "depends-on",
          "display": "Value set Outpatient Consultation",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040"
        }, {
          "type": "depends-on",
          "display": "Value set Online Evaluation and Management Encounters",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539"
        }, {
          "type": "depends-on",
          "display": "Value set Telephone Visits All",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161"
        }, {
          "type": "depends-on",
          "display": "Value set Neurologic Disorders",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.640"
        }, {
          "type": "depends-on",
          "display": "Value set Payer Type",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
        } ],
        "parameter": [ {
          "name": "Measurement Period",
          "use": "in",
          "min": 0,
          "max": "1",
          "type": "Period"
        }, {
          "name": "Numerator",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        }, {
          "name": "Denominator",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        }, {
          "name": "Initial Population",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        }, {
          "name": "Denominator Exclusion",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        }, {
          "name": "SDE Sex",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Coding"
        }, {
          "name": "SDE Payer",
          "use": "out",
          "min": 0,
          "max": "*",
          "type": "Resource"
        }, {
          "name": "SDE Ethnicity",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Resource"
        }, {
          "name": "SDE Race",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Resource"
        } ],
        "dataRequirement": [ {
          "type": "Patient",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ],
          "mustSupport": [ "extension", "url", "deceased" ]
        }, {
          "type": "Observation",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment" ],
          "mustSupport": [ "value", "effective" ]
        }, {
          "type": "Observation",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment" ],
          "mustSupport": [ "code", "effective", "value", "status", "status.value" ],
          "codeFilter": [ {
            "path": "code",
            "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595"
          } ]
        }, {
          "type": "Condition",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis" ]
        }, {
          "type": "Condition",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns" ]
        }, {
          "type": "Encounter",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ],
          "mustSupport": [ "type" ],
          "codeFilter": [ {
            "path": "type",
            "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005"
          } ]
        }, {
          "type": "Encounter",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ],
          "mustSupport": [ "type" ],
          "codeFilter": [ {
            "path": "type",
            "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040"
          } ]
        }, {
          "type": "Encounter",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ],
          "mustSupport": [ "type" ],
          "codeFilter": [ {
            "path": "type",
            "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539"
          } ]
        }, {
          "type": "Encounter",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ],
          "mustSupport": [ "type" ],
          "codeFilter": [ {
            "path": "type",
            "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161"
          } ]
        }, {
          "type": "Coverage",
          "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage" ],
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          "url": "guidance",
          "valueString": "For every patient evaluated by this measure also identify payer, race, ethnicity and sex"
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        "extension": [ {
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          "valueString": "Denominator Identification Period"
        }, {
          "url": "definition",
          "valueMarkdown": "The period in which eligible patients can have an index event. The denominator identification period occurs prior to the measurement period and is defined as 14 months to two months prior to the start of the measurement period. For example, the denominator identification period for the 2023 measurement period is from 11/1/2021 to 10/31/2022. For patients with an index event, there needs to be enough time following index for the patients to have the opportunity to reach comparison twelve months +/- 60 days after the index event date."
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm",
        "extension": [ {
          "url": "term",
          "valueString": "Index Event"
        }, {
          "url": "definition",
          "valueMarkdown": "An index event includes ALL of the following criteria 1) Outpatient and virtual visits during the Denominator Identification Period 2) Patients with an active diagnosis of a neurologic condition 3) and includes the first instance a PROMIS Global Health-10 score was recorded"
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm",
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          "valueString": "Index Event Date"
        }, {
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          "valueMarkdown": "The date the Index Event occurred"
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        "extension": [ {
          "url": "term",
          "valueString": "Measure Assessment Period"
        }, {
          "url": "definition",
          "valueMarkdown": "The Index Event Date marks the start of the measurement assessment period and concludes at twelve months allowing a grace period of sixty days prior to and sixty days after this date (+/-60 days) for the follow-up PROMIS score. For patients with more than 2 scores present at twelve months (+/- 60 days) the last score recorded shall be compared to the Index Event score."
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      }, {
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        "extension": [ {
          "url": "term",
          "valueString": "PROMIS 10"
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          "valueMarkdown": "A validated 10 question survey to assess physical and mental health."
        } ]
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      } ],
      "url": "https://madie.cms.gov/Measure/QOLNeurologicConditions",
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        },
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        "value": "CMS1234QOLNeurologicConditions"
      }, {
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        },
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      }, {
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      } ],
      "version": "Draft based on 0.1.000",
      "name": "QOLNeurologicConditions",
      "title": "Quality of Life Outcome for Patients with Neurologic Conditions",
      "status": "draft",
      "experimental": false,
      "date": "2025-07-21T20:11:19+00:00",
      "publisher": "American Academy of Neurology",
      "contact": [ {
        "telecom": [ {
          "system": "url",
          "value": "www.aan.com"
        } ]
      } ],
      "description": "Percentage of adult patients with a diagnosis of a neurologic condition whose quality of life assessment results are maintained or improved in the twelve months following the first Patient-Reported Outcomes Measurement Information System (PROMIS) score",
      "useContext": [ {
        "code": {
          "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
          "code": "venue",
          "display": "Venue"
        },
        "valueCodeableConcept": {
          "coding": [ {
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            "code": "ec",
            "display": "EC"
          } ]
        }
      } ],
      "usage": "Patients meeting the Index event criteria are excluded from the measure regardless if both PROMIS Assessments are performed prior to death. The measure is not expected to have a 100% performance rate given the goal of implementing this quality measure is to establish an individual benchmark in the first measurement period and drive performance improvement over time in subsequent measurement periods. The work group discussed the potential value of exclusions and unintended consequences of excluding specific neurologic conditions such as ALS and Huntington disease. The work group ultimately determined that there would be value in the continued assessment of quality of life for those with a terminal illness and/or neurodegenerative disease. Existing data demonstrates that patient outcome measures reported within palliative care populations enhance patients’ quality of life (Etkind, et al. 2015), including patients with neurodegenerative diseases. There are opportunities to identify unmet or underappreciated patient needs and improve quality of life throughout disease stages. It was also noted that if a neurologist is working strictly with an ALS population, the benchmarks identified would be meaningful and could drive change over time (Sico, et al. 2020). Virtual visits are acceptable for this measure. This digital quality measure (dQM) is a patient-based measure. Regarding Index Event, the above criteria are required, and the patient is NOT in a prior index period. Regarding the exception, the work group recommends that clinics and providers reach out to all patients and their care partners to provide this information. The work group is aware that patients with advanced disease activity may not be able to provide accurate responses to this question, but efforts should be made to engage care partners to provide information. For example, some patients may be unable to hold a pen or type on a keyboard to answer the question while others may experience delusional beliefs preventing an accurate assessment of provider performance. These scenarios include patients with reduced cognitive ability. Providers are encouraged to gain proxy information on performance when possible, and the work group recognizes this is not always possible. The AAN will monitor the measure over time for unintended consequences of having such an exception.",
      "copyright": "Copyright: (C)2024 American Academy of Neurology Institute (AANI). All rights reserved.",
      "effectivePeriod": {
        "start": "2026-01-01",
        "end": "2026-12-31"
      },
      "author": [ {
        "name": "American Academy of Neurology",
        "telecom": [ {
          "system": "url",
          "value": "www.aan.com"
        } ]
      }, {
        "name": "Lantana Consulting Group",
        "telecom": [ {
          "system": "url",
          "value": "https://www.lantanagroup.com/"
        } ]
      } ],
      "relatedArtifact": [ {
        "type": "citation",
        "citation": "Etkind, S. N., Daveson, B. A., Kwok, W., Witt, J., Lovell, N., Bajwah, S., ... Higginson, I. J. (2015). Capture, transfer, and feedback of patient-centered outcomes data in palliative care populations: Does it make a difference? Journal of Pain and Symptom Management, 49(3), 611–624. https://doi.org/10.1016/j.jpainsymman.2014.07.010"
      }, {
        "type": "citation",
        "citation": "Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., &amp; Cella, D. (2009). Development of physical and mental health summary scores from the Patient-Reported Outcomes Measurement Information System (PROMIS) global items. Quality of Life Research, 18(7), 873–880. https://doi.org/10.1007/s11136-009-9496-9"
      }, {
        "type": "citation",
        "citation": "Katzan, I. L., &amp; Lapin, B. (2018). PROMIS GH (Patient-Reported Outcomes Measurement Information System Global Health) scale in stroke: A validation study. Stroke, 49(1), 147–154. https://doi.org/10.1161/STROKEAHA.117.018766"
      }, {
        "type": "citation",
        "citation": "Moura, L. M. V. R., Schwamm, E., Moura, V., Jr., Shubina, M., Cole, A. J., Kizer, J. S., &amp; Kent, D. M. (2016). Feasibility of the collection of patient-reported outcomes in an ambulatory neurology clinic. Neurology, 87(1), 1–8. https://doi.org/10.1212/WNL.0000000000002801"
      }, {
        "type": "citation",
        "citation": "Sico, J. J., Sarwal, A., Benish, S. M., Lum, H. D., Damush, T. M., Bravata, D. M., &amp; Cheng, E. M. (2020). Quality improvement in neurology: Neurology Outcomes Quality Measurement Set. Neurology, 94(22), 982–990. https://doi.org/10.1212/WNL.0000000000009386"
      } ],
      "library": [ "https://madie.cms.gov/Library/QOLNeurologicConditions" ],
      "disclaimer": "Quality Measures published by the American Academy of Neurology and its affiliates are assessments of current scientific and clinical information provided as an educational service. The information: 1) should not be considered inclusive of all proper treatments, methods of care, or as a statement of the standard of care; 2) is not continually updated and may not reflect the most recent evidence (new evidence may emerge between the time information is developed and when it is published or read); 3) addresses only the question(s) or topic(s) specifically identified; 4) does not mandate any particular course of medical care; and 5) is not intended to substitute for the independent professional judgment of the treating provider, as the information does not account for individual variation among patients. In all cases, the selected course of action should be considered by the treating provider in the context of treating the individual patient. Use of the information is voluntary. AAN provides this information on an “as is” basis, and makes no warranty, expressed or implied, regarding the information. AAN specifically disclaims any warranties of merchantability or fitness for a particular use or purpose. AAN assumes no responsibility for any injury or damage to persons or property arising out of or related to any use of this information or for any errors or omissions. Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary coding sets should obtain all necessary licenses from the owners of these code sets. The AAN and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications. ICD10 copyright 2025 International Health Terminology Standards Development Organization CPT(R) contained in the Measure specifications is copyright 2004-2025 American Medical Association. LOINC(R) is copyright 2004-2024 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2024 International Health Terminology Standards Development Organisation. ICD-10 is copyright 2025 World Health Organization. All Rights Reserved.",
      "rationale": "Measuring quality of life allows patients and providers to identify areas of concern and develop appropriate treatment plan adjustments and collecting quality of life data in a neurology ambulatory setting was found to be meaningful (Katzan, et al. 2018) (Moura, et al. 2016).",
      "clinicalRecommendationStatement": "While there is no clinical guideline recommending that clinicians assess quality of life for patients with neurologic conditions, there is general support for the use of Patient-Reported Outcomes Measurement Information System [PROMIS]-10-Global as a meaningful assessment to aid in assessing patient concerns (Hays, et al. 2009).",
      "group": [ {
        "id": "Group_1",
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          "valueCodeableConcept": {
            "coding": [ {
              "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
              "code": "proportion",
              "display": "Proportion"
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          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode": "boolean"
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          "valueCodeableConcept": {
            "coding": [ {
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              "code": "outcome",
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        }, {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept": {
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        "population": [ {
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              "code": "initial-population",
              "display": "Initial Population"
            } ]
          },
          "description": "Patients aged 18 years and older at the time of the first PROMIS assessment visit who have a diagnosis of a neurological condition",
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            } ]
          },
          "description": "*Patients who died *Second PROMIS Global Health-10 score not collected at twelve months (+/-60 days)",
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        "description": "SDE Race",
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        "id": "sde-sex",
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        "description": "SDE Sex",
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          "expression": "SDE Sex"
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    },
    "request": {
      "method": "POST",
      "url": "Measure/QOLNeurologicConditions"
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  }, {
    "fullUrl": "https://madie.cms.gov/Library/QOLNeurologicConditions",
    "resource": {
      "resourceType": "Library",
      "id": "QOLNeurologicConditions",
      "meta": {
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      "language": "en",
      "text": {
        "status": "extensions",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" class=\"col-12\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">QOLNeurologicConditions</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">0.1.000</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">QOLNeurologicConditions</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">American Academy of Neurology</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\">QOLNeurologicConditions</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/library-type#logic-library]</td>\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, effective, value, status, status.value\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-screening-assessment\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: value, effective\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: deceased\n    <br/>\n   \n   \n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">library QOLNeurologicConditions version '0.1.000'\r\n\r\nusing QICore version '6.0.0'\r\n\r\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers\r\ninclude QICoreCommon version '4.0.000' called QICoreCommon\r\ninclude SupplementalDataElements version '5.1.000' called SDE\r\ninclude CQMCommon version '4.1.000' called CQMCommon\r\n\r\ncodesystem &quot;ActCode&quot;: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'\r\n\r\nvalueset &quot;Global Health 10 (LOINC)&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595'\r\nvalueset &quot;Neurologic Disorders&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.640'\r\nvalueset &quot;Office Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1005'\r\nvalueset &quot;Online Evaluation and Management Encounters&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.539'\r\nvalueset &quot;Outpatient Consultation&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1040'\r\nvalueset &quot;PROMIS 10 Global Health Scores (LOINC)&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.391'\r\nvalueset &quot;Telephone Visits All&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1260.161'\r\n\r\ncode &quot;virtual&quot;: 'VR' from &quot;ActCode&quot; display 'virtual'\r\n\r\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\r\n\r\ncontext Patient\r\n\r\ndefine &quot;Initial Population&quot;:\r\n  &quot;Age 18 Or Older At Time Of First PROMIS&quot;\r\n\r\ndefine &quot;Denominator&quot;:\r\n  &quot;Initial Population&quot;\r\n\r\ndefine &quot;Denominator Exclusion&quot;:\r\n  &quot;Patient Expired&quot;\r\n    or &quot;Second PROMIS Not Collected&quot;\r\n\r\ndefine &quot;Numerator&quot;:\r\n  &quot;Last PROMIS Same Or Higher Score Compared To First PROMIS&quot;\r\n\r\ndefine &quot;Age 18 Or Older At Time Of First PROMIS&quot;:\r\n  AgeInYearsAt(date from start of &quot;First Index PROMIS Assessment With Encounter During ID Period&quot;.effective) &gt;= 18\r\n\r\ndefine &quot;Outpatient Encounters With Neurologic Disorders During ID Period&quot;:\r\n  &quot;Encounters With Neurologic Disorders During ID Period&quot;\r\n\r\ndefine &quot;Encounters With Neurologic Disorders During ID Period&quot;:\r\n  ( [Encounter: &quot;Office Visit&quot;]\r\n    union [Encounter: &quot;Outpatient Consultation&quot;]\r\n    union [Encounter: &quot;Online Evaluation and Management Encounters&quot;]\r\n    union [Encounter: &quot;Telephone Visits All&quot;] ) ValidEncounter\r\n    where ValidEncounter.&quot;encounterDiagnosis&quot; ( ).code in &quot;Neurologic Disorders&quot;\r\n\r\ndefine &quot;First Index PROMIS Assessment With Encounter During ID Period&quot;:\r\n  First(&quot;PROMIS 10 Global Health&quot; PROMISAssessment\r\n      with &quot;Outpatient Encounters With Neurologic Disorders During ID Period&quot; QualifyingEncounter\r\n        such that PROMISAssessment.effective.toInterval() starts during day of &quot;Denominator Identification Period&quot;\r\n      sort by start of effective.toInterval()\r\n  )\r\n\r\ndefine &quot;PROMIS 10 Global Health&quot;:\r\n  ( [ObservationScreeningAssessment: &quot;Global Health 10 (LOINC)&quot;] PROMISAssessment\r\n      where PROMISAssessment.effective.toInterval ( ) is not null\r\n        and PROMISAssessment.value is not null\r\n        and PROMISAssessment.status ~ 'final'\r\n  )\r\n\r\ndefine &quot;Patient Expired&quot;:\r\n  Patient.deceased as DateTime on or before end of &quot;Measure Assessment Period&quot;\r\n\r\ndefine &quot;Second PROMIS Not Collected&quot;:\r\n  not exists ( ( &quot;PROMIS 10 Global Health&quot; PROMISAssessment\r\n        where start of PROMISAssessment.effective.toInterval ( ) during day of &quot;Measure Assessment Period&quot;\r\n        sort by start of effective.toInterval ( )\r\n    )\r\n  )\r\n\r\ndefine &quot;Measure Assessment Period&quot;:\r\n  &quot;First Index PROMIS Assessment With Encounter During ID Period&quot; FirstIndexAssessment\r\n    let YearAfterIndexAssessment: date from start of FirstIndexAssessment.effective.toInterval ( ) + 12 months\r\n    return Interval[YearAfterIndexAssessment - 60 days, YearAfterIndexAssessment + 60 days]\r\n\r\ndefine &quot;First Index PROMIS Assessment Score&quot;:\r\n  First(&quot;PROMIS 10 Global Health&quot; PROMISAssessment\r\n      with &quot;Outpatient Encounters With Neurologic Disorders During ID Period&quot; QualifyingEncounter\r\n        such that PROMISAssessment.effective.toInterval() starts during day of &quot;Denominator Identification Period&quot;\r\n      sort by start of effective.toInterval()\r\n  ).value as Integer\r\n\r\ndefine &quot;Last PROMIS Same Or Higher Score Compared To First PROMIS&quot;:\r\n  ( &quot;First Index PROMIS Assessment Score&quot; IndexScore\r\n      with &quot;Last PROMIS Assessment&quot; MeasureAssessmentScore\r\n        such that MeasureAssessmentScore &gt;= IndexScore\r\n  ) is not null\r\n\r\ndefine &quot;Denominator Identification Period&quot;:\r\n  Interval[start of &quot;Measurement Period&quot; - 14 months, start of &quot;Measurement Period&quot; - 2 months )\r\n\r\ndefine &quot;Last PROMIS Assessment&quot;:\r\n  Last(&quot;PROMIS 10 Global Health&quot; PROMISAssessment\r\n      where start of PROMISAssessment.effective.toInterval() during day of &quot;Measure Assessment Period&quot;\r\n      sort by start of effective.toInterval()\r\n  ).value as Integer\r\n\r\ndefine &quot;SDE Ethnicity&quot;:\r\n  SDE.&quot;SDE Ethnicity&quot;\r\n\r\ndefine &quot;SDE Payer&quot;:\r\n  SDE.&quot;SDE Payer&quot;\r\n\r\ndefine &quot;SDE Race&quot;:\r\n  SDE.&quot;SDE Race&quot;\r\n\r\ndefine &quot;SDE Sex&quot;:\r\n  SDE.&quot;SDE Sex&quot;</code></pre>\n      </td>\n    </tr>\n    \n    \n    \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "VR",
          "display": "virtual"
        }
      } ],
      "url": "https://madie.cms.gov/Library/QOLNeurologicConditions",
      "identifier": [ {
        "use": "official",
        "system": "https://madie.cms.gov/login",
        "value": "QOLNeurologicConditions"
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      "version": "0.1.000",
      "name": "QOLNeurologicConditions",
      "title": "QOLNeurologicConditions",
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      "type": {
        "coding": [ {
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      "date": "2025-07-23T17:47:00+00:00",
      "publisher": "American Academy of Neurology",
      "description": "QOLNeurologicConditions",
      "relatedArtifact": [ {
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        "display": "QICore model information",
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        "display": "Library SDE",
        "resource": "https://madie.cms.gov/Library/SupplementalDataElements|5.1.000"
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        "display": "Library FHIRHelpers",
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        "resource": "https://madie.cms.gov/Library/CQMCommon|4.1.000"
      }, {
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        "display": "Value set Global Health 10 (LOINC)",
        "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1034.595"
      }, {
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      }, {
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        "display": "Value set Neurologic Disorders",
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        "mustSupport": [ "value", "effective" ]
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        "mustSupport": [ "deceased" ]
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      "meta": {
        "profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary", "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library" ]
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        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" class=\"col-12\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">CQMCommon</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">4.1.000</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">67dda0df9e9ab93ec36dad4f</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">ICF</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\">This library contains declarations that are commonly used in eCQMs and shared across the logic of multiple measures, such as the Encounter Inpatient value set, and the Inpatient Encounter population criteria definition. This library also contains functions for calculating hospitalization duration as well as hospital arrival and departure times.</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/library-type#logic-library]</td>\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Location\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period, rank, rank.value, use, condition, location, location.type, diagnosis, diagnosis.code, onAdmission\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period, rank, rank.value, use, condition, location, location.type, diagnosis, diagnosis.code, onAdmission\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, status.value, period, rank, rank.value, use, condition, location, location.type, diagnosis, diagnosis.code, onAdmission\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period, rank, rank.value, use, condition, location, location.type, diagnosis, diagnosis.code, onAdmission\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.38\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: period, rank, rank.value, use, condition, location, location.type, diagnosis, diagnosis.code, type, onAdmission\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Claim\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: status, status.value, use, use.value, item\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: MedicationRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: medication\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Medication\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code\n    <br/>\n   \n   \n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">library CQMCommon version '4.1.000'\n\nusing QICore version '6.0.0'\n\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers\ninclude QICoreCommon version '4.0.000' called QICoreCommon\n\ncodesystem DiagnosisRole: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'\ncodesystem &quot;Diagnosis Type&quot;: 'http://terminology.hl7.org/CodeSystem/ex-diagnosistype'\ncodesystem &quot;Procedure Type&quot;: 'http://terminology.hl7.org/CodeSystem/ex-procedure-type'\ncodesystem &quot;Present On Admission Indicators&quot;: 'https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding'\n\nvalueset &quot;Emergency Department Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset &quot;Intensive Care Unit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.206'\nvalueset &quot;Observation Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\nvalueset &quot;Outpatient Surgery Service&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.38'\nvalueset &quot;Present on Admission or Clinically Undetermined&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1147.197'\n\ncode &quot;Billing&quot;: 'billing' from DiagnosisRole display 'Billing'\ncode &quot;Admitting Diagnosis&quot;: 'admitting' from &quot;Diagnosis Type&quot; display 'Admitting Diagnosis'\ncode &quot;Clinical Diagnosis&quot;: 'clinical' from &quot;Diagnosis Type&quot; display 'Clinical Diagnosis'\ncode &quot;Differential Diagnosis&quot;: 'differential' from &quot;Diagnosis Type&quot; display 'Differential Diagnosis'\ncode &quot;Discharge Diagnosis&quot;: 'discharge' from &quot;Diagnosis Type&quot; display 'Discharge Diagnosis'\ncode &quot;Laboratory Diagnosis&quot;: 'laboratory' from &quot;Diagnosis Type&quot; display 'Laboratory Diagnosis'\ncode &quot;Nursing Diagnosis&quot;: 'nursing' from &quot;Diagnosis Type&quot; display 'Nursing Diagnosis'\ncode &quot;Prenatal Diagnosis&quot;: 'prenatal' from &quot;Diagnosis Type&quot; display 'Prenatal Diagnosis'\ncode &quot;Principal Diagnosis&quot;: 'principal' from &quot;Diagnosis Type&quot; display 'Principal Diagnosis'\ncode &quot;Radiology Diagnosis&quot;: 'radiology' from &quot;Diagnosis Type&quot; display 'Radiology Diagnosis'\ncode &quot;Remote Diagnosis&quot;: 'remote' from &quot;Diagnosis Type&quot; display 'Remote Diagnosis'\ncode &quot;Retrospective Diagnosis&quot;: 'retrospective' from &quot;Diagnosis Type&quot; display 'Retrospetive Diagnosis'\ncode &quot;Self Diagnosis&quot;: 'self' from &quot;Diagnosis Type&quot; display 'Self Diagnosis'\ncode &quot;Primary procedure&quot;: 'primary' from &quot;Procedure Type&quot; display 'Primary procedure'\ncode &quot;POA-Y&quot;: 'Y' from &quot;Present On Admission Indicators&quot; display 'POA-Y'\ncode &quot;POA-N&quot;: 'N' from &quot;Present On Admission Indicators&quot; display 'POA-N'\ncode &quot;POA-W&quot;: 'W' from &quot;Present On Admission Indicators&quot; display 'POA-W'\ncode &quot;POA-1&quot;: '1' from &quot;Present On Admission Indicators&quot; display 'POA-1'\ncode &quot;POA-U&quot;: 'U' from &quot;Present On Admission Indicators&quot; display 'POA-U'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n\ncontext Patient\n\ndefine &quot;Inpatient Encounter&quot;:\n  [Encounter: &quot;Encounter Inpatient&quot;] EncounterInpatient\n    where EncounterInpatient.status = 'finished'\n      and EncounterInpatient.period ends during day of &quot;Measurement Period&quot;\n\n/*\n@description: Returns an interval of date values extracted from the input interval of date-time values\n@comment: This function returns an interval constructed using the `date from` extractor on the start\nand end values of the input date-time interval. Note that using a precision specifier such as `day of`\nas part of a timing phrase is preferred to communicate intent to perform day-level comparison, as well\nas for general readability.\n*/\ndefine function &quot;ToDateInterval&quot;(period Interval&lt;DateTime&gt;):\n  Interval[date from start of period, date from end of period]\n\n/*\n@description: Calculates the difference in calendar days between the start and end of the given interval.\n@deprecated: This function in deprecated. Use the fluent function `lengthInDays()` instead.\n*/\ndefine function &quot;LengthInDays&quot;(Value Interval&lt;DateTime&gt; ):\n  difference in days between start of Value and end of Value\n\n/*\n@description: Calculates the difference in calendar days between the start and end of the given interval.\n*/\ndefine fluent function lengthInDays(Value Interval&lt;DateTime&gt; ):\n  difference in days between start of Value and end of Value\n\n/*\n@description: Returns the most recent emergency department visit, if any, that occurs 1 hour or less prior to the given encounter.\n@deprecated: This function is deprecated. Use the fluent function `edVisit()` instead.\n*/\ndefine function &quot;ED Visit&quot;(TheEncounter Encounter ):\n  Last(\n    [Encounter: &quot;Emergency Department Visit&quot;] EDVisit\n      where EDVisit.status = 'finished'\n        and EDVisit.period ends 1 hour or less on or before start of TheEncounter.period\n      sort by end of period\n    )\n\n/*\n@description: Returns the most recent emergency department visit, if any, that occurs 1 hour or less prior to the given encounter.\n*/\ndefine fluent function edVisit(TheEncounter Encounter ):\n  Last(\n    [Encounter: &quot;Emergency Department Visit&quot;] EDVisit\n      where EDVisit.status = 'finished'\n        and EDVisit.period ends 1 hour or less on or before start of TheEncounter.period\n      sort by end of period\n    )\n\n/*\n@description: Hospitalization returns the total interval for admission to discharge for the given encounter, or for the admission of any immediately prior emergency department visit to the discharge of the given encounter.\n@deprecated: This function is deprecated. Use the fluent function `hospitalization()` instead.\n*/\ndefine function &quot;Hospitalization&quot;(TheEncounter Encounter ):\n  ( &quot;ED Visit&quot;(TheEncounter) ) X\n    return\n        if X is null then TheEncounter.period\n        else Interval[start of X.period, end of TheEncounter.period)\n\n/*\n@description: Hospitalization returns the total interval for admission to discharge for the given encounter, or for the admission of any immediately prior emergency department visit to the discharge of the given encounter.\n*/\ndefine fluent function hospitalization(TheEncounter Encounter ):\n  (TheEncounter.&quot;edVisit&quot;()) X\n    return\n        if X is null then TheEncounter.period\n        else Interval[start of X.period, end of TheEncounter.period]\n\n/*\n@description: Returns list of all locations within an encounter, including locations for immediately prior ED visit.\n@deprecated: This function is deprecated. Use the fluent function `hospitalizationLocations()` instead.\n*/\ndefine function &quot;Hospitalization Locations&quot;(TheEncounter Encounter ):\n  ( &quot;ED Visit&quot;(TheEncounter) ) EDEncounter\n    return\n        if EDEncounter is null then TheEncounter.location\n        else flatten { EDEncounter.location, TheEncounter.location }\n\n/*\n@description: Returns list of all locations within an encounter, including locations for immediately prior ED visit.\n*/\ndefine fluent function hospitalizationLocations(TheEncounter Encounter ):\n  ( TheEncounter.&quot;edVisit&quot;()) EDEncounter\n    return\n        if EDEncounter is null then TheEncounter.location\n        else flatten { EDEncounter.location, TheEncounter.location }\n\n/*\n@description: Returns the length of stay in days (i.e. the number of days between admission and discharge) for the given encounter, or from the admission of any immediately prior emergency department visit to the discharge of the encounter\n@deprecated: This function is deprecated. Use the fluent function `hospitalizationLengthOfStay()` instead.\n*/\ndefine function &quot;Hospitalization Length of Stay&quot;(TheEncounter Encounter ):\n  LengthInDays(&quot;Hospitalization&quot;(TheEncounter))\n\n/*\n@description: Returns the length of stay in days (i.e. the number of days between admission and discharge) for the given encounter, or from the admission of any immediately prior emergency department visit to the discharge of the encounter\n*/\ndefine fluent function hospitalizationLengthOfStay(TheEncounter Encounter ):\n   TheEncounter.&quot;hospitalization&quot;().&quot;lengthInDays&quot;()\n\n/*\n@description: Returns admission time for an encounter or for immediately prior emergency department visit.\n@deprecated: This function is deprecated. Use the fluent function `hospitalAdmissionTime()` instead.\n*/\ndefine function &quot;Hospital Admission Time&quot;(TheEncounter Encounter ):\n  start of &quot;Hospitalization&quot;(TheEncounter)\n\n/*\n@description: Returns admission time for an encounter or for immediately prior emergency department visit.\n*/\ndefine fluent function hospitalAdmissionTime(TheEncounter Encounter ):\n  start of (TheEncounter.&quot;hospitalization&quot;())\n\n/*\n@description: Hospital Discharge Time returns the discharge time for an encounter\n@deprecated: This function is deprecated. Use the fluent function `hospitalDischargeTime()` instead.\n*/\ndefine function &quot;Hospital Discharge Time&quot;(TheEncounter Encounter ):\n  end of TheEncounter.period\n\n/*\n@description: Hospital Discharge Time returns the discharge time for an encounter\n*/\ndefine fluent function hospitalDischargeTime(TheEncounter Encounter ):\n  end of TheEncounter.period\n\n/*\n@description: Returns earliest arrival time for an encounter including any prior ED visit.\n@deprecated: This function is deprecated. Use the fluent function `hospitalArrivalTime()` instead.\n*/\ndefine function &quot;Hospital Arrival Time&quot;(TheEncounter Encounter ):\n  start of First(\n  \t    (&quot;Hospitalization Locations&quot;(TheEncounter) ) HospitalLocation\n  \t\t\tsort by start of period\n  \t).period\n\n/*\n@description: Returns earliest arrival time for an encounter including any prior ED visit.\n*/\ndefine fluent function hospitalArrivalTime(TheEncounter Encounter ):\n  start of First(\n  \t    (TheEncounter.&quot;hospitalizationLocations&quot;()) HospitalLocation\n  \t\t\tsort by start of period\n  \t).period\n\n/*\n@description: Returns the latest departure time for encounter including any prior ED visit.\n@deprecated: This function is deprecated. Use the fluent function `hospitalDepartureTime()` instead.\n*/\ndefine function &quot;Hospital Departure Time&quot;(TheEncounter Encounter):\n\tend of Last(\n\t    ( &quot;Hospitalization Locations&quot;(TheEncounter) ) HospitalLocation\n\t\t\tsort by start of period\n\t).period\n\n/*\n@description: Returns the latest departure time for encounter including any prior ED visit.\n*/\ndefine fluent function hospitalDepartureTime(TheEncounter Encounter):\n\tend of Last(\n\t    (TheEncounter.&quot;hospitalizationLocations&quot;()) HospitalLocation\n\t\t\tsort by start of period\n\t).period\n\n/*\n@description: Returns the emergency department arrival time for the encounter.\n@deprecated. This function is deprecated. Use the fluent function `emergencyDepartmentArrivalTime()` instead.\n*/\ndefine function &quot;Emergency Department Arrival Time&quot;(TheEncounter Encounter):\n\tstart of (\n\t    singleton from (\n\t        ( &quot;Hospitalization Locations&quot;(TheEncounter) ) HospitalLocation\n\t\t\t\twhere GetLocation(HospitalLocation.location).type in &quot;Emergency Department Visit&quot;\n\t\t)\n\t).period\n\n/*\n@description: Returns the emergency department arrival time for the encounter.\n*/\ndefine fluent function emergencyDepartmentArrivalTime(TheEncounter Encounter):\n\tstart of (\n\t    singleton from (\n\t        ( (TheEncounter.&quot;hospitalizationLocations&quot;()) ) HospitalLocation\n\t\t\t\twhere GetLocation(HospitalLocation.location).type in &quot;Emergency Department Visit&quot;\n\t\t)\n\t).period\n\n/*\n@description: Hospitalization with Observation and Outpatient Surgery Service returns the total interval from the start of any immediately prior emergency department visit, outpatient surgery visit or observation visit to the discharge of the given encounter.\n@deprecated: This function is deprecated. Use the fluent function `hospitalizationWithObservationAndOutpatientSurgeryService()` instead.\n*/\ndefine function &quot;HospitalizationWithObservationAndOutpatientSurgeryService&quot;(TheEncounter &quot;Encounter&quot; ):\n  TheEncounter Visit\n\t  let ObsVisit: Last([Encounter: &quot;Observation Services&quot;] LastObs\n\t\t  \twhere LastObs.status = 'finished'\n          and LastObs.period ends 1 hour or less on or before start of Visit.period\n\t\t\t  sort by\tend of period\n    \t),\n    \tVisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n    \tEDVisit: Last([Encounter: &quot;Emergency Department Visit&quot;] LastED\n\t\t\t  where LastED.status = 'finished'\n          and LastED.period ends 1 hour or less on or before VisitStart\n\t\t\t  sort by\tend of period\n    \t),\n    \tVisitStartWithED: Coalesce(start of EDVisit.period, VisitStart),\n    \tOutpatientSurgeryVisit: Last([Encounter: &quot;Outpatient Surgery Service&quot;] LastSurgeryOP\n\t\t\t  where LastSurgeryOP.period ends 1 hour or less on or before VisitStartWithED\n\t\t\t  sort by\tend of period\n    \t)\n  \treturn Interval[Coalesce(start of OutpatientSurgeryVisit.period, VisitStartWithED), end of Visit.period]\n\n/*\n@description: Hospitalization with Observation and Outpatient Surgery Service returns the total interval from the start of any immediately prior emergency department visit, outpatient surgery visit or observation visit to the discharge of the given encounter.\n*/\ndefine fluent function hospitalizationWithObservationAndOutpatientSurgeryService(TheEncounter &quot;Encounter&quot; ):\n  TheEncounter Visit\n\t  let ObsVisit: Last([Encounter: &quot;Observation Services&quot;] LastObs\n\t\t  \twhere LastObs.status = 'finished'\n          and LastObs.period ends 1 hour or less on or before start of Visit.period\n\t\t\t  sort by\tend of period\n    \t),\n    \tVisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n    \tEDVisit: Last([Encounter: &quot;Emergency Department Visit&quot;] LastED\n\t\t\t  where LastED.status = 'finished'\n          and LastED.period ends 1 hour or less on or before VisitStart\n\t\t\t  sort by\tend of period\n    \t),\n    \tVisitStartWithED: Coalesce(start of EDVisit.period, VisitStart),\n    \tOutpatientSurgeryVisit: Last([Encounter: &quot;Outpatient Surgery Service&quot;] LastSurgeryOP\n\t\t\t  where LastSurgeryOP.period ends 1 hour or less on or before VisitStartWithED\n\t\t\t  sort by\tend of period\n    \t)\n  \treturn Interval[Coalesce(start of OutpatientSurgeryVisit.period, VisitStartWithED), end of Visit.period]\n\n/*\n@description: Hospitalization with Observation returns the total interval from the start of any immediately prior emergency department visit through the observation visit to the discharge of the given encounter\n@deprecated: This function is deprecated. Use the fluent function `hospitalizationWithObservation()` instead.\n*/\ndefine function &quot;HospitalizationWithObservation&quot;(TheEncounter Encounter ):\n  TheEncounter Visit\n  \t\tlet ObsVisit: Last([Encounter: &quot;Observation Services&quot;] LastObs\n  \t\t\t\twhere LastObs.status = 'finished'\n            and LastObs.period ends 1 hour or less on or before start of Visit.period\n  \t\t\t\tsort by end of period\n  \t\t\t),\n  \t\t\tVisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n  \t\t\tEDVisit: Last([Encounter: &quot;Emergency Department Visit&quot;] LastED\n  \t\t\t\twhere LastED.status = 'finished'\n            and LastED.period ends 1 hour or less on or before VisitStart\n  \t\t\t\tsort by end of period\n  \t\t\t)\n  \t\treturn Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]\n\n/*\n@description: Hospitalization with Observation returns the total interval from the start of any immediately prior emergency department visit through the observation visit to the discharge of the given encounter\n*/\ndefine fluent function hospitalizationWithObservation(TheEncounter Encounter ):\n  TheEncounter Visit\n  \t\tlet ObsVisit: Last([Encounter: &quot;Observation Services&quot;] LastObs\n  \t\t\t\twhere LastObs.status = 'finished'\n            and LastObs.period ends 1 hour or less on or before start of Visit.period\n  \t\t\t\tsort by end of period\n  \t\t\t),\n  \t\t\tVisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n  \t\t\tEDVisit: Last([Encounter: &quot;Emergency Department Visit&quot;] LastED\n  \t\t\t\twhere LastED.status = 'finished'\n            and LastED.period ends 1 hour or less on or before VisitStart\n  \t\t\t\tsort by end of period\n  \t\t\t)\n  \t\treturn Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]\n\n/*\n@description: Hospitalization with Observation Length of Stay returns the length in days from the start of any immediately prior emergency department visit through the observation visit to the discharge of the given encounter\n@deprecated: This function is deprecated. Use the fluent function `hospitalizationWithObservationLengthofStay()` instead.\n*/\ndefine function &quot;HospitalizationWithObservationLengthofStay&quot;(TheEncounter &quot;Encounter&quot; ):\n  &quot;LengthInDays&quot;(&quot;HospitalizationWithObservation&quot;(TheEncounter))\n\n/*\n@description: Hospitalization with Observation Length of Stay returns the length in days from the start of any immediately prior emergency department visit through the observation visit to the discharge of the given encounter\n*/\ndefine fluent function hospitalizationWithObservationLengthofStay(TheEncounter &quot;Encounter&quot; ):\n  ((TheEncounter.&quot;hospitalizationWithObservation&quot;().&quot;lengthInDays&quot;()))\n\n/*\n@description: First Inpatient Intensive Care Unit returns the first intensive care unit for the given encounter, without considering any immediately prior emergency department visit.\n@deprecated: This function is deprecated. Use the fluent function `firstInpatientIntensiveCareUnit()` instead.\n*/\ndefine function &quot;FirstInpatientIntensiveCareUnit&quot;(Encounter Encounter ):\n  First((Encounter.location)HospitalLocation\n  \t\t\twhere GetLocation(HospitalLocation.location).type in &quot;Intensive Care Unit&quot;\n  \t\t\t\tand HospitalLocation.period during Encounter.period\n  \t\t\tsort by start of period\n  \t)\n\n/*\n@description: First Inpatient Intensive Care Unit returns the first intensive care unit for the given encounter, without considering any immediately prior emergency department visit.\n*/\ndefine fluent function firstInpatientIntensiveCareUnit(Encounter Encounter ):\n  First((Encounter.location)HospitalLocation\n  \t\t\twhere GetLocation(HospitalLocation.location).type in &quot;Intensive Care Unit&quot;\n  \t\t\t\tand HospitalLocation.period during Encounter.period\n  \t\t\tsort by start of period\n  \t)\n\n/*\n@description: Returns the Condition resource referenced by the `diagnosis.condition` element of the Encounter\n@deprecated: This function is deprecated. Use the fluent function `encounterDiagnosis()` instead.\n*/\ndefine function &quot;EncounterDiagnosis&quot;(Encounter Encounter ):\n  Encounter.diagnosis D\n\treturn singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where D.condition.references(C.id))\n\n/*  \n@description: Returns the Condition resources referenced by the diagnosis element of the Encounter  \n*/\ndefine fluent function encounterDiagnosis(Encounter Encounter ):\n  Encounter.reasonReference D\n    return singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where D.references(C.id))\n\n\n/*\n@description: Returns the Condition resource for the given reference\n@deprecated: This function is deprecated. Use the fluent function `getCondition()` instead\n*/\ndefine function &quot;GetCondition&quot;(reference Reference):\n  singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where reference.references(C.id))\n\n/*\n@description: Returns the Condition resource for the given reference\n*/\ndefine fluent function getCondition(reference Reference):\n  singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where reference.references(C.id))\n\n/*\n@description: Returns the condition that is specified as the principal diagnosis for the encounter\n@deprecated: This function is deprecated. Use the fluent function `principalDiagnosis()` instead.\n*/\ndefine function &quot;PrincipalDiagnosis&quot;(Encounter Encounter):\n\tsingleton from (\n\t(Encounter.diagnosis D where D.rank = 1 and D.use ~ &quot;Billing&quot;) PD\n      return singleton from (([ConditionEncounterDiagnosis] union [ConditionProblemsHealthConcerns]) C where PD.condition.references(C.id))\n\t)\n\n/*\n@description: Returns the claim diagnosis element that is specified as the principal diagnosis for the encounter\n @comment: See the QICore 6 Authoring Patterns discussion on [Principal Diagnosis and Present on Admission](https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns-QICore-v6.0.0#conditions-present-on-admission-and-principal-diagnoses) for more information\n*/\ndefine fluent function principalDiagnosis(encounter Encounter):\nsingleton from (\n     (encounter.claimDiagnosis()) CD\n       where CD.type.includesCode(&quot;Principal Diagnosis&quot;)\n   )\n/*\n@description: Returns the claim diagnosis elements for the given encounter\n@comment: See the QICore 6 Authoring Patterns discussion on [Principal Diagnosis and Present on Admission](https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns-QICore-v6.0.0#conditions-present-on-admission-and-principal-diagnoses) for more information\n*/\ndefine fluent function claimDiagnosis(encounter Encounter):\n  encounter E\n    let \n      claim: ([Claim] C where C.status = 'active' and C.use = 'claim' and exists (C.item I where I.encounter.references(E))),\n      claimItem: (claim.item I where I.encounter.references(E))\n    return claim.diagnosis D where D.sequence in claimItem.diagnosisSequence\n\n\n/*\n @description: Returns the condition that is specified as the principal diagnosis for the encounter and has a code in the given valueSet.\n @comment: See the QICore 6 Authoring Patterns discussion on [Principal Diagnosis and Present on Admission](https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns-QICore-v6.0.0#conditions-present-on-admission-and-principal-diagnoses) for more information\n */\n define fluent function hasPrincipalDiagnosisOf(encounter Encounter, valueSet ValueSet):\n   (encounter.principalDiagnosis()) PD\n     return PD.diagnosis in valueSet\n       or PD.diagnosis.getCondition().code in valueSet\n\n/*\n @description: Returns true if the given diagnosis is present on admission, based on the given poaValueSet\n @comment: See the QICore 6 Authoring Patterns discussion on [Principal Diagnosis and Present on Admission](https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns-QICore-v6.0.0#conditions-present-on-admission-and-principal-diagnoses) for more information\n */\n define fluent function isDiagnosisPresentOnAdmission(encounter Encounter, diagnosisValueSet ValueSet, poaValueSet ValueSet):\n   exists (\n     (encounter.claimDiagnosis()) CD\n       where CD.onAdmission in poaValueSet\n         and (\n           CD.diagnosis in diagnosisValueSet\n             or CD.diagnosis.getCondition().code in diagnosisValueSet\n         )\n   )\n\n/*\n@description: Returns the Location resource specified by the given reference\n@deprecated: This function is deprecated. Use the fluent function `getLocation()` instead.\n*/\ndefine function &quot;GetLocation&quot;(reference Reference):\n  singleton from (\n    [Location] L where reference.references(L)\n  )\n\n/*\n@description: Returns the Location resource specified by the given reference.\n*/\ndefine fluent function getLocation(reference Reference):\n  singleton from (\n    [Location] L where reference.references(L)\n  )\n\n/*\n@description: Returns the medication code for the given MedicationRequest\n@deprecated: This function is deprecated. Use the fluent function `getMedicationCode()` instead.\n*/\ndefine function &quot;GetMedicationCode&quot;(request MedicationRequest):\n  if request.medication is Concept then\n  \t  request.medication as Concept\n  \telse\n  \t  (singleton from ([Medication] M where request.medication.references(M))).code\n\n/*\n@description: Returns the medication code for the given MedicationRequest\n*/\ndefine fluent function getMedicationCode(request MedicationRequest):\n  if request.medication is Concept then\n  \t  request.medication as Concept\n  \telse\n  \t  (singleton from ([Medication] M where request.medication.references(M))).code\n  \t  \n/*\n@description: Returns the claim procedure elements for the given encounter\n*/\ndefine fluent function principalProcedure(encounter Encounter):  \t  \n  \t encounter E\n  \t let \n        claim: [Claim] C where C.status = 'active' and C.use = 'claim' and exists (C.item I where I.encounter.references(E)),\n        claimItem: claim.item I where I.encounter.references(E),\n        princProcedure: singleton from (claim.procedure P where P.sequence in claimItem.procedureSequence and P.type.includesCode(&quot;Primary procedure&quot;))\n    return princProcedure</code></pre>\n      </td>\n    </tr>\n    \n    \n    \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
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          "code": "billing",
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        "valueCoding": {
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        "valueCoding": {
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        "valueCoding": {
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          "code": "prenatal",
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        "valueCoding": {
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        "valueCoding": {
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          "code": "radiology",
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        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
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          "code": "remote",
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        }
      }, {
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        "valueCoding": {
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          "code": "retrospective",
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        }
      }, {
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        "valueCoding": {
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        "valueCoding": {
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      "date": "2025-07-23T17:47:03+00:00",
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      "description": "This library contains declarations that are commonly used in eCQMs and shared across the logic of multiple measures, such as the Encounter Inpatient value set, and the Inpatient Encounter population criteria definition. This library also contains functions for calculating hospitalization duration as well as hospital arrival and departure times.",
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      "text": {
        "status": "extensions",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" class=\"col-12\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">SupplementalDataElements</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">5.1.000</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">67e5bc4d88f4d211353e632e</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">ICF</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<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>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/library-type#logic-library]</td>\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: extension, url\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Coverage\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\r\n@update: GCW 2025-03-27 -&gt;\r\nUpdated to reflect valueset name change from CMS Sex to Federal Administrative Sex\r\n*/\r\nlibrary SupplementalDataElements version '5.1.000'\r\n\r\nusing QICore version '6.0.0'\r\n\r\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers\r\n\r\ncodesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'\r\n\r\nvalueset &quot;Ethnicity&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\r\nvalueset &quot;Federal Administrative Sex&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121'\r\nvalueset &quot;Payer Type&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\r\nvalueset &quot;Race&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\r\n\r\ncode &quot;Male (finding)&quot;: '248153007' from &quot;SNOMEDCT&quot; display 'Male (finding)'\r\ncode &quot;Female (finding)&quot;: '248152002' from &quot;SNOMEDCT&quot; display 'Female (finding)'\r\n\r\ncontext Patient\r\n\r\ndefine &quot;SDE Ethnicity&quot;:\r\n  Patient.ethnicity E\r\n    return Tuple {\r\n      codes: { E.ombCategory } union E.detailed,\r\n      display: E.text\r\n    }\r\n\r\ndefine &quot;SDE Payer&quot;:\r\n  [Coverage: type in &quot;Payer Type&quot;] Payer\r\n    return {\r\n      code: Payer.type,\r\n      period: Payer.period\r\n    }\r\n\r\ndefine &quot;SDE Race&quot;:\r\n  Patient.race R\r\n    return Tuple {\r\n      codes: R.ombCategory union R.detailed,\r\n      display: R.text\r\n    }\r\n\r\ndefine &quot;SDE Sex&quot;:\r\n  case\r\n    when Patient.sex = '248153007' then &quot;Male (finding)&quot;\r\n    when Patient.sex = '248152002' then &quot;Female (finding)&quot;\r\n    else null\r\n  end</code></pre>\n      </td>\n    </tr>\n    \n    \n    \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://snomed.info/sct",
          "code": "248153007",
          "display": "Male (finding)"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://snomed.info/sct",
          "code": "248152002",
          "display": "Female (finding)"
        }
      } ],
      "url": "https://madie.cms.gov/Library/SupplementalDataElements",
      "identifier": [ {
        "use": "official",
        "system": "https://madie.cms.gov/login",
        "value": "67e5bc4d88f4d211353e632e"
      } ],
      "version": "5.1.000",
      "name": "SupplementalDataElements",
      "title": "SupplementalDataElements",
      "status": "active",
      "experimental": false,
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/library-type",
          "code": "logic-library"
        } ]
      },
      "date": "2025-07-23T17:47:02+00:00",
      "publisher": "ICF",
      "description": "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",
      "relatedArtifact": [ {
        "type": "depends-on",
        "display": "QICore model information",
        "resource": "http://hl7.org/fhir/Library/QICore-ModelInfo"
      }, {
        "type": "depends-on",
        "display": "Library FHIRHelpers",
        "resource": "https://madie.cms.gov/Library/FHIRHelpers|4.4.000"
      }, {
        "type": "depends-on",
        "display": "Code system SNOMEDCT",
        "resource": "http://snomed.info/sct"
      }, {
        "type": "depends-on",
        "display": "Value set Payer Type",
        "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
      } ],
      "dataRequirement": [ {
        "type": "Patient",
        "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ],
        "mustSupport": [ "extension", "url" ]
      }, {
        "type": "Coverage",
        "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage" ],
        "mustSupport": [ "type", "period" ],
        "codeFilter": [ {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
        } ]
      } ],
      "content": [ {
        "contentType": "text/cql",
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      }, {
        "contentType": "application/elm+xml",
        "data": "[encoded data, 61716 characters]"
      }, {
        "contentType": "application/elm+json",
        "data": "[encoded data, 121536 characters]"
      } ]
    },
    "request": {
      "method": "POST",
      "url": "Library/SupplementalDataElements"
    }
  }, {
    "fullUrl": "https://madie.cms.gov/Library/QICoreCommon",
    "resource": {
      "resourceType": "Library",
      "id": "QICoreCommon",
      "meta": {
        "profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary", "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library" ]
      },
      "language": "en",
      "text": {
        "status": "extensions",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" class=\"col-12\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">QICoreCommon</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">4.0.000</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">67cb33c19e9ab93ec36dad45</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">ICF</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\">Common terminologies and functions used in QI-Core-based CQL artifacts</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/library-type#logic-library]</td>\n</tr>\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Resource\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/StructureDefinition/Resource\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: id, id.value\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: birthDate, birthDate.value\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: DeviceRequest\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: modifierExtension\n    <br/>\n   \n   \n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">library QICoreCommon version '4.0.000'\n\nusing QICore version '6.0.0'\n\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers\n\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\ncodesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct'\ncodesystem &quot;ActCode&quot;: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'\ncodesystem &quot;RoleCode&quot;: 'http://terminology.hl7.org/CodeSystem/v3-RoleCode'\ncodesystem &quot;Diagnosis Role&quot;: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'\ncodesystem &quot;RequestIntent&quot;: 'http://hl7.org/fhir/request-intent'\ncodesystem &quot;MedicationRequestCategory&quot;: 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'\ncodesystem &quot;ConditionClinicalStatusCodes&quot;: 'http://terminology.hl7.org/CodeSystem/condition-clinical'\ncodesystem &quot;ConditionVerificationStatusCodes&quot;: 'http://terminology.hl7.org/CodeSystem/condition-ver-status'\ncodesystem &quot;AllergyIntoleranceClinicalStatusCodes&quot;: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical'\ncodesystem &quot;AllergyIntoleranceVerificationStatusCodes&quot;: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification'\ncodesystem &quot;ObservationCategoryCodes&quot;: 'http://terminology.hl7.org/CodeSystem/observation-category'\ncodesystem &quot;USCoreObservationCategoryExtensionCodes&quot;: 'http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category'  \ncodesystem &quot;ConditionCategory&quot;: 'http://terminology.hl7.org/CodeSystem/condition-category'\ncodesystem &quot;USCoreConditionCategoryExtensionCodes&quot;: 'http://hl7.org/fhir/us/core/CodeSystem/condition-category'\ncodesystem &quot;TaskCodeSystem&quot;: 'http://hl7.org/fhir/CodeSystem/task-code' \n\n\n\ncode &quot;Birthdate&quot;: '21112-8' from &quot;LOINC&quot; display 'Birth date'\ncode &quot;Dead&quot;: '419099009' from &quot;SNOMEDCT&quot; display 'Dead'\ncode &quot;ER&quot;: 'ER' from &quot;RoleCode&quot; display 'Emergency room'\ncode &quot;ICU&quot;: 'ICU' from &quot;RoleCode&quot; display 'Intensive care unit'\ncode &quot;Billing&quot;: 'billing' from &quot;Diagnosis Role&quot; display 'Billing'\n\n//Task codes\ncode &quot;Fulfill&quot;: 'fulfill' from &quot;TaskCodeSystem&quot; display 'Fulfill'\n\n// Encounter Class Codes\ncode &quot;ambulatory&quot;: 'AMB' from ActCode display 'ambulatory'\ncode &quot;emergency&quot;: 'EMER' from ActCode display 'emergency'\ncode &quot;field&quot;: 'FLD' from ActCode display 'field'\ncode &quot;home health&quot;: 'HH' from ActCode display 'home health'\ncode &quot;inpatient encounter&quot;: 'IMP' from ActCode display 'inpatient encounter'\ncode &quot;inpatient acute&quot;: 'ACUTE' from ActCode display 'inpatient acute'\ncode &quot;inpatient non-acute&quot;: 'NONAC' from ActCode display 'inpatient non-acute'\ncode &quot;observation encounter&quot;: 'OBSENC' from ActCode display 'observation encounter'\ncode &quot;pre-admission&quot;: 'PRENC' from ActCode display 'pre-admission'\ncode &quot;short stay&quot;: 'SS' from ActCode display 'short stay'\ncode &quot;virtual&quot;: 'VR' from ActCode display 'Virtual'\n\n// Condition Category Codes\ncode &quot;problem-list-item&quot;: 'problem-list-item' from &quot;ConditionCategory&quot; display 'Problem List Item'\ncode &quot;encounter-diagnosis&quot;: 'encounter-diagnosis' from &quot;ConditionCategory&quot; display 'Encounter Diagnosis'\ncode &quot;health-concern&quot;: 'health-concern' from &quot;USCoreConditionCategoryExtensionCodes&quot; display 'Health Concern'\n\n// Condition Clinical Status Codes - Consider value sets for these\ncode &quot;active&quot;: 'active' from &quot;ConditionClinicalStatusCodes&quot; display 'Active'\ncode &quot;recurrence&quot;: 'recurrence' from &quot;ConditionClinicalStatusCodes&quot; display 'Recurrence'\ncode &quot;relapse&quot;: 'relapse' from &quot;ConditionClinicalStatusCodes&quot; display 'Relapse'\ncode &quot;inactive&quot;: 'inactive' from &quot;ConditionClinicalStatusCodes&quot; display 'Inactive'\ncode &quot;remission&quot;: 'remission' from &quot;ConditionClinicalStatusCodes&quot; display 'Remission'\ncode &quot;resolved&quot;: 'resolved' from &quot;ConditionClinicalStatusCodes&quot; display 'Resolved'\n\n// Condition Verification Status Codes - Consider value sets for these\ncode &quot;unconfirmed&quot;: 'unconfirmed' from ConditionVerificationStatusCodes display 'Unconfirmed'\ncode &quot;provisional&quot;: 'provisional' from ConditionVerificationStatusCodes display 'Provisional'\ncode &quot;differential&quot;: 'differential' from ConditionVerificationStatusCodes display 'Differential'\ncode &quot;confirmed&quot;: 'confirmed' from ConditionVerificationStatusCodes display 'Confirmed'\ncode &quot;refuted&quot;: 'refuted' from ConditionVerificationStatusCodes display 'Refuted'\ncode &quot;entered-in-error&quot;: 'entered-in-error' from ConditionVerificationStatusCodes display 'Entered in Error'\n\ncode &quot;allergy-active&quot;: 'active' from &quot;AllergyIntoleranceClinicalStatusCodes&quot; display 'Active'\ncode &quot;allergy-inactive&quot;: 'inactive' from &quot;AllergyIntoleranceClinicalStatusCodes&quot; display 'Inactive'\ncode &quot;allergy-resolved&quot;: 'resolved' from &quot;AllergyIntoleranceClinicalStatusCodes&quot; display 'Resolved'\n\n// Allergy/Intolerance Verification Status Codes - Consider value sets for these\ncode &quot;allergy-unconfirmed&quot;: 'unconfirmed' from AllergyIntoleranceVerificationStatusCodes display 'Unconfirmed'\ncode &quot;allergy-confirmed&quot;: 'confirmed' from AllergyIntoleranceVerificationStatusCodes display 'Confirmed'\ncode &quot;allergy-refuted&quot;: 'refuted' from AllergyIntoleranceVerificationStatusCodes display 'Refuted'\n\n// MedicationRequest Category Codes\ncode &quot;Inpatient&quot;: 'inpatient' from &quot;MedicationRequestCategory&quot; display 'Inpatient'\ncode &quot;Outpatient&quot;: 'outpatient' from &quot;MedicationRequestCategory&quot; display 'Outpatient'\ncode &quot;Community&quot;: 'community' from &quot;MedicationRequestCategory&quot; display 'Community'\ncode &quot;Discharge&quot;: 'discharge' from &quot;MedicationRequestCategory&quot; display 'Discharge'\n\n// Diagnosis Role Codes\ncode &quot;AD&quot;: 'AD' from &quot;Diagnosis Role&quot; display 'Admission diagnosis'\ncode &quot;DD&quot;: 'DD' from &quot;Diagnosis Role&quot; display 'Discharge diagnosis'\ncode &quot;CC&quot;: 'CC' from &quot;Diagnosis Role&quot; display 'Chief complaint'\ncode &quot;CM&quot;: 'CM' from &quot;Diagnosis Role&quot; display 'Comorbidity diagnosis'\ncode &quot;pre-op&quot;: 'pre-op' from &quot;Diagnosis Role&quot; display 'pre-op diagnosis'\ncode &quot;post-op&quot;: 'post-op' from &quot;Diagnosis Role&quot; display 'post-op diagnosis'\ncode &quot;billing&quot;: 'billing' from &quot;Diagnosis Role&quot; display 'Billing'\n\n// Observation Category Codes\ncode &quot;social-history&quot;: 'social-history' from &quot;ObservationCategoryCodes&quot; display 'Social History'\ncode &quot;vital-signs&quot;: 'vital-signs' from &quot;ObservationCategoryCodes&quot; display 'Vital Signs'\ncode &quot;imaging&quot;: 'imaging' from &quot;ObservationCategoryCodes&quot; display 'Imaging'\ncode &quot;laboratory&quot;: 'laboratory' from &quot;ObservationCategoryCodes&quot; display 'Laboratory'\ncode &quot;procedure&quot;: 'procedure' from &quot;ObservationCategoryCodes&quot; display 'Procedure'\ncode &quot;survey&quot;: 'survey' from &quot;ObservationCategoryCodes&quot; display 'Survey'\ncode &quot;exam&quot;: 'exam' from &quot;ObservationCategoryCodes&quot; display 'Exam'\ncode &quot;therapy&quot;: 'therapy' from &quot;ObservationCategoryCodes&quot; display 'Therapy'\ncode &quot;activity&quot;: 'activity' from &quot;ObservationCategoryCodes&quot; display 'Activity'\n\ncontext Patient\n\n/* Candidates for FHIRCommon */\n\n/*\n@description: Returns true if the given condition has a clinical status of active, recurrence, or relapse\n*/\ndefine fluent function isActive(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\n  condition.clinicalStatus ~ &quot;active&quot;\n    or condition.clinicalStatus ~ &quot;recurrence&quot;\n    or condition.clinicalStatus ~ &quot;relapse&quot;\n\n/*\n@description: Returns true if the given condition has the given category\n*/\ndefine fluent function hasCategory(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;, category Code):\n  exists (condition.category C\n    where C ~ category\n  )\n\n/*\n@description: Returns true if the given condition is a problem list item.\n*/\ndefine fluent function isProblemListItem(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\n  exists (condition.category C\n    where C ~ &quot;problem-list-item&quot;\n  )\n\n/*\n@description: Returns true if the given condition is an encounter diagnosis\n*/\ndefine fluent function isEncounterDiagnosis(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\n  exists (condition.category C\n    where C ~ &quot;encounter-diagnosis&quot;\n  )\n\n/*\n@description: Returns true if the given condition is a health concern\n*/\ndefine fluent function isHealthConcern(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\n  exists (condition.category C\n    where C ~ &quot;health-concern&quot;\n  )\n\n/*\n@description: Returns true if the given observation has the given category\n*/\ndefine fluent function hasCategory(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;, \ncategory Code):\n  exists (observation.category C\n    where C ~ category\n  )\n\n/*\n@description: Returns true if the given observation is a social history observation\n*/\ndefine fluent function isSocialHistory(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;social-history&quot;\n  )\n\n/*\n@description: Returns true if the given observation is a vital sign\n*/\ndefine fluent function isVitalSign(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;vital-signs&quot;\n  )\n\n/*\n@description: Returns true if the given observation is an imaging observation\n*/\ndefine fluent function isImaging(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;imaging&quot;\n  )\n\n/*\n@description: Returns true if the given observation is a laboratory observation\n*/\ndefine fluent function isLaboratory(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;laboratory&quot;\n  )\n\n/*\n@description: Returns true if the given observation is a procedure observation\n*/\ndefine fluent function isProcedure(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;procedure&quot;\n  )\n\n/*\n@description: Returns true if the given observation is a survey observation\n*/\ndefine fluent function isSurvey(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;survey&quot;\n  )\n\n/*\n@description: Returns true if the given observation is an exam observation\n*/\ndefine fluent function isExam(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;exam&quot;\n  )\n\n/*\n@description: Returns true if the given observation is a therapy observation\n*/\ndefine fluent function isTherapy(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;therapy&quot;\n  )\n\n/*\n@description: Returns true if the given observation is an activity observation\n*/\ndefine fluent function isActivity(observation Choice&lt;&quot;SimpleObservation&quot;, \n&quot;ObservationCancelled&quot;,\n&quot;NonPatientObservation&quot;,\n&quot;LaboratoryResultObservation&quot;,\n&quot;ObservationClinicalResult&quot;,\n&quot;ObservationScreeningAssessment&quot;&gt;):\n  exists (observation.category C\n    where C ~ &quot;activity&quot;\n  )\n\n/*\n@description: Returns true if the given MedicationRequest has a category of Community\n*/\ndefine fluent function isCommunity(medicationRequest Choice&lt;MedicationRequest, MedicationNotRequested&gt;):\n  exists (medicationRequest.category C\n    where C ~ Community\n  )\n\n/*\n@description: Returns true if the given MedicationRequest has a category of Discharge\n*/\ndefine fluent function isDischarge(medicationRequest Choice&lt;MedicationRequest, MedicationNotRequested&gt;):\n  exists (medicationRequest.category C\n    where C ~ Discharge\n  )\n\n/*\n@description: Returns true if the given DeviceRequest is a negation (i.e. do not perform this order)\n@deprecated: This function is no longer required in QICore 6.0.0 and above\n*/\ndefine fluent function doNotPerform(deviceRequest DeviceRequest):\n  // KNOWN ISSUE: The translator reports this as an error but the execution still works, this is under investigation\n  deviceRequest.doNotPerform\n\n/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of DateTime, Quanitty, Interval&lt;DateTime&gt;, or Interval&lt;Quantity&gt; types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in QICore, allowing this function to be used across any resource.\nThe input can be provided as a DateTime, Quantity, Interval&lt;DateTime&gt; or Interval&lt;Quantity&gt;.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.\nIf the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,\nand the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.\nIf the input is a DateTime Interval, the result is the input.\nIf the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result\nis a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending\nimmediately before one year later than the date the patient turned the age given as the end of the quantity interval.\nIf 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\n@deprecated: This function is deprecated. Use the fluent function `toInterval()` instead\n*/\ndefine function ToInterval(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):\n  case\n\t  when choice is DateTime then\n    \tInterval[choice as DateTime, choice as DateTime]\n\t\twhen choice is Interval&lt;DateTime&gt; then\n  \t\tchoice as Interval&lt;DateTime&gt;\n\t\twhen choice is Quantity then\n\t\t  Interval[Patient.birthDate + (choice as Quantity),\n\t\t\t  Patient.birthDate + (choice as Quantity) + 1 year)\n\t\twhen choice is Interval&lt;Quantity&gt; then\n\t\t  Interval[Patient.birthDate + (choice.low as Quantity),\n\t\t\t  Patient.birthDate + (choice.high as Quantity) + 1 year)\n\t\twhen choice is Timing then\n      Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval&lt;DateTime&gt;\n\t\telse\n\t\t\tnull as Interval&lt;DateTime&gt;\n\tend\n\n/*\n@description: Normalizes a value that is a choice of timing-valued types to an equivalent interval\n@comment: Normalizes a choice type of DateTime, Quanitty, Interval&lt;DateTime&gt;, or Interval&lt;Quantity&gt; types\nto an equivalent interval. This selection of choice types is a superset of the majority of choice types that are used as possible\nrepresentations for timing-valued elements in QICore, allowing this function to be used across any resource.\nThe input can be provided as a DateTime, Quantity, Interval&lt;DateTime&gt; or Interval&lt;Quantity&gt;.\nThe intent of this function is to provide a clear and concise mechanism to treat single\nelements that have multiple possible representations as intervals so that logic doesn't have to account\nfor the variability. More complex calculations (such as medication request period or dispense period\ncalculation) need specific guidance and consideration. That guidance may make use of this function, but\nthe focus of this function is on single element calculations where the semantics are unambiguous.\nIf the input is a DateTime, the result a DateTime Interval beginning and ending on that DateTime.\nIf the input is a Quantity, the quantity is expected to be a calendar-duration interpreted as an Age,\nand the result is a DateTime Interval beginning on the Date the patient turned that age and ending immediately before one year later.\nIf the input is a DateTime Interval, the result is the input.\nIf the input is a Quantity Interval, the quantities are expected to be calendar-durations interpreted as an Age, and the result\nis a DateTime Interval beginning on the date the patient turned the age given as the start of the quantity interval, and ending\nimmediately before one year later than the date the patient turned the age given as the end of the quantity interval.\nIf 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\n*/\ndefine fluent function toInterval(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;, Timing&gt;):\n  case\n\t  when choice is DateTime then\n    \tInterval[choice as DateTime, choice as DateTime]\n\t\twhen choice is Interval&lt;DateTime&gt; then\n  \t\tchoice as Interval&lt;DateTime&gt;\n\t\twhen choice is Quantity then\n\t\t  Interval[Patient.birthDate + (choice as Quantity),\n\t\t\t  Patient.birthDate + (choice as Quantity) + 1 year)\n\t\twhen choice is Interval&lt;Quantity&gt; then\n\t\t  Interval[Patient.birthDate + (choice.low as Quantity),\n\t\t\t  Patient.birthDate + (choice.high as Quantity) + 1 year)\n\t\twhen choice is Timing then\n      Message(null, true, 'NOT_IMPLEMENTED', 'Error', 'Calculation of an interval from a Timing value is not supported') as Interval&lt;DateTime&gt;\n\t\telse\n\t\t\tnull as Interval&lt;DateTime&gt;\n\tend\n\n/*\n@description: Returns an interval representing the normalized abatement of a given Condition.\n@comment: If the abatement element of the Condition is represented as a DateTime, the result\nis an interval beginning and ending on that DateTime.\nIf 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\nresult is an interval from the date the patient turned that age to immediately before one year later.\nIf the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during\nwhich the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately\nbefore one year later than the date the patient turned the ending age of the quantity interval.\n@deprecated: This function is deprecated. Use the fluent function `abatementInterval()` instead.\n*/\ndefine function ToAbatementInterval(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\n\tif condition.abatement is DateTime then\n\t  Interval[condition.abatement as DateTime, condition.abatement as DateTime]\n\telse if condition.abatement is Quantity then\n\t\tInterval[Patient.birthDate + (condition.abatement as Quantity),\n\t\t\tPatient.birthDate + (condition.abatement as Quantity) + 1 year)\n\telse if condition.abatement is Interval&lt;Quantity&gt; then\n\t  Interval[Patient.birthDate + (condition.abatement.low as Quantity),\n\t\t  Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)\n\telse if condition.abatement is Interval&lt;DateTime&gt; then\n\t  Interval[condition.abatement.low, condition.abatement.high)\n\telse null as Interval&lt;DateTime&gt;\n\n/*\n@description: Returns an interval representing the normalized abatement of a given Condition.\n@comment: If the abatement element of the Condition is represented as a DateTime, the result\nis an interval beginning and ending on that DateTime.\nIf 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\nresult is an interval from the date the patient turned that age to immediately before one year later.\nIf the abatement is represented as a Quantity Interval, the quantities are expected to be calendar-durations and are interpreted as an age range during\nwhich the abatement occurred. The result is an interval from the date the patient turned the starting age of the quantity interval, and ending immediately\nbefore one year later than the date the patient turned the ending age of the quantity interval.\n*/\ndefine fluent function abatementInterval(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\n\tif condition.abatement is DateTime then\n\t  Interval[condition.abatement as DateTime, condition.abatement as DateTime]\n\telse if condition.abatement is Quantity then\n\t\tInterval[Patient.birthDate + (condition.abatement as Quantity),\n\t\t\tPatient.birthDate + (condition.abatement as Quantity) + 1 year)\n\telse if condition.abatement is Interval&lt;Quantity&gt; then\n\t  Interval[Patient.birthDate + (condition.abatement.low as Quantity),\n\t\t  Patient.birthDate + (condition.abatement.high as Quantity) + 1 year)\n\telse if condition.abatement is Interval&lt;DateTime&gt; then\n\t  Interval[condition.abatement.low, condition.abatement.high)\n\telse null as Interval&lt;DateTime&gt;\n\n/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting \ninterval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.\n@deprecated: This function is deprecated. Use the `prevalenceInterval()` fluent function instead\n*/\ndefine function ToPrevalenceInterval(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\nif condition.clinicalStatus ~ &quot;active&quot;\n  or condition.clinicalStatus ~ &quot;recurrence&quot;\n  or condition.clinicalStatus ~ &quot;relapse&quot; then\n  Interval[start of ToInterval(condition.onset), end of ToAbatementInterval(condition)]\nelse\n   (end of ToAbatementInterval(condition)) abatementDate\n    return if abatementDate is null then\n      Interval[start of ToInterval(condition.onset), abatementDate)\n    else\n      Interval[start of ToInterval(condition.onset), abatementDate]\n\n/*\n@description: Returns an interval representing the normalized prevalence period of a given Condition.\n@comment: Uses the ToInterval and ToAbatementInterval functions to determine the widest potential interval from\nonset to abatement as specified in the given Condition. If the condition is active, or has an abatement date the resulting \ninterval will have a closed ending boundary. Otherwise, the resulting interval will have an open ending boundary.\n*/\ndefine fluent function prevalenceInterval(condition Choice&lt;&quot;ConditionEncounterDiagnosis&quot;, &quot;ConditionProblemsHealthConcerns&quot;&gt;):\nif condition.clinicalStatus ~ &quot;active&quot;\n  or condition.clinicalStatus ~ &quot;recurrence&quot;\n  or condition.clinicalStatus ~ &quot;relapse&quot; then\n  Interval[start of condition.onset.toInterval(), end of condition.abatementInterval()]\nelse\n    (end of condition.abatementInterval()) abatementDate\n    return if abatementDate is null then\n      Interval[start of condition.onset.toInterval(), abatementDate)\n    else\n      Interval[start of condition.onset.toInterval(), abatementDate]\n\n/*\n@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).\n@comment: This function can be used to determine the logical id of a given resource. It can be used in\na single-server environment to trace references. However, this function does not attempt to resolve\nor distinguish the base of the given url, and so cannot be used safely in multi-server environments.\n@deprecated: This function is deprecated. Use the fluent function `getId()` instead\n*/\ndefine function GetId(uri String):\n  Last(Split(uri, '/'))\n\n/*\n@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).\n@comment: This function can be used to determine the logical id of a given resource. It can be used in\na single-server environment to trace references. However, this function does not attempt to resolve\nor distinguish the base of the given url, and so cannot be used safely in multi-server environments.\n*/\ndefine fluent function getId(uri String):\n  Last(Split(uri, '/'))\n\n/*\n@description: Returns true if the given reference is to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference Reference, resource Resource):\n  resource.id = Last(Split(reference.reference, '/'))  \n\n/*\n@description: Returns true if the given reference is to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of the given reference.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(reference Reference, resourceId String):\n  resourceId = Last(Split(reference.reference, '/'))\n\n/*\n@description: Returns true if any of the given references are to the given resource\n@comment: Returns true if the `id` element of the given resource exactly equals the tail of any of the given references.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(references List&lt;Reference&gt;, resource Resource):\n  exists (references R where R.references(resource))\n  \n/*\n@description: Returns true if any of the given references are to the given resourceId\n@comment: Returns true if the `resourceId` parameter exactly equals the tail of any of the given references.\nNOTE: This function assumes resources from the same source server.\n*/\ndefine fluent function references(references List&lt;Reference&gt;, resourceId String):\n  exists (references R where R.references(resourceId))\n\n/*\n@description: Returns true if the given code is in the given codeList\n@comment: Returns true if the `code` is equivalent to any of the codes in the given `codeList`, false otherwise.\n*/\ndefine fluent function includesCode(codeList List&lt;Concept&gt;, code Code):\n  exists (codeList C where C ~ code)\n\n/*\n@description: Given an interval, return true if the interval has a starting boundary specified\n(i.e. the start of the interval is not null and not the minimum DateTime value)\n@deprecated: This function is deprecated. Uee the fluent function `hasStart()` instead\n*/\ndefine function &quot;HasStart&quot;(period Interval&lt;DateTime&gt; ):\n  not ( start of period is null\n      or start of period = minimum DateTime\n  )\n\n/*\n@description: Given an interval, return true if the interval has a starting boundary specified\n(i.e. the start of the interval is not null and not the minimum DateTime value)\n*/\ndefine fluent function hasStart(period Interval&lt;DateTime&gt; ):\n  not ( start of period is null\n      or start of period = minimum DateTime\n  )\n\n/*\n@description: Given an interval, returns true if the interval has an ending boundary specified\n(i.e. the end of the interval is not null and not the maximum DateTime value)\n@deprecated: This function is deprecated. Use the fluent function `hasEnd()` instead\n*/\ndefine function &quot;HasEnd&quot;(period Interval&lt;DateTime&gt; ):\n  not (\n    end of period is null\n      or end of period = maximum DateTime\n  )\n\n/*\n@description: Given an interval, returns true if the interval has an ending boundary specified\n(i.e. the end of the interval is not null and not the maximum DateTime value)\n*/\ndefine fluent function hasEnd(period Interval&lt;DateTime&gt; ):\n  not (\n    end of period is null\n      or end of period = maximum DateTime\n  )\n\n/*\n@description: Given an interval, returns the ending point if the interval has an ending boundary specified,\notherwise, returns the starting point\n@deprecated: This function is deprecated. Use the fluent function `latest()` instead\n*/\ndefine function &quot;Latest&quot;(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):\n  (choice.toInterval()) period\n    return\n      if (HasEnd(period)) then end of period\n      else start of period\n\n/*\n@description: Given an interval, returns the ending point if the interval has an ending boundary specified,\notherwise, returns the starting point\n*/\ndefine fluent function latest(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):\n  (choice.toInterval()) period\n    return\n      if (period.&quot;hasEnd&quot;()) then end of period\n      else start of period\n\n/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n@deprecated: This function is deprecated. Use the fluent function `earliest()` instead\n*/\ndefine function &quot;Earliest&quot;(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):\n  (choice.toInterval()) period\n    return\n      if (HasStart(period)) then start of period\n      else end of period\n\n/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n*/\ndefine fluent function earliest(choice Choice&lt;DateTime, Quantity, Interval&lt;DateTime&gt;, Interval&lt;Quantity&gt;&gt; ):\n  (choice.toInterval()) period\n    return\n      if (period.&quot;hasStart&quot;()) then start of period\n      else end of period\n\n/*\n@description: Creates a list of integers from 1 to how many days are in the interval. Note, this wont create an index for\nthe final day if it is less than 24 hours. This also includes the first 24 hour period.\n@deprecated: This function is deprecated. Use the fluent function `toDayNumbers()` instead\n*/\ndefine function &quot;Interval To Day Numbers&quot;(Period Interval&lt;DateTime&gt;):\n  ( expand { Interval[1, duration in days between start of Period and end of Period]} ) DayNumber\n    return end of DayNumber\n\n/*\n@description: Creates a list of integers from 1 to how many days are in the interval. Note, this wont create an index for\nthe final day if it is less than 24 hours. This also includes the first 24 hour period.\n*/\ndefine fluent function toDayNumbers(Period Interval&lt;DateTime&gt;):\n  ( expand { Interval[1, duration in days between start of Period and end of Period]} ) DayNumber\n    return end of DayNumber\n\n/*\n@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.\nNote that the result will include intervals that are closed at the beginning and open at the end\n@deprecated: This function is deprecated. Use the fluent function `daysInPeriod()` instead\n*/\ndefine function &quot;Days In Period&quot;(Period Interval&lt;DateTime&gt;):\n  ( &quot;Interval To Day Numbers&quot;(Period)) DayIndex\n    let startPeriod: start of Period + (24 hours * (DayIndex - 1)),\n    endPeriod: if (hours between startPeriod and end of Period &lt; 24) then startPeriod\n      else start of Period + (24 hours * DayIndex)\n    return Tuple {\n      dayIndex: DayIndex,\n      dayPeriod: Interval[startPeriod, endPeriod)\n    }\n\n/*\n@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.\nNote that the result will include intervals that are closed at the beginning and open at the end\n*/\ndefine fluent function daysInPeriod(Period Interval&lt;DateTime&gt;):\n  ( &quot;Interval To Day Numbers&quot;(Period)) DayIndex\n    let startPeriod: start of Period + (24 hours * (DayIndex - 1)),\n    endPeriod: if (hours between startPeriod and end of Period &lt; 24) then startPeriod\n      else start of Period + (24 hours * DayIndex)\n    return Tuple {\n      dayIndex: DayIndex,\n      dayPeriod: Interval[startPeriod, endPeriod)\n    }</code></pre>\n      </td>\n    </tr>\n    \n    \n    \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://loinc.org",
          "code": "21112-8",
          "display": "Birthdate"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://snomed.info/sct",
          "code": "419099009",
          "display": "Dead"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code": "ER",
          "display": "ER"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code": "ICU",
          "display": "ICU"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "billing",
          "display": "Billing"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://hl7.org/fhir/CodeSystem/task-code",
          "code": "fulfill",
          "display": "Fulfill"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB",
          "display": "ambulatory"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "EMER",
          "display": "emergency"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "FLD",
          "display": "field"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "HH",
          "display": "home health"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "ACUTE",
          "display": "inpatient acute"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "NONAC",
          "display": "inpatient non-acute"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "OBSENC",
          "display": "observation encounter"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "PRENC",
          "display": "pre-admission"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "SS",
          "display": "short stay"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "VR",
          "display": "virtual"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-category",
          "code": "problem-list-item",
          "display": "problem-list-item"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-category",
          "code": "encounter-diagnosis",
          "display": "encounter-diagnosis"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
          "code": "health-concern",
          "display": "health-concern"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "active",
          "display": "active"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "recurrence",
          "display": "recurrence"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "relapse",
          "display": "relapse"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "inactive",
          "display": "inactive"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "remission",
          "display": "remission"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "resolved",
          "display": "resolved"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "unconfirmed",
          "display": "unconfirmed"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "provisional",
          "display": "provisional"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "differential",
          "display": "differential"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "confirmed",
          "display": "confirmed"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "refuted",
          "display": "refuted"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "entered-in-error",
          "display": "entered-in-error"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
          "code": "active",
          "display": "allergy-active"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
          "code": "inactive",
          "display": "allergy-inactive"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
          "code": "resolved",
          "display": "allergy-resolved"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
          "code": "unconfirmed",
          "display": "allergy-unconfirmed"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
          "code": "confirmed",
          "display": "allergy-confirmed"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
          "code": "refuted",
          "display": "allergy-refuted"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "inpatient",
          "display": "Inpatient"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "outpatient",
          "display": "Outpatient"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "community",
          "display": "Community"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "discharge",
          "display": "Discharge"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "AD",
          "display": "AD"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "DD",
          "display": "DD"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "CC",
          "display": "CC"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "CM",
          "display": "CM"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "pre-op",
          "display": "pre-op"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "post-op",
          "display": "post-op"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
          "code": "billing",
          "display": "billing"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "social-history",
          "display": "social-history"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs",
          "display": "vital-signs"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "imaging",
          "display": "imaging"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory",
          "display": "laboratory"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "procedure",
          "display": "procedure"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey",
          "display": "survey"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "exam",
          "display": "exam"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "therapy",
          "display": "therapy"
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
        "valueCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "activity",
          "display": "activity"
        }
      } ],
      "url": "https://madie.cms.gov/Library/QICoreCommon",
      "identifier": [ {
        "use": "official",
        "system": "https://madie.cms.gov/login",
        "value": "67cb33c19e9ab93ec36dad45"
      } ],
      "version": "4.0.000",
      "name": "QICoreCommon",
      "title": "QICoreCommon",
      "status": "active",
      "experimental": false,
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/library-type",
          "code": "logic-library"
        } ]
      },
      "date": "2025-07-23T17:47:02+00:00",
      "publisher": "ICF",
      "description": "Common terminologies and functions used in QI-Core-based CQL artifacts",
      "relatedArtifact": [ {
        "type": "depends-on",
        "display": "QICore model information",
        "resource": "http://hl7.org/fhir/Library/QICore-ModelInfo"
      }, {
        "type": "depends-on",
        "display": "Library FHIRHelpers",
        "resource": "https://madie.cms.gov/Library/FHIRHelpers|4.4.000"
      }, {
        "type": "depends-on",
        "display": "Code system USCoreConditionCategoryExtensionCodes",
        "resource": "http://hl7.org/fhir/us/core/CodeSystem/condition-category"
      }, {
        "type": "depends-on",
        "display": "Code system ObservationCategoryCodes",
        "resource": "http://terminology.hl7.org/CodeSystem/observation-category"
      }, {
        "type": "depends-on",
        "display": "Code system ConditionClinicalStatusCodes",
        "resource": "http://terminology.hl7.org/CodeSystem/condition-clinical"
      }, {
        "type": "depends-on",
        "display": "Code system MedicationRequestCategory",
        "resource": "http://terminology.hl7.org/CodeSystem/medicationrequest-category"
      }, {
        "type": "depends-on",
        "display": "Code system ConditionCategory",
        "resource": "http://terminology.hl7.org/CodeSystem/condition-category"
      } ],
      "dataRequirement": [ {
        "type": "Resource",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ],
        "mustSupport": [ "id", "id.value" ]
      }, {
        "type": "Patient",
        "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ],
        "mustSupport": [ "birthDate", "birthDate.value" ]
      }, {
        "type": "DeviceRequest",
        "profile": [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest" ],
        "mustSupport": [ "modifierExtension" ]
      } ],
      "content": [ {
        "contentType": "text/cql",
        "data": "[encoded data, 43100 characters]"
      }, {
        "contentType": "application/elm+xml",
        "data": "[encoded data, 1733416 characters]"
      }, {
        "contentType": "application/elm+json",
        "data": "[encoded data, 2930368 characters]"
      } ]
    },
    "request": {
      "method": "POST",
      "url": "Library/QICoreCommon"
    }
  }, {
    "fullUrl": "https://madie.cms.gov/Library/FHIRHelpers",
    "resource": {
      "resourceType": "Library",
      "id": "FHIRHelpers",
      "meta": {
        "profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary", "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library", "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library" ]
      },
      "language": "en",
      "text": {
        "status": "extensions",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" class=\"col-12\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">FHIRHelpers</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">4.4.000</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">660d90bc01598d085de46056</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">ICF</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\">This library defines functions to convert between FHIR\n data types and CQL system-defined types, as well as functions to support\n FHIRPath implementation. For more information, the FHIRHelpers wiki page:\n https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\">[http://terminology.hl7.org/CodeSystem/library-type#logic-library]</td>\n</tr>\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">library FHIRHelpers version '4.4.000'\n\r\nusing FHIR version '4.0.1'\r\n\r\n/*\r\n@description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)\r\nvalue to a CQL DateTime Interval\r\n@comment: If the start value of the given period is unspecified, the starting\r\nboundary of the resulting interval will be open (meaning the start of the interval\r\nis unknown, as opposed to interpreted as the beginning of time).\r\n*/\r\ndefine function ToInterval(period FHIR.Period):\r\n    if period is null then\r\n        null\r\n    else\r\n        if period.&quot;start&quot; is null then\r\n            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]\r\n        else\r\n            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]\r\n\r\n/*\r\n@description: Converts a UCUM definite duration unit to a CQL calendar duration\r\nunit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) \r\ntopic of the CQL specification.\r\n@comment: Note that for durations above days (or weeks), the conversion is understood to be approximate\r\n*/\r\ndefine function ToCalendarUnit(unit System.String):\r\n    case unit\r\n        when 'ms' then 'millisecond'\r\n        when 's' then 'second'\r\n        when 'min' then 'minute'\r\n        when 'h' then 'hour'\r\n        when 'd' then 'day'\r\n        when 'wk' then 'week'\r\n        when 'mo' then 'month'\r\n        when 'a' then 'year'\r\n        else unit\r\n    end\r\n\r\n/*\r\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) \r\nvalue to a CQL Quantity\r\n@comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity\r\nhas a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)\r\nan error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.\r\n@seealso: ToCalendarUnit\r\n*/\r\ndefine function ToQuantity(quantity FHIR.Quantity):\r\n    case\r\n        when quantity is null then null\r\n        when quantity.value is null then null\r\n        when quantity.comparator is not null then\r\n            Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')\r\n        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\r\n              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\r\n            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\r\n        else\r\n            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; ')')\r\n    end\r\n\r\n/*\r\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) value to a CQL Quantity, ignoring\r\nthe comparator element. This function should only be used when an application is justified in ignoring the comparator value (i.e. the\r\ncontext is looking for boundary).\r\n@comment: If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units \r\n(i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function \r\nis used.\r\n@seealso: ToCalendarUnit\r\n*/\r\ndefine function ToQuantityIgnoringComparator(quantity FHIR.Quantity):\r\n    case\r\n        when quantity is null then null\r\n        when quantity.value is null then null\r\n        when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'\r\n              or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then\r\n            System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }\r\n        else\r\n            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; ')')\r\n    end\r\n\r\n/*\r\n@description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) value to a CQL Interval of Quantity.\r\n@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\r\nis less than, the resulting interval will start with a null closed boundary and end with an open boundary on the quantity. If the comparator\r\nis 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 \r\ncomparator is greater or equal, the resulting interval will start with a closed boundary on the quantity and end with a closed null boundary.\r\nIf the comparator is greatter than, the resulting interval will start with an open boundary on the quantity and end with a closed null boundary.\r\nIf no comparator is specified, the resulting interval will start and end with a closed boundary on the quantity.\r\n*/\r\ndefine function ToInterval(quantity FHIR.Quantity):\r\n    if quantity is null then null else\r\n        case quantity.comparator.value\r\n            when '&lt;' then\r\n                Interval[\r\n                    null,\r\n                    ToQuantityIgnoringComparator(quantity)\r\n                )\r\n            when '&lt;=' then\r\n                Interval[\r\n                    null,\r\n                    ToQuantityIgnoringComparator(quantity)\r\n                ]\r\n            when '&gt;=' then\r\n                Interval[\r\n                    ToQuantityIgnoringComparator(quantity),\r\n                    null\r\n                ]\r\n            when '&gt;' then\r\n                Interval(\r\n                    ToQuantityIgnoringComparator(quantity),\r\n                    null\r\n                ]\r\n            else\r\n                Interval[ToQuantity(quantity), ToQuantity(quantity)]\r\n        end\r\n\r\n/*\r\n@description: Converts the given FHIR [Ratio](https://hl7.org/fhir/datatypes.html#Ratio) value to a CQL Ratio.\r\n*/\r\ndefine function ToRatio(ratio FHIR.Ratio):\r\n    if ratio is null then\r\n        null\r\n    else\r\n        System.Ratio { numerator: ToQuantity(ratio.numerator), denominator: ToQuantity(ratio.denominator) }\r\n\r\n/*\r\n@description: Converts the given FHIR [Range](https://hl7.org/fhir/datatypes.html#Range) value to a CQL Interval of Quantity\r\n*/\r\ndefine function ToInterval(range FHIR.Range):\r\n    if range is null then\r\n        null\r\n    else\r\n        Interval[ToQuantity(range.low), ToQuantity(range.high)]\r\n\r\n/*\r\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\r\n*/\r\ndefine function ToCode(coding FHIR.Coding):\r\n    if coding is null then\r\n        null\r\n    else\r\n        System.Code {\r\n          code: coding.code.value,\r\n          system: coding.system.value,\r\n          version: coding.version.value,\r\n          display: coding.display.value\r\n        }\r\n\r\n/*\r\n@description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.\r\n*/\r\ndefine function ToConcept(concept FHIR.CodeableConcept):\r\n    if concept is null then\r\n        null\r\n    else\r\n        System.Concept {\r\n            codes: concept.coding C return ToCode(C),\r\n            display: concept.text.value\r\n        }\r\n\r\n/*\r\n@description: Converts the given value (assumed to be a URI) to a CQL [ValueSet](https://cql.hl7.org/09-b-cqlreference.html#valueset)\r\n*/\r\ndefine function ToValueSet(uri String):\r\n    if uri is null then\r\n        null\r\n    else\r\n        System.ValueSet {\r\n            id: uri\r\n        }\r\n\r\n/*\r\n@description: Constructs a FHIR [Reference](https://hl7.org/fhir/datatypes.html#Reference) from the given reference (assumed to be a FHIR resource URL)\r\n*/\r\ndefine function reference(reference String):\r\n    if reference is null then\r\n        null\r\n    else\r\n        Reference { reference: string { value: reference } }\r\n\r\n/*\r\n@description: Converts the given value to a CQL value using the appropriate accessor or conversion function.\r\n@comment: TODO: document conversion\r\n*/\r\ndefine function ToValue(value Choice&lt;base64Binary,\r\n        boolean,\r\n        canonical,\r\n        code,\r\n        date,\r\n        dateTime,\r\n        decimal,\r\n        id,\r\n        instant,\r\n        integer,\r\n        markdown,\r\n        oid,\r\n        positiveInt,\r\n        string,\r\n        time,\r\n        unsignedInt,\r\n        uri,\r\n        url,\r\n        uuid,\r\n        Address,\r\n        Age,\r\n        Annotation,\r\n        Attachment,\r\n        CodeableConcept,\r\n        Coding,\r\n        ContactPoint,\r\n        Count,\r\n        Distance,\r\n        Duration,\r\n        HumanName,\r\n        Identifier,\r\n        Money,\r\n        Period,\r\n        Quantity,\r\n        Range,\r\n        Ratio,\r\n        Reference,\r\n        SampledData,\r\n        Signature,\r\n        Timing,\r\n        ContactDetail,\r\n        Contributor,\r\n        DataRequirement,\r\n        Expression,\r\n        ParameterDefinition,\r\n        RelatedArtifact,\r\n        TriggerDefinition,\r\n        UsageContext,\r\n        Dosage,\r\n        Meta&gt;):\r\n    case\r\n      when value is base64Binary then (value as base64Binary).value\r\n      when value is boolean then (value as boolean).value\r\n      when value is canonical then (value as canonical).value\r\n      when value is code then (value as code).value\r\n      when value is date then (value as date).value\r\n      when value is dateTime then (value as dateTime).value\r\n      when value is decimal then (value as decimal).value\r\n      when value is id then (value as id).value\r\n      when value is instant then (value as instant).value\r\n      when value is integer then (value as integer).value\r\n      when value is markdown then (value as markdown).value\r\n      when value is oid then (value as oid).value\r\n      when value is positiveInt then (value as positiveInt).value\r\n      when value is string then (value as string).value\r\n      when value is time then (value as time).value\r\n      when value is unsignedInt then (value as unsignedInt).value\r\n      when value is uri then (value as uri).value\r\n      when value is url then (value as url).value\r\n      when value is uuid then (value as uuid).value\r\n      when value is Age then ToQuantity(value as Age)\r\n      when value is CodeableConcept then ToConcept(value as CodeableConcept)\r\n      when value is Coding then ToCode(value as Coding)\r\n      when value is Count then ToQuantity(value as Count)\r\n      when value is Distance then ToQuantity(value as Distance)\r\n      when value is Duration then ToQuantity(value as Duration)\r\n      when value is Quantity then ToQuantity(value as Quantity)\r\n      when value is Range then ToInterval(value as Range)\r\n      when value is Period then ToInterval(value as Period)\r\n      when value is Ratio then ToRatio(value as Ratio)\r\n      else value as Choice&lt;Address,\r\n        Annotation,\r\n        Attachment,\r\n        ContactPoint,\r\n        HumanName,\r\n        Identifier,\r\n        Money,\r\n        Reference,\r\n        SampledData,\r\n        Signature,\r\n        Timing,\r\n        ContactDetail,\r\n        Contributor,\r\n        DataRequirement,\r\n        Expression,\r\n        ParameterDefinition,\r\n        RelatedArtifact,\r\n        TriggerDefinition,\r\n        UsageContext,\r\n        Dosage,\r\n        Meta&gt;\r\n    end\r\n\r\n/*\r\n@description: Resolve the given reference as a url to a resource. If the item resolves, the Resource is returned, otherwise the result is null.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function resolve(reference String) returns Resource: external\r\n/*\r\n@description: Resolve the reference element of the given Reference. If the item resolves, the Resource is returned, otherwise the result is null.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function resolve(reference Reference) returns Resource: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function reference(resource Resource) returns Reference: external\r\n/*\r\n@description: Returns any extensions with the given url defined on the given element.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function extension(element Element, url String) returns List&lt;Extension&gt;: external\r\n/*\r\n@description: Returns any extensions with the given url defined on the given resource.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function extension(resource DomainResource, url String) returns List&lt;Extension&gt;: external\r\n/*\r\n@description: Returns any modifier extensions with the given url defined on the given element.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function modifierExtension(element BackboneElement, url String) returns List&lt;Extension&gt;: external\r\n/*\r\n@description: Returns any modifier extensions with the given url defined on the given resource.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function modifierExtension(resource DomainResource, url String) returns List&lt;Extension&gt;: external\r\n/*\r\n@description: Returns true if the element is a FHIR primitive type with a value element (as opposed to having only extensions); false otherwise\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function hasValue(element Element) returns Boolean: external\r\n/*\r\n@description: Returns the value of the FHIR primitive; null otherwise\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function getValue(element Element) returns Any: external\r\n/*\r\n@description: Returns a list containing only those elements in the input that are of the given type, specified as a string.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function ofType(identifier String) returns List&lt;Any&gt;: external\r\n/*\r\n@description: Returns true if the input is of the given type; false otherwise\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function is(identifier String) returns Boolean: external\r\n/*\r\n@description: If the input is of the given type; returns the value as that type; null otherwise.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function as(identifier String) returns Any: external\r\n/*\r\n@description: Returns the FHIR element definition for the given element\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function elementDefinition(element Element) returns ElementDefinition: external\r\n/*\r\n@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.\r\n@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 ({ }).\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function slice(element Element, url String, name String) returns List&lt;Element&gt;: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function checkModifiers(resource Resource) returns Resource: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function checkModifiers(resource Resource, modifier String) returns Resource: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function checkModifiers(element Element) returns Element: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function checkModifiers(element Element, modifier String) returns Element: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function conformsTo(resource Resource, structure String) returns Boolean: external\r\n/*\r\n@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.\r\n@comment: If the valueset cannot be resolved as a uri to a value set, an error is thrown.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\nFor example:\r\n```fhirpath\r\nObservation.component.where(code.memberOf('http://hl7.org/fhir/ValueSet/observation-vitalsignresult'))\r\n```\r\nThis expression returns components that have a code that is a member of the observation-vitalsignresult valueset.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function memberOf(code code, valueSet String) returns Boolean: external\r\n/*\r\n@description: Returns true if the code is a member of the given valueset.\r\n@comment: If the valueset cannot be resolved as a uri to a value set, an error is thrown.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\nFor example:\r\n```fhirpath\r\nObservation.component.where(code.memberOf('http://hl7.org/fhir/ValueSet/observation-vitalsignresult'))\r\n```\r\nThis expression returns components that have a code that is a member of the observation-vitalsignresult valueset.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function memberOf(coding Coding, valueSet String) returns Boolean: external\r\n/*\r\n@description: Returns true if any code in the concept is a member of the given valueset.\r\n@comment: If the valueset cannot be resolved as a uri to a value set, an error is thrown.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\nFor example:\r\n```fhirpath\r\nObservation.component.where(code.memberOf('http://hl7.org/fhir/ValueSet/observation-vitalsignresult'))\r\n```\r\nThis expression returns components that have a code that is a member of the observation-vitalsignresult valueset.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function memberOf(concept CodeableConcept, valueSet String) returns Boolean: external\r\n/*\r\n@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.\r\n@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.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function subsumes(coding Coding, subsumedCoding Coding) returns Boolean: external\r\n/*\r\n@description: Returns true if any Coding in the source or given elements is equivalent to or subsumes the given code.\r\n@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.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function subsumes(concept CodeableConcept, subsumedConcept CodeableConcept) returns Boolean: external\r\n/*\r\n@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.\r\n@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.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function subsumedBy(coding Coding, subsumingCoding Coding) returns Boolean: external\r\n/*\r\n@description: Returns true if any Coding in the source or given elements is equivalent to or subsumed by the given code.\r\n@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.\r\nNote that implementations are encouraged to make use of a terminology service to provide this functionality.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function subsumedBy(concept CodeableConcept, subsumingConcept CodeableConcept) returns Boolean: external\r\n/*\r\n@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.\r\n@seealso: https://hl7.org/fhir/fhirpath.html#functions\r\n*/\r\ndefine function htmlChecks(element Element) returns Boolean: external\r\n\r\ndefine function ToString(value AccountStatus): value.value\r\ndefine function ToString(value ActionCardinalityBehavior): value.value\r\ndefine function ToString(value ActionConditionKind): value.value\r\ndefine function ToString(value ActionGroupingBehavior): value.value\r\ndefine function ToString(value ActionParticipantType): value.value\r\ndefine function ToString(value ActionPrecheckBehavior): value.value\r\ndefine function ToString(value ActionRelationshipType): value.value\r\ndefine function ToString(value ActionRequiredBehavior): value.value\r\ndefine function ToString(value ActionSelectionBehavior): value.value\r\ndefine function ToString(value ActivityDefinitionKind): value.value\r\ndefine function ToString(value ActivityParticipantType): value.value\r\ndefine function ToString(value AddressType): value.value\r\ndefine function ToString(value AddressUse): value.value\r\ndefine function ToString(value AdministrativeGender): value.value\r\ndefine function ToString(value AdverseEventActuality): value.value\r\ndefine function ToString(value AggregationMode): value.value\r\ndefine function ToString(value AllergyIntoleranceCategory): value.value\r\ndefine function ToString(value AllergyIntoleranceCriticality): value.value\r\ndefine function ToString(value AllergyIntoleranceSeverity): value.value\r\ndefine function ToString(value AllergyIntoleranceType): value.value\r\ndefine function ToString(value AppointmentStatus): value.value\r\ndefine function ToString(value AssertionDirectionType): value.value\r\ndefine function ToString(value AssertionOperatorType): value.value\r\ndefine function ToString(value AssertionResponseTypes): value.value\r\ndefine function ToString(value AuditEventAction): value.value\r\ndefine function ToString(value AuditEventAgentNetworkType): value.value\r\ndefine function ToString(value AuditEventOutcome): value.value\r\ndefine function ToString(value BindingStrength): value.value\r\ndefine function ToString(value BiologicallyDerivedProductCategory): value.value\r\ndefine function ToString(value BiologicallyDerivedProductStatus): value.value\r\ndefine function ToString(value BiologicallyDerivedProductStorageScale): value.value\r\ndefine function ToString(value BundleType): value.value\r\ndefine function ToString(value CapabilityStatementKind): value.value\r\ndefine function ToString(value CarePlanActivityKind): value.value\r\ndefine function ToString(value CarePlanActivityStatus): value.value\r\ndefine function ToString(value CarePlanIntent): value.value\r\ndefine function ToString(value CarePlanStatus): value.value\r\ndefine function ToString(value CareTeamStatus): value.value\r\ndefine function ToString(value CatalogEntryRelationType): value.value\r\ndefine function ToString(value ChargeItemDefinitionPriceComponentType): value.value\r\ndefine function ToString(value ChargeItemStatus): value.value\r\ndefine function ToString(value ClaimResponseStatus): value.value\r\ndefine function ToString(value ClaimStatus): value.value\r\ndefine function ToString(value ClinicalImpressionStatus): value.value\r\ndefine function ToString(value CodeSearchSupport): value.value\r\ndefine function ToString(value CodeSystemContentMode): value.value\r\ndefine function ToString(value CodeSystemHierarchyMeaning): value.value\r\ndefine function ToString(value CommunicationPriority): value.value\r\ndefine function ToString(value CommunicationRequestStatus): value.value\r\ndefine function ToString(value CommunicationStatus): value.value\r\ndefine function ToString(value CompartmentCode): value.value\r\ndefine function ToString(value CompartmentType): value.value\r\ndefine function ToString(value CompositionAttestationMode): value.value\r\ndefine function ToString(value CompositionStatus): value.value\r\ndefine function ToString(value ConceptMapEquivalence): value.value\r\ndefine function ToString(value ConceptMapGroupUnmappedMode): value.value\r\ndefine function ToString(value ConditionalDeleteStatus): value.value\r\ndefine function ToString(value ConditionalReadStatus): value.value\r\ndefine function ToString(value ConsentDataMeaning): value.value\r\ndefine function ToString(value ConsentProvisionType): value.value\r\ndefine function ToString(value ConsentState): value.value\r\ndefine function ToString(value ConstraintSeverity): value.value\r\ndefine function ToString(value ContactPointSystem): value.value\r\ndefine function ToString(value ContactPointUse): value.value\r\ndefine function ToString(value ContractPublicationStatus): value.value\r\ndefine function ToString(value ContractStatus): value.value\r\ndefine function ToString(value ContributorType): value.value\r\ndefine function ToString(value CoverageStatus): value.value\r\ndefine function ToString(value CurrencyCode): value.value\r\ndefine function ToString(value DayOfWeek): value.value\r\ndefine function ToString(value DaysOfWeek): value.value\r\ndefine function ToString(value DetectedIssueSeverity): value.value\r\ndefine function ToString(value DetectedIssueStatus): value.value\r\ndefine function ToString(value DeviceMetricCalibrationState): value.value\r\ndefine function ToString(value DeviceMetricCalibrationType): value.value\r\ndefine function ToString(value DeviceMetricCategory): value.value\r\ndefine function ToString(value DeviceMetricColor): value.value\r\ndefine function ToString(value DeviceMetricOperationalStatus): value.value\r\ndefine function ToString(value DeviceNameType): value.value\r\ndefine function ToString(value DeviceRequestStatus): value.value\r\ndefine function ToString(value DeviceUseStatementStatus): value.value\r\ndefine function ToString(value DiagnosticReportStatus): value.value\r\ndefine function ToString(value DiscriminatorType): value.value\r\ndefine function ToString(value DocumentConfidentiality): value.value\r\ndefine function ToString(value DocumentMode): value.value\r\ndefine function ToString(value DocumentReferenceStatus): value.value\r\ndefine function ToString(value DocumentRelationshipType): value.value\r\ndefine function ToString(value EligibilityRequestPurpose): value.value\r\ndefine function ToString(value EligibilityRequestStatus): value.value\r\ndefine function ToString(value EligibilityResponsePurpose): value.value\r\ndefine function ToString(value EligibilityResponseStatus): value.value\r\ndefine function ToString(value EnableWhenBehavior): value.value\r\ndefine function ToString(value EncounterLocationStatus): value.value\r\ndefine function ToString(value EncounterStatus): value.value\r\ndefine function ToString(value EndpointStatus): value.value\r\ndefine function ToString(value EnrollmentRequestStatus): value.value\r\ndefine function ToString(value EnrollmentResponseStatus): value.value\r\ndefine function ToString(value EpisodeOfCareStatus): value.value\r\ndefine function ToString(value EventCapabilityMode): value.value\r\ndefine function ToString(value EventTiming): value.value\r\ndefine function ToString(value EvidenceVariableType): value.value\r\ndefine function ToString(value ExampleScenarioActorType): value.value\r\ndefine function ToString(value ExplanationOfBenefitStatus): value.value\r\ndefine function ToString(value ExposureState): value.value\r\ndefine function ToString(value ExtensionContextType): value.value\r\ndefine function ToString(value FHIRAllTypes): value.value\r\ndefine function ToString(value FHIRDefinedType): value.value\r\ndefine function ToString(value FHIRDeviceStatus): value.value\r\ndefine function ToString(value FHIRResourceType): value.value\r\ndefine function ToString(value FHIRSubstanceStatus): value.value\r\ndefine function ToString(value FHIRVersion): value.value\r\ndefine function ToString(value FamilyHistoryStatus): value.value\r\ndefine function ToString(value FilterOperator): value.value\r\ndefine function ToString(value FlagStatus): value.value\r\ndefine function ToString(value GoalLifecycleStatus): value.value\r\ndefine function ToString(value GraphCompartmentRule): value.value\r\ndefine function ToString(value GraphCompartmentUse): value.value\r\ndefine function ToString(value GroupMeasure): value.value\r\ndefine function ToString(value GroupType): value.value\r\ndefine function ToString(value GuidanceResponseStatus): value.value\r\ndefine function ToString(value GuidePageGeneration): value.value\r\ndefine function ToString(value GuideParameterCode): value.value\r\ndefine function ToString(value HTTPVerb): value.value\r\ndefine function ToString(value IdentifierUse): value.value\r\ndefine function ToString(value IdentityAssuranceLevel): value.value\r\ndefine function ToString(value ImagingStudyStatus): value.value\r\ndefine function ToString(value ImmunizationEvaluationStatus): value.value\r\ndefine function ToString(value ImmunizationStatus): value.value\r\ndefine function ToString(value InvoicePriceComponentType): value.value\r\ndefine function ToString(value InvoiceStatus): value.value\r\ndefine function ToString(value IssueSeverity): value.value\r\ndefine function ToString(value IssueType): value.value\r\ndefine function ToString(value LinkType): value.value\r\ndefine function ToString(value LinkageType): value.value\r\ndefine function ToString(value ListMode): value.value\r\ndefine function ToString(value ListStatus): value.value\r\ndefine function ToString(value LocationMode): value.value\r\ndefine function ToString(value LocationStatus): value.value\r\ndefine function ToString(value MeasureReportStatus): value.value\r\ndefine function ToString(value MeasureReportType): value.value\r\ndefine function ToString(value MediaStatus): value.value\r\ndefine function ToString(value MedicationAdministrationStatus): value.value\r\ndefine function ToString(value MedicationDispenseStatus): value.value\r\ndefine function ToString(value MedicationKnowledgeStatus): value.value\r\ndefine function ToString(value MedicationRequestIntent): value.value\r\ndefine function ToString(value MedicationRequestPriority): value.value\r\ndefine function ToString(value MedicationRequestStatus): value.value\r\ndefine function ToString(value MedicationStatementStatus): value.value\r\ndefine function ToString(value MedicationStatus): value.value\r\ndefine function ToString(value MessageSignificanceCategory): value.value\r\ndefine function ToString(value Messageheader_Response_Request): value.value\r\ndefine function ToString(value MimeType): value.value\r\ndefine function ToString(value NameUse): value.value\r\ndefine function ToString(value NamingSystemIdentifierType): value.value\r\ndefine function ToString(value NamingSystemType): value.value\r\ndefine function ToString(value NarrativeStatus): value.value\r\ndefine function ToString(value NoteType): value.value\r\ndefine function ToString(value NutritiionOrderIntent): value.value\r\ndefine function ToString(value NutritionOrderStatus): value.value\r\ndefine function ToString(value ObservationDataType): value.value\r\ndefine function ToString(value ObservationRangeCategory): value.value\r\ndefine function ToString(value ObservationStatus): value.value\r\ndefine function ToString(value OperationKind): value.value\r\ndefine function ToString(value OperationParameterUse): value.value\r\ndefine function ToString(value OrientationType): value.value\r\ndefine function ToString(value ParameterUse): value.value\r\ndefine function ToString(value ParticipantRequired): value.value\r\ndefine function ToString(value ParticipantStatus): value.value\r\ndefine function ToString(value ParticipationStatus): value.value\r\ndefine function ToString(value PaymentNoticeStatus): value.value\r\ndefine function ToString(value PaymentReconciliationStatus): value.value\r\ndefine function ToString(value ProcedureStatus): value.value\r\ndefine function ToString(value PropertyRepresentation): value.value\r\ndefine function ToString(value PropertyType): value.value\r\ndefine function ToString(value ProvenanceEntityRole): value.value\r\ndefine function ToString(value PublicationStatus): value.value\r\ndefine function ToString(value QualityType): value.value\r\ndefine function ToString(value QuantityComparator): value.value\r\ndefine function ToString(value QuestionnaireItemOperator): value.value\r\ndefine function ToString(value QuestionnaireItemType): value.value\r\ndefine function ToString(value QuestionnaireResponseStatus): value.value\r\ndefine function ToString(value ReferenceHandlingPolicy): value.value\r\ndefine function ToString(value ReferenceVersionRules): value.value\r\ndefine function ToString(value ReferredDocumentStatus): value.value\r\ndefine function ToString(value RelatedArtifactType): value.value\r\ndefine function ToString(value RemittanceOutcome): value.value\r\ndefine function ToString(value RepositoryType): value.value\r\ndefine function ToString(value RequestIntent): value.value\r\ndefine function ToString(value RequestPriority): value.value\r\ndefine function ToString(value RequestStatus): value.value\r\ndefine function ToString(value ResearchElementType): value.value\r\ndefine function ToString(value ResearchStudyStatus): value.value\r\ndefine function ToString(value ResearchSubjectStatus): value.value\r\ndefine function ToString(value ResourceType): value.value\r\ndefine function ToString(value ResourceVersionPolicy): value.value\r\ndefine function ToString(value ResponseType): value.value\r\ndefine function ToString(value RestfulCapabilityMode): value.value\r\ndefine function ToString(value RiskAssessmentStatus): value.value\r\ndefine function ToString(value SPDXLicense): value.value\r\ndefine function ToString(value SearchComparator): value.value\r\ndefine function ToString(value SearchEntryMode): value.value\r\ndefine function ToString(value SearchModifierCode): value.value\r\ndefine function ToString(value SearchParamType): value.value\r\ndefine function ToString(value SectionMode): value.value\r\ndefine function ToString(value SequenceType): value.value\r\ndefine function ToString(value ServiceRequestIntent): value.value\r\ndefine function ToString(value ServiceRequestPriority): value.value\r\ndefine function ToString(value ServiceRequestStatus): value.value\r\ndefine function ToString(value SlicingRules): value.value\r\ndefine function ToString(value SlotStatus): value.value\r\ndefine function ToString(value SortDirection): value.value\r\ndefine function ToString(value SpecimenContainedPreference): value.value\r\ndefine function ToString(value SpecimenStatus): value.value\r\ndefine function ToString(value Status): value.value\r\ndefine function ToString(value StrandType): value.value\r\ndefine function ToString(value StructureDefinitionKind): value.value\r\ndefine function ToString(value StructureMapContextType): value.value\r\ndefine function ToString(value StructureMapGroupTypeMode): value.value\r\ndefine function ToString(value StructureMapInputMode): value.value\r\ndefine function ToString(value StructureMapModelMode): value.value\r\ndefine function ToString(value StructureMapSourceListMode): value.value\r\ndefine function ToString(value StructureMapTargetListMode): value.value\r\ndefine function ToString(value StructureMapTransform): value.value\r\ndefine function ToString(value SubscriptionChannelType): value.value\r\ndefine function ToString(value SubscriptionStatus): value.value\r\ndefine function ToString(value SupplyDeliveryStatus): value.value\r\ndefine function ToString(value SupplyRequestStatus): value.value\r\ndefine function ToString(value SystemRestfulInteraction): value.value\r\ndefine function ToString(value TaskIntent): value.value\r\ndefine function ToString(value TaskPriority): value.value\r\ndefine function ToString(value TaskStatus): value.value\r\ndefine function ToString(value TestReportActionResult): value.value\r\ndefine function ToString(value TestReportParticipantType): value.value\r\ndefine function ToString(value TestReportResult): value.value\r\ndefine function ToString(value TestReportStatus): value.value\r\ndefine function ToString(value TestScriptRequestMethodCode): value.value\r\ndefine function ToString(value TriggerType): value.value\r\ndefine function ToString(value TypeDerivationRule): value.value\r\ndefine function ToString(value TypeRestfulInteraction): value.value\r\ndefine function ToString(value UDIEntryType): value.value\r\ndefine function ToString(value UnitsOfTime): value.value\r\ndefine function ToString(value Use): value.value\r\ndefine function ToString(value VariableType): value.value\r\ndefine function ToString(value VisionBase): value.value\r\ndefine function ToString(value VisionEyes): value.value\r\ndefine function ToString(value VisionStatus): value.value\r\ndefine function ToString(value XPathUsageType): value.value\r\ndefine function ToString(value base64Binary): value.value\r\ndefine function ToBoolean(value boolean): value.value\r\ndefine function ToDate(value date): value.value\r\ndefine function ToDateTime(value dateTime): value.value\r\ndefine function ToDecimal(value decimal): value.value\r\ndefine function ToDateTime(value instant): value.value\r\ndefine function ToInteger(value integer): value.value\r\ndefine function ToString(value string): value.value\r\ndefine function ToTime(value time): value.value\r\ndefine function ToString(value uri): value.value\r\ndefine function ToString(value xhtml): value.value</code></pre>\n      </td>\n    </tr>\n    \n    \n    \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.8 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
      },
      "url": "https://madie.cms.gov/Library/FHIRHelpers",
      "identifier": [ {
        "use": "official",
        "system": "https://madie.cms.gov/login",
        "value": "660d90bc01598d085de46056"
      } ],
      "version": "4.4.000",
      "name": "FHIRHelpers",
      "title": "FHIRHelpers",
      "status": "active",
      "experimental": false,
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/library-type",
          "code": "logic-library"
        } ]
      },
      "date": "2025-07-23T17:47:01+00:00",
      "publisher": "ICF",
      "description": "This library defines functions to convert between FHIR\n data types and CQL system-defined types, as well as functions to support\n FHIRPath implementation. For more information, the FHIRHelpers wiki page:\n https://github.com/cqframework/clinical_quality_language/wiki/FHIRHelpers",
      "relatedArtifact": [ {
        "type": "depends-on",
        "display": "FHIR model information",
        "resource": "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
      } ],
      "content": [ {
        "contentType": "text/cql",
        "data": "[encoded data, 52440 characters]"
      }, {
        "contentType": "application/elm+xml",
        "data": "[encoded data, 1342916 characters]"
      }, {
        "contentType": "application/elm+json",
        "data": "[encoded data, 2177516 characters]"
      } ]
    },
    "request": {
      "method": "POST",
      "url": "Library/FHIRHelpers"
    }
  } ]
}