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{
 "resourceType": "Library",
 "id": "risk-adjustment-FHIR2",
 "text": {
 "status": "generated",
 "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n <table class=\"grid dict\">\r\n <tr>\r\n <th scope=\"row\">Id: </th>\r\n <td style=\"padding-left: 25px; padding-right: 25px;\">riskadjustment-fhir2</td>\r\n </tr>\r\n <tr>\r\n <th scope=\"row\">Type: </th>\r\n <td style=\"padding-right: 25px;\"> system: http://terminology.hl7.org/CodeSystem/library-type code: logic-library</td>\r\n </tr>\r\n <tr>\r\n <th scope=\"row\">Version: </th>\r\n <td style=\"padding-left: 25px; padding-right: 25px;\">0.0.001</td>\r\n </tr>\r\n <tr>\r\n <th scope=\"row\">Status: </th>\r\n <td style=\"padding-left: 25px; padding-right: 25px;\">active</td>\r\n </tr>\r\n <tr style=\"vertical-align: top;\">\r\n <th scope=\"row\"><a id=\"cql-content\">Content: </a></th>\r\n <td style=\"padding-left: 25px; padding-right: 25px;\">type: text/cql</td>\r\n </tr>\r\n <tr>\r\n <td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\">\r\n <pre><code class=\"language-cql\">library RiskAdjustment_FHIR2 version '0.0.001'\r\n\r\nusing FHIR version '1.0.2'\r\n\r\ninclude FHIRHelpers version '1.0.2' called FHIRHelpers\r\ninclude SupplementalDataElements_FHIR2 version '1.0.0' called SDE\r\n\r\nvalueset &quot;Serum Albumin&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.60'\r\nvalueset &quot;Cirrhosis or other liver disease&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.63'\r\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\r\nvalueset &quot;CABG_Open and Endoscopic&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.39'\r\nvalueset &quot;Bilirubin&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.2400'\r\n\r\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\r\n\r\ncontext Patient\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;\r\n\r\ndefine &quot;Encounter Inpatient 365&quot;: [&quot;Encounter&quot;: &quot;Encounter Inpatient&quot;] E\r\n where FHIRHelpers.ToQuantity(E.length) &lt;= 365 days // Shouldn't need the ToQuantity, need a FHIR.Duration conversion\r\n and E.period ends during &quot;Measurement Period&quot;\r\n\tand E.status.value in {'finished'}\r\n\r\ndefine &quot;CABG_Open and Endoscopic During Encounter&quot;: [&quot;Procedure&quot;: &quot;CABG_Open and Endoscopic&quot;] P\r\n with &quot;Encounter Inpatient 365&quot; E\r\n such that P.performedPeriod starts during E.period\r\n\tand P.status.value in {'completed'}\r\n\r\ndefine &quot;Hepatic Failure&quot;:\r\n exists (&quot;Cirrhosis Dx&quot;)\r\n and exists (&quot;Bilirubin Test&quot;)\r\n and exists (&quot;Serum Albumin Test&quot;)\r\n\r\ndefine &quot;Cirrhosis Dx&quot;: [&quot;Condition&quot;: &quot;Cirrhosis or other liver disease&quot;] D\r\n with &quot;CABG_Open and Endoscopic During Encounter&quot; C\r\n\tsuch that D.onsetDateTime.value before start of C.performedPeriod\r\n\tsuch that Coalesce (D.onsetDateTime.value, start of ToInterval(D.onsetPeriod)) before start of ToInterval(C.performedPeriod)\r\n\r\ndefine &quot;Bilirubin Test&quot;:\r\n[&quot;Observation&quot;: &quot;Bilirubin&quot;] L\r\n with &quot;CABG_Open and Endoscopic During Encounter&quot; C\r\n such that L.effectiveDateTime.value before start of C.performedPeriod\r\nsuch that Coalesce (L.effectiveDateTime.value, start of ToInterval(L.effectivePeriod)) starts before start of ToInterval(C.performedPeriod)\r\n with &quot;Encounter Inpatient 365&quot; E\r\n such that L.effectiveDateTime.value during E.period\r\n where L.valueQuantity &gt; 2 'mg/dL'\r\n and L.status.value in {'final', 'amended', 'corrected', 'appended'}\r\n\r\ndefine &quot;Serum Albumin Test&quot;:\r\n[&quot;Observation&quot;: &quot;Serum Albumin&quot;] L\r\n with &quot;CABG_Open and Endoscopic During Encounter&quot; C\r\n such that L.effectiveDateTime.value before start of C.performedPeriod\r\n with &quot;Encounter Inpatient 365&quot; E\r\n such that L.effectiveDateTime.value during E.period\r\n where L.valueQuantity &lt; 3.5 'g/dL'\r\n and L.status.value in {'final', 'amended', 'corrected', 'appended'}\r\n\r\ndefine &quot;Initial Population&quot;: &quot;Encounter Inpatient 365&quot;\r\n\r\ndefine &quot;Denominator&quot;: &quot;Initial Population&quot;\r\n\r\ndefine &quot;Numerator&quot;: &quot;CABG_Open and Endoscopic During Encounter&quot;\r\n</code></pre>\r\n </td>\r\n </tr>\r\n </table>\r\n</div>"
 },
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
 "valueCode": "cqi"
 }
 ],
 "url": "http://hl7.org/fhir/us/cqfmeasures/Library/risk-adjustment-FHIR2",
 "version": "0.0.001",
 "name": "RiskAdjustment_FHIR2",
 "title": "RiskAdjustment_FHIR2",
 "status": "active",
 "experimental": true,
 "type": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/library-type",
 "code": "logic-library"
 }
 ]
 },
 "date": "2024-11-04T20:33:12+00:00",
 "publisher": "HL7 International / Clinical Quality Information",
 "contact": [
 {
 "telecom": [
 {
 "system": "url",
 "value": "http://www.hl7.org/Special/committees/cqi"
 }
 ]
 }
 ],
 "description": "Example library illustrating risk adjustment with FHIR DSTU2",
 "jurisdiction": [
 {
 "coding": [
 {
 "system": "urn:iso:std:iso:3166",
 "code": "US"
 }
 ]
 }
 ],
 "content": [
 {
 "contentType": "application/elm+xml",
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 {
 "contentType": "text/cql",
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 }
 ]
}

name : RiskAdjustment_FHIR2

{

}