Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Active as of 2020-07-21 |
{
"resourceType" : "Library",
"id" : "library-exm124-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Data Requirements</h2><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a>)</td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>type</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.108.12.1017/expansion\">Pap Test</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1059/expansion\">HPV Test</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>In ValueSet <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.198.12.1014/expansion\">Hysterectomy with No Residual Cervix</a></td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></td></tr><tr style=\"background-color: #efefef\"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: </td></tr></table><h2>Contents</h2><p><code>application/elm+xml</code></p><pre><code><?xml version="1.0" encoding="UTF-8"?>\r\n<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">\r\n <annotation startLine="91" startChar="2" endLine="91" endChar="56" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\r\n <identifier id="EXM124_FHIR4" version="8.2.000"/>\r\n <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>\r\n <usings>\r\n <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>\r\n <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.0"/>\r\n </usings>\r\n <includes>\r\n <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="4.0.0"/>\r\n <def localIdentifier="Hospice" path="Hospice_FHIR4" version="1.0.000"/>\r\n <def localIdentifier="AdultOutpatientEncounters" path="AdultOutpatientEncounters_FHIR4" version="1.1.000"/>\r\n <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR4" version="4.0.000"/>\r\n <def localIdentifier="SDE" path="SupplementalDataElements_FHIR4" version="1.0.0"/>\r\n </includes>\r\n <parameters>\r\n <def name="Measurement Period" accessLevel="Public">\r\n <default lowClosed="true" highClosed="false" xsi:type="Interval">\r\n <low xsi:type="DateTime">\r\n <year valueType="t:Integer" value="2019" xsi:type="Literal"/>\r\n <month valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <day valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <hour valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <minute valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <second valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n </low>\r\n <high xsi:type="DateTime">\r\n <year valueType="t:Integer" value="2020" xsi:type="Literal"/>\r\n <month valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <day valueType="t:Integer" value="1" xsi:type="Literal"/>\r\n <hour valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <minute valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <second valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>\r\n </high>\r\n </default>\r\n <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">\r\n <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>\r\n </parameterTypeSpecifier>\r\n </def>\r\n </parameters>\r\n <codeSystems>\r\n <def name="SNOMEDCT:2017-09" id="http://snomed.info/sct/731000124108" version="http://snomed.info/sct/731000124108/version/201709" accessLevel="Public"/>\r\n </codeSystems>\r\n <valueSets>\r\n <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>\r\n <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>\r\n <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>\r\n <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>\r\n <def name="Female" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.2" accessLevel="Public"/>\r\n <def name="Home Healthcare Services" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" accessLevel="Public"/>\r\n <def name="Hysterectomy with No Residual Cervix" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014" accessLevel="Public"/>\r\n <def name="Office Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" accessLevel="Public"/>\r\n <def name="Pap Test" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017" accessLevel="Public"/>\r\n <def name="Preventive Care Services - Established Office Visit, 18 and Up" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" accessLevel="Public"/>\r\n <def name="Preventive Care Services-Initial Office Visit, 18 and Up" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" accessLevel="Public"/>\r\n <def name="HPV Test" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059" accessLevel="Public"/>\r\n </valueSets>\r\n <codes>\r\n <def name="Congenital absence of cervix (disorder)" id="37687000" display="Congenital absence of cervix (disorder)" accessLevel="Public">\r\n <codeSystem name="SNOMEDCT:2017-09"/>\r\n </def>\r\n </codes>\r\n <statements>\r\n <def name="Patient" context="Patient">\r\n <expression xsi:type="SingletonFrom">\r\n <operand dataType="fhir:Patient" xsi:type="Retrieve"/>\r\n </expression>\r\n </def>\r\n <def name="SDE Ethnicity" context="Patient" accessLevel="Public">\r\n <expression name="SDE Ethnicity" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="SDE Payer" context="Patient" accessLevel="Public">\r\n <expression name="SDE Payer" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="SDE Race" context="Patient" accessLevel="Public">\r\n <expression name="SDE Race" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="SDE Sex" context="Patient" accessLevel="Public">\r\n <expression name="SDE Sex" libraryName="SDE" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="Pap Test with Results" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="PapTest">\r\n <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Pap Test" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Not">\r\n <operand xsi:type="IsNull">\r\n <operand path="value" scope="PapTest" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="PapTest" xsi:type="Property"/>\r\n </operand>\r\n <operand xsi:type="List">\r\n <element valueType="t:String" value="final" xsi:type="Literal"/>\r\n <element valueType="t:String" value="amended" xsi:type="Literal"/>\r\n <element valueType="t:String" value="corrected" xsi:type="Literal"/>\r\n <element valueType="t:String" value="preliminary" xsi:type="Literal"/>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Pap Test Within 3 Years" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="PapTest">\r\n <expression name="Pap Test with Results" xsi:type="ExpressionRef"/>\r\n </source>\r\n <where xsi:type="In">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="PapTest" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="false" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand value="3" unit="years" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </high>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="PapTest Within 5 Years" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="PapTestOver30YearsOld">\r\n <expression name="Pap Test with Results" xsi:type="ExpressionRef"/>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="GreaterOrEqual">\r\n <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">\r\n <operand xsi:type="ToDateTime">\r\n <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="birthDate" xsi:type="Property">\r\n <source name="Patient" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand valueType="t:Integer" value="30" xsi:type="Literal"/>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="false" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand value="5" unit="years" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </high>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Pap Test With HPV Within 5 Years" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="PapTestOver30YearsOld">\r\n <expression name="PapTest Within 5 Years" xsi:type="ExpressionRef"/>\r\n </source>\r\n <relationship alias="HPVTest" xsi:type="With">\r\n <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="HPV Test" xsi:type="ValueSetRef"/>\r\n </expression>\r\n <suchThat xsi:type="And">\r\n <operand xsi:type="And">\r\n <operand xsi:type="Not">\r\n <operand xsi:type="IsNull">\r\n <operand path="value" scope="HPVTest" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="HPVTest" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low xsi:type="Subtract">\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand value="1" unit="day" xsi:type="Quantity"/>\r\n </low>\r\n <high xsi:type="Add">\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand value="1" unit="day" xsi:type="Quantity"/>\r\n </high>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="HPVTest" xsi:type="Property"/>\r\n </operand>\r\n <operand xsi:type="List">\r\n <element valueType="t:String" value="final" xsi:type="Literal"/>\r\n <element valueType="t:String" value="amended" xsi:type="Literal"/>\r\n <element valueType="t:String" value="corrected" xsi:type="Literal"/>\r\n <element valueType="t:String" value="preliminary" xsi:type="Literal"/>\r\n </operand>\r\n </operand>\r\n </suchThat>\r\n </relationship>\r\n </expression>\r\n </def>\r\n <def name="Numerator" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Or">\r\n <operand xsi:type="Exists">\r\n <operand name="Pap Test Within 3 Years" xsi:type="ExpressionRef"/>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Pap Test With HPV Within 5 Years" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </expression>\r\n </def>\r\n <def name="Initial Population" context="Patient" accessLevel="Public">\r\n <expression xsi:type="And">\r\n <operand xsi:type="And">\r\n <operand xsi:type="Equal">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="gender" xsi:type="Property">\r\n <source name="Patient" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n <operand valueType="t:String" value="female" xsi:type="Literal"/>\r\n </operand>\r\n <operand xsi:type="In">\r\n <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">\r\n <operand xsi:type="ToDateTime">\r\n <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="birthDate" xsi:type="Property">\r\n <source name="Patient" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Start">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n <operand lowClosed="true" highClosed="true" xsi:type="Interval">\r\n <low valueType="t:Integer" value="23" xsi:type="Literal"/>\r\n <high valueType="t:Integer" value="64" xsi:type="Literal"/>\r\n </operand>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Qualifying Encounters" libraryName="AdultOutpatientEncounters" xsi:type="FunctionRef">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n </expression>\r\n </def>\r\n <def name="Denominator" context="Patient" accessLevel="Public">\r\n <expression name="Initial Population" xsi:type="ExpressionRef"/>\r\n </def>\r\n <def name="Surgical Absence of Cervix" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="NoCervixHysterectomy">\r\n <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">\r\n <codes name="Hysterectomy with No Residual Cervix" xsi:type="ValueSetRef"/>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Before">\r\n <operand xsi:type="End">\r\n <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="performed" scope="NoCervixHysterectomy" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Equal">\r\n <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="status" scope="NoCervixHysterectomy" xsi:type="Property"/>\r\n </operand>\r\n <operand valueType="t:String" value="completed" xsi:type="Literal"/>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Absence of Cervix" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Query">\r\n <source alias="NoCervixBirth">\r\n <expression dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">\r\n <codes xsi:type="ToList">\r\n <operand name="Congenital absence of cervix (disorder)" xsi:type="CodeRef"/>\r\n </codes>\r\n </expression>\r\n </source>\r\n <where xsi:type="And">\r\n <operand xsi:type="Before">\r\n <operand xsi:type="Start">\r\n <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">\r\n <operand path="onset" scope="NoCervixBirth" xsi:type="Property"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="End">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Equivalent">\r\n <operand name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">\r\n <operand path="clinicalStatus" scope="NoCervixBirth" xsi:type="Property"/>\r\n </operand>\r\n <operand xsi:type="ToConcept">\r\n <operand name="active" libraryName="Global" xsi:type="CodeRef"/>\r\n </operand>\r\n </operand>\r\n </where>\r\n </expression>\r\n </def>\r\n <def name="Denominator Exclusion" context="Patient" accessLevel="Public">\r\n <expression xsi:type="Or">\r\n <operand xsi:type="Or">\r\n <operand name="Has Hospice" libraryName="Hospice" xsi:type="FunctionRef">\r\n <operand name="Measurement Period" xsi:type="ParameterRef"/>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Surgical Absence of Cervix" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </operand>\r\n <operand xsi:type="Exists">\r\n <operand name="Absence of Cervix" xsi:type="ExpressionRef"/>\r\n </operand>\r\n </expression>\r\n </def>\r\n </statements>\r\n</library>\r\n</code></pre><p><code>text/cql</code></p><pre><code class=\"language-sql\">library EXM124_FHIR4 version '8.2.000'\n\n/*\nBased on CMS124v7 - Cervical Cancer Screening\n*/\n\n/*\nThis example is a work in progress and should not be considered a final specification\nor recommendation for guidance. This example will help guide and direct the process\nof finding conventions and usage patterns that meet the needs of the various stakeholders\nin the measure development community.\n*/\n\nusing FHIR version '4.0.0'\n\ninclude FHIRHelpers version '4.0.0' called FHIRHelpers\ninclude Hospice_FHIR4 version '1.0.000' called Hospice\ninclude AdultOutpatientEncounters_FHIR4 version '1.1.000' called AdultOutpatientEncounters\ninclude MATGlobalCommonFunctions_FHIR4 version '4.0.000' called Global\ninclude SupplementalDataElements_FHIR4 version '1.0.0' called SDE\n\ncodesystem "SNOMEDCT:2017-09": 'http://snomed.info/sct/731000124108' version 'http://snomed.info/sct/731000124108/version/201709'\n\nvalueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'\nvalueset "Race": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\nvalueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\nvalueset "Payer": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\nvalueset "Female": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.2'\nvalueset "Home Healthcare Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\nvalueset "Hysterectomy with No Residual Cervix": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014'\nvalueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\nvalueset "Pap Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017'\nvalueset "Preventive Care Services - Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'\nvalueset "Preventive Care Services-Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\nvalueset "HPV Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059'\n\ncode "Congenital absence of cervix (disorder)": '37687000' from "SNOMEDCT:2017-09" display 'Congenital absence of cervix (disorder)'\n\nparameter "Measurement Period" Interval<DateTime>\n default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)\n\ncontext Patient\n\ndefine "SDE Ethnicity":\n SDE."SDE Ethnicity"\n\ndefine "SDE Payer":\n SDE."SDE Payer"\n\ndefine "SDE Race":\n SDE."SDE Race"\n\ndefine "SDE Sex":\n SDE."SDE Sex"\n\ndefine "Numerator":\n\texists "Pap Test Within 3 Years"\n\t\tor exists "Pap Test With HPV Within 5 Years"\n\ndefine "Denominator":\n\t"Initial Population"\n\ndefine "Pap Test with Results":\n\t[Observation: "Pap Test"] PapTest\n\t\twhere PapTest.value is not null\n\t\t\tand PapTest.status in { 'final', 'amended', 'corrected', 'preliminary' }\n\ndefine "Pap Test Within 3 Years":\n\t"Pap Test with Results" PapTest\n\t\twhere Global."Normalize Interval"(PapTest.effective) ends 3 years or less before end of "Measurement Period"\n\ndefine "PapTest Within 5 Years":\n\t( "Pap Test with Results" PapTestOver30YearsOld\n\t\t\twhere Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of Global."Normalize Interval"(PapTestOver30YearsOld.effective))>= 30\n\t\t\t\tand Global."Normalize Interval"(PapTestOver30YearsOld.effective) ends 5 years or less before end of "Measurement Period"\n\t)\n\ndefine "Pap Test With HPV Within 5 Years":\n\t"PapTest Within 5 Years" PapTestOver30YearsOld\n\t\twith [Observation: "HPV Test"] HPVTest\n\t\t\tsuch that HPVTest.value is not null\n and Global."Normalize Interval"(HPVTest.effective) starts within 1 day of start of Global."Normalize Interval"(PapTestOver30YearsOld.effective)\n\t\t\t\tand HPVTest.status in { 'final', 'amended', 'corrected', 'preliminary' }\n\ndefine "Denominator Exclusion":\n\tHospice."Has Hospice"("Measurement Period")\n\t\tor exists "Surgical Absence of Cervix"\n\t\tor exists "Absence of Cervix"\n\ndefine "Absence of Cervix":\n\t[Condition : "Congenital absence of cervix (disorder)"] NoCervixBirth\n\t\twhere Global."Normalize Onset"(NoCervixBirth.onset) starts before end of "Measurement Period"\n and NoCervixBirth.clinicalStatus ~ ToConcept(Global."active")\n\ndefine "Surgical Absence of Cervix":\n\t[Procedure: "Hysterectomy with No Residual Cervix"] NoCervixHysterectomy\n\t\twhere Global."Normalize Interval"(NoCervixHysterectomy.performed) ends before end of "Measurement Period"\n\t\t\tand NoCervixHysterectomy.status = 'completed'\n\ndefine "Initial Population":\n\tPatient.gender = 'female'\n\t\tand Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[23, 64]\n\t\tand exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")\n</code></pre></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cqi"
}
],
"url" : "http://hl7.org/fhir/us/davinci-deqm/Library/library-exm124-example",
"version" : "4.0.0",
"name" : "DEQMLibraryEXM124Example",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"date" : "2020-07-21T14:14:47-06:00",
"publisher" : "HL7 International / Clinical Quality Information",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"dataRequirement" : [
{
"type" : "Coverage",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Coverage"
],
"mustSupport" : [
"type",
"period"
],
"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
}
]
},
{
"type" : "Observation",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017"
}
]
},
{
"type" : "Observation",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059"
}
]
},
{
"type" : "Procedure",
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014"
}
]
},
{
"type" : "Condition",
"codeFilter" : [
{
"path" : "code"
}
]
}
],
"content" : [
{
"contentType" : "application/elm+xml",
"data" : "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <annotation startLine="91" startChar="2" endLine="91" endChar="56" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <identifier id="EXM124_FHIR4" version="8.2.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="4.0.0"/>
      <def localIdentifier="Hospice" path="Hospice_FHIR4" version="1.0.000"/>
      <def localIdentifier="AdultOutpatientEncounters" path="AdultOutpatientEncounters_FHIR4" version="1.1.000"/>
      <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR4" version="4.0.000"/>
      <def localIdentifier="SDE" path="SupplementalDataElements_FHIR4" version="1.0.0"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <default lowClosed="true" highClosed="false" xsi:type="Interval">
            <low xsi:type="DateTime">
               <year valueType="t:Integer" value="2019" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </low>
            <high xsi:type="DateTime">
               <year valueType="t:Integer" value="2020" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </high>
         </default>
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <codeSystems>
      <def name="SNOMEDCT:2017-09" id="http://snomed.info/sct/731000124108" version="http://snomed.info/sct/731000124108/version/201709" accessLevel="Public"/>
   </codeSystems>
   <valueSets>
      <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>
      <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>
      <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>
      <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>
      <def name="Female" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.560.100.2" accessLevel="Public"/>
      <def name="Home Healthcare Services" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" accessLevel="Public"/>
      <def name="Hysterectomy with No Residual Cervix" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1014" accessLevel="Public"/>
      <def name="Office Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" accessLevel="Public"/>
      <def name="Pap Test" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1017" accessLevel="Public"/>
      <def name="Preventive Care Services - Established Office Visit, 18 and Up" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" accessLevel="Public"/>
      <def name="Preventive Care Services-Initial Office Visit, 18 and Up" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" accessLevel="Public"/>
      <def name="HPV Test" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1059" accessLevel="Public"/>
   </valueSets>
   <codes>
      <def name="Congenital absence of cervix (disorder)" id="37687000" display="Congenital absence of cervix (disorder)" accessLevel="Public">
         <codeSystem name="SNOMEDCT:2017-09"/>
      </def>
   </codes>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="SDE Ethnicity" context="Patient" accessLevel="Public">
         <expression name="SDE Ethnicity" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Payer" context="Patient" accessLevel="Public">
         <expression name="SDE Payer" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Race" context="Patient" accessLevel="Public">
         <expression name="SDE Race" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Sex" context="Patient" accessLevel="Public">
         <expression name="SDE Sex" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="Pap Test with Results" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="PapTest">
               <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Pap Test" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Not">
                  <operand xsi:type="IsNull">
                     <operand path="value" scope="PapTest" xsi:type="Property"/>
                  </operand>
               </operand>
               <operand xsi:type="In">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="PapTest" xsi:type="Property"/>
                  </operand>
                  <operand xsi:type="List">
                     <element valueType="t:String" value="final" xsi:type="Literal"/>
                     <element valueType="t:String" value="amended" xsi:type="Literal"/>
                     <element valueType="t:String" value="corrected" xsi:type="Literal"/>
                     <element valueType="t:String" value="preliminary" xsi:type="Literal"/>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Pap Test Within 3 Years" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="PapTest">
               <expression name="Pap Test with Results" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="In">
               <operand xsi:type="End">
                  <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                     <operand path="effective" scope="PapTest" xsi:type="Property"/>
                  </operand>
               </operand>
               <operand lowClosed="true" highClosed="false" xsi:type="Interval">
                  <low xsi:type="Subtract">
                     <operand xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </operand>
                     <operand value="3" unit="years" xsi:type="Quantity"/>
                  </low>
                  <high xsi:type="End">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </high>
               </operand>
            </where>
         </expression>
      </def>
      <def name="PapTest Within 5 Years" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="PapTestOver30YearsOld">
               <expression name="Pap Test with Results" xsi:type="ExpressionRef"/>
            </source>
            <where xsi:type="And">
               <operand xsi:type="GreaterOrEqual">
                  <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">
                     <operand xsi:type="ToDateTime">
                        <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="birthDate" xsi:type="Property">
                              <source name="Patient" xsi:type="ExpressionRef"/>
                           </operand>
                        </operand>
                     </operand>
                     <operand xsi:type="Start">
                        <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                           <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand valueType="t:Integer" value="30" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="false" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="5" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Pap Test With HPV Within 5 Years" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="PapTestOver30YearsOld">
               <expression name="PapTest Within 5 Years" xsi:type="ExpressionRef"/>
            </source>
            <relationship alias="HPVTest" xsi:type="With">
               <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">
                  <codes name="HPV Test" xsi:type="ValueSetRef"/>
               </expression>
               <suchThat xsi:type="And">
                  <operand xsi:type="And">
                     <operand xsi:type="Not">
                        <operand xsi:type="IsNull">
                           <operand path="value" scope="HPVTest" xsi:type="Property"/>
                        </operand>
                     </operand>
                     <operand xsi:type="In">
                        <operand xsi:type="Start">
                           <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                              <operand path="effective" scope="HPVTest" xsi:type="Property"/>
                           </operand>
                        </operand>
                        <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                           <low xsi:type="Subtract">
                              <operand xsi:type="Start">
                                 <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                                    <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>
                                 </operand>
                              </operand>
                              <operand value="1" unit="day" xsi:type="Quantity"/>
                           </low>
                           <high xsi:type="Add">
                              <operand xsi:type="Start">
                                 <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                                    <operand path="effective" scope="PapTestOver30YearsOld" xsi:type="Property"/>
                                 </operand>
                              </operand>
                              <operand value="1" unit="day" xsi:type="Quantity"/>
                           </high>
                        </operand>
                     </operand>
                  </operand>
                  <operand xsi:type="In">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="HPVTest" xsi:type="Property"/>
                     </operand>
                     <operand xsi:type="List">
                        <element valueType="t:String" value="final" xsi:type="Literal"/>
                        <element valueType="t:String" value="amended" xsi:type="Literal"/>
                        <element valueType="t:String" value="corrected" xsi:type="Literal"/>
                        <element valueType="t:String" value="preliminary" xsi:type="Literal"/>
                     </operand>
                  </operand>
               </suchThat>
            </relationship>
         </expression>
      </def>
      <def name="Numerator" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand xsi:type="Exists">
               <operand name="Pap Test Within 3 Years" xsi:type="ExpressionRef"/>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Pap Test With HPV Within 5 Years" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Initial Population" context="Patient" accessLevel="Public">
         <expression xsi:type="And">
            <operand xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="gender" xsi:type="Property">
                        <source name="Patient" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand valueType="t:String" value="female" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">
                     <operand xsi:type="ToDateTime">
                        <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                           <operand path="birthDate" xsi:type="Property">
                              <source name="Patient" xsi:type="ExpressionRef"/>
                           </operand>
                        </operand>
                     </operand>
                     <operand xsi:type="Start">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low valueType="t:Integer" value="23" xsi:type="Literal"/>
                     <high valueType="t:Integer" value="64" xsi:type="Literal"/>
                  </operand>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Qualifying Encounters" libraryName="AdultOutpatientEncounters" xsi:type="FunctionRef">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </operand>
         </expression>
      </def>
      <def name="Denominator" context="Patient" accessLevel="Public">
         <expression name="Initial Population" xsi:type="ExpressionRef"/>
      </def>
      <def name="Surgical Absence of Cervix" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NoCervixHysterectomy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Hysterectomy with No Residual Cervix" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Before">
                  <operand xsi:type="End">
                     <operand name="Normalize Interval" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="performed" scope="NoCervixHysterectomy" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand xsi:type="End">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </operand>
               </operand>
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="NoCervixHysterectomy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Absence of Cervix" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="NoCervixBirth">
               <expression dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">
                  <codes xsi:type="ToList">
                     <operand name="Congenital absence of cervix (disorder)" xsi:type="CodeRef"/>
                  </codes>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Before">
                  <operand xsi:type="Start">
                     <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="onset" scope="NoCervixBirth" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand xsi:type="End">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </operand>
               </operand>
               <operand xsi:type="Equivalent">
                  <operand name="ToConcept" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="clinicalStatus" scope="NoCervixBirth" xsi:type="Property"/>
                  </operand>
                  <operand xsi:type="ToConcept">
                     <operand name="active" libraryName="Global" xsi:type="CodeRef"/>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Denominator Exclusion" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand xsi:type="Or">
               <operand name="Has Hospice" libraryName="Hospice" xsi:type="FunctionRef">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
               <operand xsi:type="Exists">
                  <operand name="Surgical Absence of Cervix" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Absence of Cervix" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
   </statements>
</library>
"
},
{
"contentType" : "text/cql",
"data" : 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"
}
]
}
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#4.0.0 based on FHIR 4.0.1. Generated 2023-10-03
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