National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide
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This page is part of the National Healthcare Safety Network (NHSN) Digital Quality Measure (dQM) Reporting Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: Acute Care Hospital Initial Population Measure - JSON Representation

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{
  "resourceType" : "Measure",
  "id" : "NHSNdQMAcuteCareHospitalInitialPopulation",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cohort-measure-cqfm"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Measure NHSNdQMAcuteCareHospitalInitialPopulation</b></p><a name=\"NHSNdQMAcuteCareHospitalInitialPopulation\"> </a><a name=\"hcNHSNdQMAcuteCareHospitalInitialPopulation\"> </a><a name=\"NHSNdQMAcuteCareHospitalInitialPopulation-en-US\"> </a><p><b>url</b>: <a href=\"Measure-NHSNdQMAcuteCareHospitalInitialPopulation.html\">Measure NHSN dQM Acute Care Hospital Initial Population</a></p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:2.25.316204395913842452684237438142819890580.29.2</p><p><b>version</b>: 1.0.0-ballot</p><p><b>name</b>: NHSNdQMAcuteCareHospitalInitialPopulation</p><p><b>title</b>: NHSN dQM Acute Care Hospital Initial Population</p><p><b>status</b>: Draft</p><p><b>experimental</b>: false</p><p><b>date</b>: 2024-02-29 17:44:38-0500</p><p><b>publisher</b>: HL7 International / Public Health</p><p><b>contact</b>: HL7 International / Public Health: <a href=\"http://www.hl7.org/Special/committees/pher\">http://www.hl7.org/Special/committees/pher</a></p><p><b>description</b>: </p><div><p>The Acute Care Hospital Initial Population includes all encounters for patients of any age in an ED, observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.</p>\n</div><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 US}\">United States of America</span></p><p><b>copyright</b>: </p><div><p>Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets.</p>\n</div><blockquote><p><b>relatedArtifact</b></p></blockquote><p><b>library</b>: <a href=\"Library-NHSNdQMAcuteCareHospitalInitialPopulationLibrary.html\">NHSNdQMAcuteCareHospitalInitialPopulation</a></p><p><b>disclaimer</b>: </p><div><p>This performance measure is not a clinical guideline, does not establish a standard of medical care and has not been tested for all potential applications.        THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.        This measure and specifications are subject to further revisions.</p>\n</div><p><b>scoring</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></p><p><b>rationale</b>: </p><div><p>The NHSN Acute Care Hospital dQM allows for facilities to report line level patient data electronically to NHSN for the following modules that are reported monthly: Glycemic Control, Hypoglycemia; Healthcare facility-onset, antibiotic-Treated Clostridioides difficile (C. difficile) Infection (HT-CDI); Hospital-Onset Bacteremia &amp; Fungemia (HOB); Venous Thromboembolism (VTE); Late Onset Sepsis / Meningitis. *Please see <a href=\"https://www.cdc.gov/nhsn/acute-care-hospital/index.html\">Acute Care / Critical Access Hospitals (ACH) | NHSN | CDC</a> for the individual measure protocols.</p>\n</div><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>description</b>: All encounters for patients of any age in an ED, observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Initial Population</td></tr></table></blockquote></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-condition</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Condition</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Condition</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-device</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Device</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Device</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-diagnosticreport-lab</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE DiagnosticReport Lab</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE DiagnosticReport Lab</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-diagnosticreport-note</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE DiagnosticReport Note</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE DiagnosticReport Note</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-diagnosticreport-others</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE DiagnosticReport Others</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE DiagnosticReport Others</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-encounter</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Encounter</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Encounter</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-location</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Location</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Location</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-medication-administration</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Medication Administration</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Medication Administration</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-medication-request</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Medication Request</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Medication Request</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-medication</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Medication</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Medication</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-observation-lab-category</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Observation Lab Category</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Observation Lab Category</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-observation-vital-signs-category</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Observation Vital Signs Category</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Observation Vital Signs Category</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-observation-category</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Observation Category</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Observation Category</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-coverage</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Coverage</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Coverage</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-procedure</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Procedure</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Procedure</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-specimen</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Specimen</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Specimen</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-service-request</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Service Request</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Service Request</td></tr></table></blockquote><blockquote><p><b>supplementalData</b></p><blockquote><p><b>id</b></p>sde-minimal-patient</blockquote><p><b>usage</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>description</b>: SDE Minimal Patient</p><h3>Criteria</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>SDE Minimal Patient</td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "EMER",
            "display" : "emergency"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "ACUTE",
            "display" : "inpatient acute"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "IMP",
            "display" : "inpatient encounter"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "NONAC",
            "display" : "inpatient non-acute"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "SS",
            "display" : "short stay"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
            "code" : "laboratory",
            "display" : "Laboratory"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
            "code" : "vital-signs",
            "display" : "Vital Signs"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LP29684-5",
            "display" : "Radiology"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LP7839-6",
            "display" : "Pathology"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LP29708-2",
            "display" : "Cardiology"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
            "code" : "LAB",
            "display" : "Laboratory"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
            "code" : "social-history",
            "display" : "Social History"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
            "code" : "survey",
            "display" : "Survey"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
            "code" : "imaging",
            "display" : "Imaging"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
          "valueCoding" : {
            "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
            "code" : "procedure",
            "display" : "Procedure"
          }
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "Encounters"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Encounters\":\n  [Encounter]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 0
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "Qualifying Encounters During Measurement Period"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Qualifying Encounters During Measurement Period\":\n ( [Encounter: \"Encounter Inpatient\"]\n  union [Encounter: \"Emergency Department Visit\"]\n  union [Encounter: \"Observation Services\"]\n  union [Encounter: class in {\"emergency\", \"inpatient acute\", \"inpatient encounter\", \"inpatient non-acute\", \"short stay\"}]) QualifyingEncounters\n  where QualifyingEncounters.status in {'in-progress', 'finished', 'triaged', 'onleave', 'entered-in-error'}\n    and QualifyingEncounters.period overlaps \"Measurement Period\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 1
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "Encounters with Patient Hospital Locations"
            },
            {
              "url" : "statement",
              "valueString" : "//potentially an issue as this may pull ALL EXISTING ENCOUNTERS (no period to look against)\ndefine \"Encounters with Patient Hospital Locations\":\n  \"Encounters\" Encounters\n  where exists(\n    Encounters.location EncounterLocation\n    where Global.GetLocation(EncounterLocation.location).type in \"Inpatient, Emergency, and Observation Locations\"\n      and EncounterLocation.period overlaps Encounters.period\n  )\n  and Encounters.status in {'in-progress', 'finished', 'triaged', 'onleave', 'entered-in-error'}"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 2
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "Initial Population"
            },
            {
              "url" : "statement",
              "valueString" : "// and Encounters.period overlaps \"Measurement Period\" (?)\n\ndefine \"Initial Population\":\n  \"Qualifying Encounters During Measurement Period\"\n  union \"Encounters with Patient Hospital Locations\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 3
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Encounter"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Encounter\": \n  \"Encounters\" Encounters\n  where exists(\n    \"Initial Population\" IP\n    where Encounters.period overlaps IP.period)\n  return SharedResource.EncounterResource(Encounters,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-encounter'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 4
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Medication Request"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Medication Request\":\n  [MedicationRequest] MedicationRequests \n  where exists(\n    \"Initial Population\" IP\n    where MedicationRequests.authoredOn during IP.period)\n  return SharedResource.MedicationRequestResource(MedicationRequests,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-medicationrequest'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 5
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Coverage"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Coverage\": \n\t[Coverage] Coverages\n  where exists(\n    \"Initial Population\" IP\n    where Coverages.period overlaps IP.period)\n  return SharedResource.CoverageResource(Coverages,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-coverage'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 6
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Procedure"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Procedure\":\n  [Procedure] Procedures \n  where exists(\n    \"Initial Population\" IP\n    where Global.\"Normalize Interval\"(Procedures.performed) overlaps IP.period)\n  return SharedResource.ProcedureResource(Procedures,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-procedure'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 7
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Device"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Device\":\n  [Device] Devices \n  where exists(\"Initial Population\")\n  return DeviceResource(Devices,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-device'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 8
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "Observations"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Observations\":\n  [Observation]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 9
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Observation Lab Category"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Observation Lab Category\":\n  \"Observations\" Observations \n  where (exists(Observations.category Category where Category ~ \"laboratory\"))\n    and exists(\n      \"Initial Population\" IP\n      where Global.\"Normalize Interval\"(Observations.effective) overlaps IP.period)\n  return SharedResource.ObservationLabResource(Observations,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-observation-lab'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 10
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Observation Vital Signs Category"
            },
            {
              "url" : "statement",
              "valueString" : "//Vital Signs Observation has its own profile in FHIR Base\ndefine \"SDE Observation Vital Signs Category\":\n  \"Observations\" Observations \n  where (exists(Observations.category Category where Category ~ \"vital-signs\"))\n    and exists(\n      \"Initial Population\" IP\n      where Global.\"Normalize Interval\"(Observations.effective) overlaps IP.period)\n  return ObservationVitalSignsResource(Observations,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-observation-vitals'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 11
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE DiagnosticReport Others"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE DiagnosticReport Others\":\n  [DiagnosticReport] DiagnosticReports\n  where not ((exists(DiagnosticReports.category Category where Category ~ \"Radiology\"))\n    or exists((DiagnosticReports.category Category where Category ~ \"Pathology\"))\n    or exists((DiagnosticReports.category Category where Category ~ \"Cardiology\"))\n    or exists(DiagnosticReports.category Category where Category ~ \"LAB\"))\n    and exists(\"Initial Population\" IP\n      where Global.\"Normalize Interval\"(DiagnosticReports.effective) overlaps IP.period)\n  return DiagnosticReportResource(DiagnosticReports,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-diagnosticreport'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 12
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Medication Administration"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Medication Administration\":\n  [MedicationAdministration] MedicationAdministrations \n  where exists(\n    \"Initial Population\" IP\n    where Global.\"Normalize Interval\"(MedicationAdministrations.effective) overlaps IP.period)\n  return SharedResource.MedicationAdministrationResource(MedicationAdministrations,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-medicationadministration'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 13
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Observation Category"
            },
            {
              "url" : "statement",
              "valueString" : "//Defaulting to base FHIR profile as there are no individual profiles in US Core 3.1.1 that cover these Observation categories\ndefine \"SDE Observation Category\":\n  \"Observations\" Observations \n  where ((exists(Observations.category Category where Category ~ \"social-history\"))\n    or (exists(Observations.category Category where Category ~ \"survey\"))\n    or (exists(Observations.category Category where Category ~ \"imaging\"))\n    or (exists(Observations.category Category where Category ~ \"procedure\")))\n    and exists(\n      \"Initial Population\" IP\n      where Global.\"Normalize Interval\"(Observations.effective) overlaps IP.period)\n  return ObservationResource(Observations,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-observation'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 14
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Condition"
            },
            {
              "url" : "statement",
              "valueString" : "//============================================================================\n//Supplemental Data Element\n//When FHIR.canonical value is present, US Core 3.1.1 profiles are used\n//When FHIR.canonical value is not present, FHIR Base profiles are used\n//============================================================================\ndefine \"SDE Condition\":\n  [Condition] Conditions \n  where exists(\"Initial Population\")\n  return SharedResource.ConditionResource(Conditions,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 15
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DiagnosticReports"
            },
            {
              "url" : "statement",
              "valueString" : "define \"DiagnosticReports\":\n  [DiagnosticReport]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 16
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE DiagnosticReport Lab"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE DiagnosticReport Lab\":\n  \"DiagnosticReports\" DiagnosticReports\n  where (exists(DiagnosticReports.category Category where Category ~ \"LAB\")\n    and exists(\n      \"Initial Population\" IP\n      where Global.\"Normalize Interval\"(DiagnosticReports.effective) overlaps IP.period))\n  return SharedResource.DiagnosticReportLabResource(DiagnosticReports,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-diagnosticreport-lab'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 17
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "IP Encounters Overlap Measurement Period"
            },
            {
              "url" : "statement",
              "valueString" : "//Double checking for IP's period during MP as IP is created out of qualifying encounters, which checks for it, \n//and encounter's locations, which doesn't\ndefine \"IP Encounters Overlap Measurement Period\":\n  \"Initial Population\" IP\n  where IP.period overlaps \"Measurement Period\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 18
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "Get Locations from IP Encounters in Measurement Period"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Get Locations from IP Encounters in Measurement Period\":\n  flatten(\"IP Encounters Overlap Measurement Period\" Encounters\n  let locationElements: Encounters.location\n  return\n    locationElements LE\n    let locationReference: LE.location\n    return Global.GetLocation(locationReference))"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 19
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Location"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Location\":\n  \"Get Locations from IP Encounters in Measurement Period\" Locations\n  where exists(\"Initial Population\")\n  and Locations is not null\n  return SharedResource.LocationResource(Locations,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-location'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 20
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Service Request"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Service Request\":\n  [ServiceRequest] ServiceRequests\n  where exists(\"Initial Population\" IP\n    where ServiceRequests.authoredOn during IP.period)\n  return SharedResource.ServiceRequestResource(ServiceRequests,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-servicerequest'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 21
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE DiagnosticReport Note"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE DiagnosticReport Note\":\n  \"DiagnosticReports\" DiagnosticReports\n  where ((exists(DiagnosticReports.category Category where Category ~ \"Radiology\"))\n    or exists((DiagnosticReports.category Category where Category ~ \"Pathology\"))\n    or exists((DiagnosticReports.category Category where Category ~ \"Cardiology\")))\n    and exists(\n      \"Initial Population\" IP\n      where Global.\"Normalize Interval\"(DiagnosticReports.effective) overlaps IP.period)\n  return DiagnosticReportResource(DiagnosticReports,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-diagnosticreport-note'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 22
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Minimal Patient"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Minimal Patient\":\n  Patient p\n  return SharedResource.PatientResource(p,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/cross-measure-patient'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 23
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Medication"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Medication\":\n  (\"SDE Medication Request\"\n  union \"SDE Medication Administration\") MedReqOrAdmin\n  where MedReqOrAdmin.medication is FHIR.Reference\n  and exists(\"Initial Population\") //No longer need to check for timing here because it's checked in SDE Medication Request/Administriation\n  return SharedResource.MedicationResource(GetMedicationFrom(MedReqOrAdmin.medication),\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-medication'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 24
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "SDE Specimen"
            },
            {
              "url" : "statement",
              "valueString" : "define \"SDE Specimen\":\n  [Specimen] Specimens\n  where exists(\n    \"Initial Population\" IP\n    where Global.\"Normalize Interval\"(Specimens.collection.collected) overlaps IP.period\n  )\n  return SharedResource.SpecimenResource(Specimens,\n  {FHIR.canonical{value: 'http://hl7.org/fhir/us/nhsn-dqm/StructureDefinition/ach-specimen'}})"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 25
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToString"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToString(value EncounterStatus): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 26
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToInterval"
            },
            {
              "url" : "statement",
              "valueString" : "define 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/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MATGlobalCommonFunctionsFHIR4"
            },
            {
              "url" : "name",
              "valueString" : "GetLocation"
            },
            {
              "url" : "statement",
              "valueString" : "// Returns the location for the given location reference\n\n/*Returns the Location resource specified by the given reference*/\ndefine function \"GetLocation\"(reference Reference ):\n  singleton from (\n\t[Location] Locations\n\twhere Locations.id = GetId(reference.reference)\n  )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 28
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MATGlobalCommonFunctionsFHIR4"
            },
            {
              "url" : "name",
              "valueString" : "GetId"
            },
            {
              "url" : "statement",
              "valueString" : "/*Returns the tail of the given uri (i.e. everything after the last slash in the URI).*/\ndefine function \"GetId\"(uri String ):\n  Last(Split(uri, '/'))"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 29
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToConcept"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 30
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterResource(encounter Encounter, profileURLs List<FHIR.canonical>):\n  encounter e\n  return Encounter{\n    id: FHIR.id{value: 'LCR-' + e.id},\n    meta: MetaElement(e, profileURLs),\n    extension: e.extension,\n    identifier: EncounterIdentifier(e.identifier),\n    status: e.status,\n    statusHistory: EncounterStatusHistory(e.statusHistory),\n    class: e.class,\n    classHistory: EncounterClassHistory(e.classHistory),\n    type: e.type,\n    serviceType: e.serviceType,\n    priority: e.priority,\n    subject: e.subject,\n    participant: EncounterParticipant(e.participant),\n    period: e.period,\n    length: e.length,\n    reasonCode: e.reasonCode,\n    reasonReference: e.reasonReference,\n    diagnosis: EncounterDiagnosis(e.diagnosis),\n    account: e.account,\n    hospitalization: EncounterHospitalization(e.hospitalization),\n    location: EncounterLocation(e.location),\n    partOf: e.partOf\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 31
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MetaElement"
            },
            {
              "url" : "statement",
              "valueString" : "define function \"MetaElement\"(resource Resource, profileURLs List<FHIR.canonical>):\n  resource r\n  return FHIR.Meta{\n    extension: r.meta.extension,\n    versionId: r.meta.versionId,\n    lastUpdated: r.meta.lastUpdated,\n    profile: profileURLs,\n    security: r.meta.security,\n    tag: r.meta.tag\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 32
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterIdentifier"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterIdentifier(identifier List<FHIR.Identifier>):\n  identifier i\n  return FHIR.Identifier{\n    use: i.use,\n    type: i.type,\n    system: i.system,\n    value: i.value,\n    period: i.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 33
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterStatusHistory"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterStatusHistory(statusHistory List<FHIR.Encounter.StatusHistory>):\n  statusHistory sH\n  return FHIR.Encounter.StatusHistory{\n    status: sH.status,\n    period: sH.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 34
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterClassHistory"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterClassHistory(classHistory List<FHIR.Encounter.ClassHistory>):\n  classHistory cH\n  return FHIR.Encounter.ClassHistory{\n    class: cH.class,\n    period: cH.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 35
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterParticipant"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterParticipant(participant List<FHIR.Encounter.Participant>):\n  participant p\n  return FHIR.Encounter.Participant{\n    type: p.type,\n    period: p.period,\n    individual: p.individual\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 36
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterDiagnosis"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterDiagnosis(diagnosis List<FHIR.Encounter.Diagnosis>):\n  diagnosis d\n  return FHIR.Encounter.Diagnosis{\n    condition: d.condition,\n    use: d.use,\n    rank: d.rank\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 37
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterHospitalization"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterHospitalization(hospitalization FHIR.Encounter.Hospitalization):\n  hospitalization h\n  return FHIR.Encounter.Hospitalization{\n    preAdmissionIdentifier: h.preAdmissionIdentifier,\n    origin: h.origin,\n    admitSource: h.admitSource,\n    reAdmission: h.reAdmission,\n    dietPreference: h.dietPreference,\n    specialCourtesy: h.specialCourtesy,\n    specialArrangement: h.specialArrangement,\n    destination: h.destination,\n    dischargeDisposition: h.dischargeDisposition\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 38
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "EncounterLocation"
            },
            {
              "url" : "statement",
              "valueString" : "define function EncounterLocation(location List<FHIR.Encounter.Location>):\n  location l\n  return FHIR.Encounter.Location{\n    location: l.location,\n    status: l.status,\n    physicalType: l.physicalType,\n    period: l.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 39
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "FHIRHelpers"
            },
            {
              "url" : "name",
              "valueString" : "ToDateTime"
            },
            {
              "url" : "statement",
              "valueString" : "define function ToDateTime(value dateTime): value.value"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 40
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationRequestResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationRequestResource(medicationRequest MedicationRequest, profileURLs List<FHIR.canonical>):\n  medicationRequest m\n  return MedicationRequest{\n    id: FHIR.id {value: 'LCR-' + m.id},\n    meta: MetaElement(medicationRequest, profileURLs),\n    extension: m.extension,\n    status: m.status,\n    statusReason: m.statusReason,\n    intent: m.intent,\n    category: m.category,\n    priority: m.priority,\n    doNotPerform: m.doNotPerform,\n    reported: m.reported,\n    medication: m.medication,\n    subject: m.subject,\n    encounter: m.encounter,\n    authoredOn: m.authoredOn,\n    requester: m.requester,\n    recorder: m.recorder,\n    reasonCode: m.reasonCode,\n    reasonReference: m.reasonReference,\n    instantiatesCanonical: m.instantiatesCanonical,\n    instantiatesUri: m.instantiatesUri,\n    courseOfTherapyType: m.courseOfTherapyType,\n    dosageInstruction: MedicationRequestDosageInstruction(m.dosageInstruction)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 41
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationRequestDosageInstruction"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationRequestDosageInstruction(dosageInstruction List<FHIR.Dosage>):\n  dosageInstruction dI\n  return FHIR.Dosage{\n    text: dI.text,\n    patientInstruction: dI.patientInstruction,\n    timing: dI.timing,\n    asNeeded: dI.asNeeded,\n    site: dI.site,\n    route: dI.route,\n    method: dI.method,\n    doseAndRate: MedicationRequestDoseAndRate(dI.doseAndRate)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 42
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationRequestDoseAndRate"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationRequestDoseAndRate(doseAndRate List<FHIR.Dosage.DoseAndRate>):\n  doseAndRate dR\n  return FHIR.Dosage.DoseAndRate{\n    type: dR.type,\n    dose: dR.dose,\n    rate: dR.rate\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 43
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "CoverageResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function CoverageResource(coverage Coverage, profileURLs List<FHIR.canonical>):\n  coverage c\n  return Coverage{\n    id: FHIR.id{value: 'LCR-' + c.id},\n    meta: MetaElement(c, profileURLs),\n    extension: c.extension,\n    status: c.status,\n    type: c.type,\n    policyHolder: c.policyHolder,\n    subscriber: c.subscriber,\n    subscriberId: c.subscriberId,\n    beneficiary: c.beneficiary,\n    dependent: c.dependent,\n    relationship: c.relationship,\n    period: c.period,\n    payor: c.payor,\n    class: CoverageClass(c.class),\n    order: c.order,\n    network: c.network,\n    subrogation: c.subrogation,\n    contract: c.contract\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 44
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "CoverageClass"
            },
            {
              "url" : "statement",
              "valueString" : "define function CoverageClass(class List<FHIR.Coverage.Class>):\n  class c\n  return FHIR.Coverage.Class{\n    value: c.value,\n    name: c.name\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 45
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ProcedureResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function ProcedureResource(procedure Procedure, profileURLs List<FHIR.canonical>):\n  procedure p\n  return Procedure{\n    id: FHIR.id {value: 'LCR-' + p.id},\n    meta: MetaElement(p, profileURLs),\n    extension: p.extension,\n    instantiatesCanonical: p.instantiatesCanonical,\n    instantiatesUri: p.instantiatesUri,\n    basedOn: p.basedOn,\n    partOf: p.partOf,\n    status: p.status,\n    statusReason: p.statusReason,\n    category: p.category,\n    code: p.code,\n    subject: p.subject,\n    encounter: p.encounter,\n    performed: p.performed,\n    recorder: p.recorder,\n    asserter: p.asserter,\n    performer: ProcedurePerformer(p.performer),\n    location: p.location,\n    reasonCode: p.reasonCode,\n    reasonReference: p.reasonReference,\n    bodySite: p.bodySite,\n    outcome: p.outcome,\n    report: p.report,\n    complication: p.complication,\n    complicationDetail: p.complicationDetail,\n    followUp: p.followUp,\n    note: p.note,\n    focalDevice: ProcedureFocalDevice(p.focalDevice),\n    usedReference: p.usedReference,\n    usedCode: p.usedCode\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 46
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ProcedurePerformer"
            },
            {
              "url" : "statement",
              "valueString" : "define function ProcedurePerformer(performer List<FHIR.Procedure.Performer>):\n  performer p\n  return FHIR.Procedure.Performer{\n    function: p.function,\n    actor: p.actor,\n    onBehalfOf: p.onBehalfOf\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 47
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ProcedureFocalDevice"
            },
            {
              "url" : "statement",
              "valueString" : "define function ProcedureFocalDevice(device List<FHIR.Procedure.FocalDevice>):\n  device d\n  return FHIR.Procedure.FocalDevice{\n    action: d.action,\n    manipulated: d.manipulated\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 48
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DeviceResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function DeviceResource(device Device, profileURLs List<FHIR.canonical>):\n  device d\n  return Device{\n    id: FHIR.id{value: 'LCR-' + d.id},\n    meta: SharedResource.MetaElement(d, profileURLs),\n    extension: d.extension,\n    definition: d.definition,\n    udiCarrier: DeviceUdiCarrier(d.udiCarrier),\n    status: d.status,\n    statusReason: d.statusReason,\n    distinctIdentifier: d.distinctIdentifier,\n    manufacturer: d.manufacturer,\n    manufactureDate: d.manufactureDate,\n    expirationDate: d.expirationDate,\n    lotNumber: d.lotNumber,\n    serialNumber: d.serialNumber,\n    deviceName: DeviceDeviceName(d.deviceName),\n    modelNumber: d.modelNumber,\n    partNumber: d.partNumber,\n    type: d.type,\n    specialization: DeviceSpecialization(d.specialization),\n    version: DeviceVersion(d.version),\n    property: DeviceProperty(d.property),\n    patient: d.patient,\n    owner: d.owner,\n    contact: d.contact,\n    location: d.location,\n    url: d.url,\n    note: d.note,\n    safety: d.safety,\n    parent: d.parent\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 49
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DeviceUdiCarrier"
            },
            {
              "url" : "statement",
              "valueString" : "//\n//Measure Specific Resource Creation Functions\n//\ndefine function DeviceUdiCarrier(udiCarrier List<FHIR.Device.UdiCarrier>):\n  udiCarrier u\n  return FHIR.Device.UdiCarrier{\n    deviceIdentifier: u.deviceIdentifier,\n    issuer: u.issuer,\n    jurisdiction: u.jurisdiction,\n    carrierAIDC: u.carrierAIDC,\n    carrierHRF: u.carrierHRF,\n    entryType: u.entryType\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 50
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DeviceDeviceName"
            },
            {
              "url" : "statement",
              "valueString" : "define function DeviceDeviceName(deviceName List<FHIR.Device.DeviceName>):\n  deviceName d\n  return FHIR.Device.DeviceName{\n    name: d.name,\n    type: d.type\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 51
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DeviceSpecialization"
            },
            {
              "url" : "statement",
              "valueString" : "define function DeviceSpecialization(specialization List<FHIR.Device.Specialization>):\n  specialization s\n  return FHIR.Device.Specialization{\n    systemType: s.systemType,\n    version: s.version\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 52
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DeviceVersion"
            },
            {
              "url" : "statement",
              "valueString" : "define function DeviceVersion(version List<FHIR.Device.Version>):\n  version v\n  return FHIR.Device.Version{\n    type: v.type,\n    component: v.component,\n    value: v.value\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 53
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DeviceProperty"
            },
            {
              "url" : "statement",
              "valueString" : "define function DeviceProperty(deviceProperty List<FHIR.Device.Property>):\n  deviceProperty d\n  return FHIR.Device.Property{\n    id: d.id,\n    type: d.type,\n    valueQuantity: d.valueQuantity,\n    valueCode: d.valueCode\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 54
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationLabResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationLabResource(observation Observation, profileURLs List<FHIR.canonical>):\n  observation o\n  return Observation{\n    id: FHIR.id {value: 'LCR-' + o.id},\n    meta: MetaElement(o, profileURLs),\n    extension: o.extension,\n    basedOn: o.basedOn,\n    partOf: o.partOf,\n    status: o.status,\n    category: ObservationLabCategory(o.category),\n    code: o.code,\n    subject: o.subject,\n    focus: o.focus,\n    encounter: o.encounter,\n    effective: o.effective,\n    issued: o.issued,\n    performer: o.performer,\n    value: o.value,\n    dataAbsentReason: o.dataAbsentReason,\n    interpretation: o.interpretation,\n    note: o.note,\n    bodySite: o.bodySite,\n    method: o.method,\n    specimen: o.specimen,\n    device: o.device,\n    referenceRange: ObservationReferenceRange(o.referenceRange),\n    hasMember: o.hasMember,\n    derivedFrom: o.derivedFrom,\n    component: ObservationComponent(o.component)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 55
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationLabCategory"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationLabCategory(category List<CodeableConcept>):\n  category c\n  return CodeableConcept{\n    coding: ObservationLabCoding(c.coding),\n    text: c.text\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 56
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationLabCoding"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationLabCoding(coding List<Coding>):\n  coding c\n  return Coding{\n    id: c.id,\n    extension: c.extension,\n    system: c.system,\n    version: c.version,\n    code: c.code,\n    display: c.display,\n    userSelected: c.userSelected\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 57
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationReferenceRange"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationReferenceRange(referenceRange List<FHIR.Observation.ReferenceRange>):\n  referenceRange rR\n  return FHIR.Observation.ReferenceRange{\n    low: rR.low,\n    high: rR.high,\n    type: rR.type,\n    appliesTo: rR.appliesTo,\n    age: rR.age,\n    text: rR.text\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 58
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationComponent"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationComponent(component List<FHIR.Observation.Component>):\n  component c\n  return FHIR.Observation.Component{\n    code: c.code,\n    value: c.value,\n    dataAbsentReason: c.dataAbsentReason,\n    interpretation: c.interpretation,\n    referenceRange: c.referenceRange\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 59
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationVitalSignsResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationVitalSignsResource(observation Observation, profileURLs List<FHIR.canonical>):\n  observation o\n  return Observation{\n    id: FHIR.id {value: 'LCR-' + o.id},\n    meta: SharedResource.MetaElement(o, profileURLs),\n    extension: o.extension,\n    partOf: o.partOf,\n    status: o.status,\n    category: ObservationVitalSignsCategory(o.category),\n    code: o.code,\n    subject: o.subject,\n    focus: o.focus,\n    encounter: o.encounter,\n    effective: o.effective,\n    issued: o.issued,\n    performer: o.performer,\n    value: o.value,\n    dataAbsentReason: o.dataAbsentReason,\n    interpretation: o.interpretation,\n    note: o.note,\n    bodySite: o.bodySite,\n    method: o.method,\n    specimen: o.specimen,\n    device: o.device,\n    referenceRange: SharedResource.ObservationReferenceRange(o.referenceRange),\n    hasMember: o.hasMember,\n    derivedFrom: o.derivedFrom,\n    component: ObservationVitalSignsComponent(o.component)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 60
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationVitalSignsCategory"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationVitalSignsCategory(category List<CodeableConcept>):\n  category c\n  return CodeableConcept{\n    coding: ObservationVitalSignsCoding(c.coding),\n    text: c.text\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 61
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationVitalSignsCoding"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationVitalSignsCoding(coding List<Coding>):\n  coding c\n  return Coding{\n    system: c.system,\n    version: c.version,\n    code: c.code,\n    display: c.display,\n    userSelected: c.userSelected\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 62
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationVitalSignsComponent"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationVitalSignsComponent(component List<FHIR.Observation.Component>):\n  component c\n  return FHIR.Observation.Component{\n    code: c.code,\n    value: c.value,\n    dataAbsentReason: c.dataAbsentReason,\n    interpretation: c.interpretation,\n    referenceRange: SharedResource.ObservationReferenceRange(c.referenceRange)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 63
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "DiagnosticReportResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function DiagnosticReportResource(diagnosticReport DiagnosticReport, profileURLs List<FHIR.canonical>):\n  diagnosticReport d\n  return DiagnosticReport{\n    id: FHIR.id{value: 'LCR-' + d.id},\n    meta: SharedResource.MetaElement(d, profileURLs),\n    extension: d.extension,\n    basedOn: d.basedOn,\n    status: d.status,\n    category: d.category,\n    code: d.code,\n    subject: d.subject,\n    encounter: d.encounter,\n    effective: d.effective,\n    issued: d.issued,\n    performer: d.performer,\n    resultsInterpreter: d.resultsInterpreter,\n    specimen: d.specimen,\n    result: d.result,\n    conclusion: d.conclusion,\n    conclusionCode: d.conclusionCode\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 64
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationAdministrationResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationAdministrationResource(medicationAdministration MedicationAdministration, profileURLs List<FHIR.canonical>):\n  medicationAdministration m\n  return MedicationAdministration{\n    id: FHIR.id {value: 'LCR-' + m.id},\n    meta: MetaElement(m, profileURLs),\n    extension: m.extension,\n    instantiates: m.instantiates,\n    partOf: m.partOf,\n    status: m.status,\n    statusReason: m.statusReason,\n    category: m.category,\n    medication: m.medication,\n    subject: m.subject,\n    context: m.context,\n    supportingInformation: m.supportingInformation,\n    effective: m.effective,\n    performer: MedicationAdministrationPerformer(m.performer),\n    reasonCode: m.reasonCode,\n    reasonReference: m.reasonReference,\n    request: m.request,\n    device: m.device,\n    note: m.note,\n    dosage: MedicationAdministrationDosage(m.dosage),\n    eventHistory: m.eventHistory\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 65
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationAdministrationPerformer"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationAdministrationPerformer(performer List<FHIR.MedicationAdministration.Performer>):\n  performer p\n  return FHIR.MedicationAdministration.Performer{\n    function: p.function,\n    actor: p.actor\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 66
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationAdministrationDosage"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationAdministrationDosage(dosage FHIR.MedicationAdministration.Dosage):\n  dosage d\n  return FHIR.MedicationAdministration.Dosage{\n    text: d.text,\n    site: d.site,\n    route: d.route,\n    method: d.method,\n    dose: d.dose,\n    rate: d.rate\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 67
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "ObservationResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function ObservationResource(observation Observation, profileURLs List<FHIR.canonical>):\n  observation o\n  return Observation{\n    id: FHIR.id {value: 'LCR-' + o.id},\n    meta: SharedResource.MetaElement(o, profileURLs),\n    extension: o.extension,\n    partOf: o.partOf,\n    status: o.status,\n    category: o.category,\n    code: o.code,\n    subject: o.subject,\n    focus: o.focus,\n    encounter: o.encounter,\n    effective: o.effective,\n    issued: o.issued,\n    performer: o.performer,\n    value: o.value,\n    dataAbsentReason: o.dataAbsentReason,\n    interpretation: o.interpretation,\n    note: o.note,\n    bodySite: o.bodySite,\n    method: o.method,\n    specimen: o.specimen,\n    device: o.device,\n    referenceRange: SharedResource.ObservationReferenceRange(o.referenceRange),\n    hasMember: o.hasMember,\n    derivedFrom: o.derivedFrom,\n    component: SharedResource.ObservationComponent(o.component)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 68
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ConditionResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function ConditionResource(condition Condition, profileURLs List<FHIR.canonical>):\n  condition c\n  return Condition{\n    id: FHIR.id {value: 'LCR-' + c.id},\n    meta: MetaElement(c, profileURLs),\n    extension: c.extension,\n    clinicalStatus: c.clinicalStatus,\n    verificationStatus: c.verificationStatus,\n    category: c.category,\n    severity: c.severity,\n    code: c.code,\n    bodySite: c.bodySite,\n    subject: c.subject,\n    encounter: c.encounter,\n    onset: c.onset,\n    abatement: c.abatement,\n    recordedDate: c.recordedDate,\n    stage: ConditionStage(c.stage),\n    evidence: ConditionEvidence(c.evidence),\n    note: c.note\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 69
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ConditionStage"
            },
            {
              "url" : "statement",
              "valueString" : "define function ConditionStage(stage List<FHIR.Condition.Stage>):\n  stage s\n  return FHIR.Condition.Stage{\n    summary: s.summary,\n    assessment: s.assessment,\n    type: s.type\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 70
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ConditionEvidence"
            },
            {
              "url" : "statement",
              "valueString" : "define function ConditionEvidence(evidence List<FHIR.Condition.Evidence>):\n  evidence e\n  return FHIR.Condition.Evidence{\n    code: e.code,\n    detail: e.detail\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 71
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "DiagnosticReportLabResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function DiagnosticReportLabResource(diagnosticReport DiagnosticReport, profileURLs List<FHIR.canonical>):\n  diagnosticReport d\n  return DiagnosticReport{\n    id: FHIR.id{value: 'LCR-' + d.id},\n    meta: MetaElement(d, profileURLs),\n    extension: d.extension,\n    basedOn: d.basedOn,\n    status: d.status,\n    category: DiagnosticReportCategory(d.category),\n    code: d.code,\n    subject: d.subject,\n    encounter: d.encounter,\n    effective: d.effective,\n    issued: d.issued,\n    performer: d.performer,\n    resultsInterpreter: d.resultsInterpreter,\n    specimen: d.specimen,\n    result: d.result,\n    conclusion: d.conclusion,\n    conclusionCode: d.conclusionCode\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 72
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "DiagnosticReportCategory"
            },
            {
              "url" : "statement",
              "valueString" : "define function DiagnosticReportCategory(category List<CodeableConcept>):\n  category c\n  return CodeableConcept{\n    coding: DiagnosticReportCoding(c.coding)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 73
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "DiagnosticReportCoding"
            },
            {
              "url" : "statement",
              "valueString" : "define function DiagnosticReportCoding(coding List<Coding>):\n  coding c\n  return Coding{\n    system: c.system,\n    version: c.version,\n    code: c.code,\n    display: c.display,\n    userSelected: c.userSelected\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 74
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "LocationResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function LocationResource(location Location, profileURLs List<FHIR.canonical>):\n  location l\n  return Location{\n    id: FHIR.id {value: 'LCR-' + l.id},\n    meta: MetaElement(l, profileURLs),\n    extension: l.extension,\n    status: l.status,\n    operationalStatus: l.operationalStatus,\n    name: l.name,\n    alias: l.alias,\n    description: l.description,\n    mode: l.mode,\n    type: l.type,\n    telecom: l.telecom,\n    address: LocationAddress(l.address),\n    physicalType: l.physicalType,\n    position: LocationPosition(l.position),\n    managingOrganization: l.managingOrganization,\n    partOf: l.partOf,\n    hoursOfOperation: LocationHoursOfOperation(l.hoursOfOperation),\n    availabilityExceptions: l.availabilityExceptions,\n    endpoint: l.endpoint\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 75
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "LocationAddress"
            },
            {
              "url" : "statement",
              "valueString" : "define function LocationAddress(address FHIR.Address):\n  address a\n  return FHIR.Address{\n    use: a.use,\n    type: a.type,\n    text: a.text,\n    line: a.line,\n    city: a.city,\n    district: a.district,\n    state: a.state,\n    postalCode: a.postalCode,\n    country: a.country,\n    period: a.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 76
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "LocationPosition"
            },
            {
              "url" : "statement",
              "valueString" : "define function LocationPosition(position FHIR.Location.Position):\n  position p\n  return FHIR.Location.Position{\n    longitude: p.longitude,\n    latitude: p.latitude,\n    altitude: p.altitude\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 77
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "LocationHoursOfOperation"
            },
            {
              "url" : "statement",
              "valueString" : "define function LocationHoursOfOperation(hoursOfOperation List<FHIR.Location.HoursOfOperation>):\n  hoursOfOperation hOO\n  return FHIR.Location.HoursOfOperation{\n    daysOfWeek: hOO.daysOfWeek,\n    allDay: hOO.allDay,\n    openingTime: hOO.openingTime,\n    closingTime: hOO.closingTime\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 78
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "ServiceRequestResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function ServiceRequestResource(serviceRequest ServiceRequest, profileURLs List<FHIR.canonical>):\n  serviceRequest sR\n  return ServiceRequest{\n    id: FHIR.id {value: 'LCR-' + sR.id},\n    meta: MetaElement(sR, profileURLs),\n    extension: sR.extension,\n    instantiatesCanonical: sR.instantiatesCanonical,\n    instantiatesUri: sR.instantiatesUri,\n    basedOn: sR.basedOn,\n    replaces: sR.replaces,\n    requisition: sR.requisition,\n    status: sR.status,\n    intent: sR.intent,\n    category: sR.category,\n    priority: sR.priority,\n    doNotPerform: sR.doNotPerform,\n    code: sR.code,\n    orderDetail: sR.orderDetail,\n    quantity: sR.quantity,\n    subject: sR.subject,\n    encounter: sR.encounter,\n    occurrence: sR.occurrence,\n    asNeeded: sR.asNeeded,\n    authoredOn: sR.authoredOn,\n    requester: sR.requester,\n    performerType: sR.performerType,\n    performer: sR.performer,\n    locationCode: sR.locationCode,\n    locationReference: sR.locationReference,\n    reasonCode: sR.reasonCode,\n    reasonReference: sR.reasonReference,\n    insurance: sR.insurance,\n    supportingInfo: sR.supportingInfo,\n    specimen: sR.specimen,\n    bodySite: sR.bodySite,\n    note: sR.note,\n    patientInstruction: sR.patientInstruction,\n    relevantHistory: sR.relevantHistory\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 79
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientResource(patient Patient, profileURLs List<FHIR.canonical>):\n  patient p\n  return Patient{\n    id: FHIR.id{value: 'LCR-' + p.id},\n    meta: MetaElement(p, profileURLs),\n    extension: GetPatientExtensions(p) union GetIdExtensions(p),\n    identifier: PatientIdentifier(p.identifier),\n    active: p.active,\n    name: PatientName(p.name),\n    telecom: PatientTelecom(p.telecom),\n    gender: p.gender,\n    birthDate: p.birthDate,\n    deceased: p.deceased,\n    address: PatientAddress(p.address),\n    maritalStatus: p.maritalStatus,\n    multipleBirth: p.multipleBirth,\n    photo: p.photo,\n    contact: PatientContact(p.contact),\n    communication: PatientCommunication(p.communication),\n    generalPractitioner: p.generalPractitioner,\n    managingOrganization: p.managingOrganization,\n    link: PatientLink(p.link)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 80
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "GetPatientExtensions"
            },
            {
              "url" : "statement",
              "valueString" : "define function \"GetPatientExtensions\"(domainResource DomainResource):\n  domainResource.extension E\n  where E.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n    or E.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n    or E.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex'\n    or E.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity'\n    or E.url = 'http://hl7.org/fhir/StructureDefinition/patient-genderIdentity'\n return E"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 81
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "GetIdExtensions"
            },
            {
              "url" : "statement",
              "valueString" : "define function \"GetIdExtensions\"(domainResource DomainResource):\n  domainResource.extension E\n    return E"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 82
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientIdentifier"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientIdentifier(identifier List<FHIR.Identifier>):\n  identifier i\n  return FHIR.Identifier{\n    id: i.id,\n    extension: i.extension,\n    use: i.use,\n    type: i.type,\n    system: i.system,\n    value: i.value,\n    period: i.period,\n    assigner: i.assigner\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 83
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientName"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientName(name List<FHIR.HumanName>):\n  name n\n  return FHIR.HumanName{\n    id: n.id,\n    extension: n.extension,\n    use: n.use,\n    text: n.text,\n    family: n.family,\n    given: n.given,\n    prefix: n.prefix,\n    suffix: n.suffix,\n    period: n.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 84
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientTelecom"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientTelecom(telecom List<FHIR.ContactPoint>):\n  telecom t\n  return FHIR.ContactPoint{\n    system: t.system,\n    value: t.value,\n    use: t.use,\n    rank: t.rank,\n    period: t.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 85
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientAddress"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientAddress(address List<FHIR.Address>):\n  address a\n  return FHIR.Address{\n    id: a.id,\n    extension: a.extension,\n    use: a.use,\n    type: a.type,\n    text: a.text,\n    line: a.line,\n    city: a.city,\n    district: a.district,\n    state: a.state,\n    postalCode: a.postalCode,\n    country: a.country,\n    period: a.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 86
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientContact"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientContact(contact List<FHIR.Patient.Contact>):\n  contact c\n  return FHIR.Patient.Contact{\n    id: c.id,\n    extension: c.extension,\n    relationship: c.relationship,\n    name: c.name,\n    telecom: c.telecom,\n    address: c.address,\n    gender: c.gender,\n    organization: c.organization,\n    period: c.period\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 87
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientCommunication"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientCommunication(communication List<FHIR.Patient.Communication>):\n  communication c\n  return FHIR.Patient.Communication{\n    id: c.id,\n    extension: c.extension,\n    language: c.language,\n    preferred: c.preferred\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 88
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "PatientLink"
            },
            {
              "url" : "statement",
              "valueString" : "define function PatientLink(link List<FHIR.Patient.Link>):\n  link l\n  return FHIR.Patient.Link{\n    id: l.id,\n    extension: l.extension,\n    modifierExtension: l.modifierExtension,\n    other: l.other,\n    type: l.type\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 89
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationResource(medication Medication, profileURLs List<FHIR.canonical>):\n  medication m\n  return Medication{\n    id: FHIR.id {value: 'LCR-' + m.id},\n    meta: MetaElement(m, profileURLs),\n    extension: m.extension,\n    code: m.code,\n    status: m.status,\n    manufacturer: m.manufacturer,\n    form: m.form,\n    amount: m.amount,\n    ingredient: MedicationIngredient(m.ingredient),\n    batch: MedicationBatch(m.batch)\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 90
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationIngredient"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationIngredient(ingredient List<FHIR.Medication.Ingredient>):\n  ingredient i\n  return FHIR.Medication.Ingredient{\n    item: i.item,\n    strength: i.strength\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 91
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "MedicationBatch"
            },
            {
              "url" : "statement",
              "valueString" : "define function MedicationBatch(batch FHIR.Medication.Batch):\n  batch b\n  return FHIR.Medication.Batch{\n    lotNumber: b.lotNumber,\n    expirationDate: b.expirationDate\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 92
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "GetMedicationFrom"
            },
            {
              "url" : "statement",
              "valueString" : "//\n//Functions\n//\ndefine function \"GetMedicationFrom\"(choice Choice<FHIR.CodeableConcept, FHIR.Reference>):\n  case\n    when choice is FHIR.Reference then\n      GetMedication(choice as FHIR.Reference)\n    else\n      null\n  end"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 93
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "NHSNdQMAcuteCareHospitalInitialPopulation"
            },
            {
              "url" : "name",
              "valueString" : "GetMedication"
            },
            {
              "url" : "statement",
              "valueString" : "define function \"GetMedication\"(reference Reference ):\n  singleton from (\n    [Medication] Medications\n    where Medications.id = Global.GetId(reference.reference)\n  )"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 94
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "SpecimenResource"
            },
            {
              "url" : "statement",
              "valueString" : "define function SpecimenResource(specimen Specimen, profileURLs List<FHIR.canonical>):\n  specimen s\n  return Specimen{\n    id: FHIR.id {value: 'LCR-' + s.id},\n    meta: MetaElement(s, profileURLs),\n    extension: s.extension,\n    identifier: s.identifier,\n    accessionIdentifier: s.accessionIdentifier,\n    status: s.status,\n    type: s.type,\n    subject: s.subject,\n    receivedTime: s.receivedTime,\n    parent: s.parent,\n    request: s.request,\n    collection: SpecimenCollection(s.collection),\n    processing: SpecimenProcessing(s.processing),\n    container: SpecimenContainer(s.container),\n    condition: s.condition,\n    note: s.note\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 95
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "SpecimenCollection"
            },
            {
              "url" : "statement",
              "valueString" : "define function SpecimenCollection(collection FHIR.Specimen.Collection):\n  collection c\n  return FHIR.Specimen.Collection{\n    collector: c.collector,\n    collected: c.collected,\n    //duration: c.duration, Does not parse for some reason? Need to bring up with SmileCDR\n    quantity: c.quantity,\n    method: c.method,\n    bodySite: c.bodySite,\n    fastingStatus: c.fastingStatus\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 96
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "SpecimenProcessing"
            },
            {
              "url" : "statement",
              "valueString" : "define function SpecimenProcessing(processing List<FHIR.Specimen.Processing>):\n  processing p\n  return FHIR.Specimen.Processing{\n    description: p.description,\n    procedure: p.procedure,\n    additive: p.additive,\n    time: p.time\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 97
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "SharedResourceCreation"
            },
            {
              "url" : "name",
              "valueString" : "SpecimenContainer"
            },
            {
              "url" : "statement",
              "valueString" : "define function SpecimenContainer(container List<FHIR.Specimen.Container>):\n  container c\n  return FHIR.Specimen.Container{\n    description: c.description,\n    type: c.type,\n    capacity: c.capacity,\n    specimenQuantity: c.specimenQuantity,\n    additive: c.additive\n  }"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 98
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        }
      ],
      "name" : "EffectiveDataRequirements",
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "module-definition"
          }
        ]
      },
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
        },
        {
          "type" : "depends-on",
          "display" : "Library Global",
          "resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions"
        },
        {
          "type" : "depends-on",
          "display" : "Code system ActCode",
          "resource" : "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        {
          "type" : "depends-on",
          "display" : "Code system Observation Category",
          "resource" : "http://terminology.hl7.org/CodeSystem/observation-category"
        },
        {
          "type" : "depends-on",
          "display" : "Code system LOINC",
          "resource" : "http://loinc.org"
        },
        {
          "type" : "depends-on",
          "display" : "Code system V2-0074",
          "resource" : "http://terminology.hl7.org/CodeSystem/v2-0074"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Encounter Inpatient",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Emergency Department Visit",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Observation Services",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Inpatient, Emergency, and Observation Locations",
          "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265"
        }
      ],
      "parameter" : [
        {
          "name" : "Measurement Period",
          "use" : "in",
          "min" : 0,
          "max" : "1",
          "type" : "Period"
        },
        {
          "name" : "SDE Encounter",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Encounter"
        },
        {
          "name" : "SDE Medication Request",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "MedicationRequest"
        },
        {
          "name" : "SDE Coverage",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Coverage"
        },
        {
          "name" : "SDE Procedure",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Procedure"
        },
        {
          "name" : "SDE Device",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Device"
        },
        {
          "name" : "SDE Observation Lab Category",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Observation"
        },
        {
          "name" : "SDE Observation Vital Signs Category",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Observation"
        },
        {
          "name" : "SDE DiagnosticReport Others",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "DiagnosticReport"
        },
        {
          "name" : "SDE Medication Administration",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "MedicationAdministration"
        },
        {
          "name" : "SDE Observation Category",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Observation"
        },
        {
          "name" : "SDE Condition",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Condition"
        },
        {
          "name" : "Initial Population",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Encounter"
        },
        {
          "name" : "SDE DiagnosticReport Lab",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "DiagnosticReport"
        },
        {
          "name" : "SDE Location",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Location"
        },
        {
          "name" : "SDE Service Request",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "ServiceRequest"
        },
        {
          "name" : "SDE DiagnosticReport Note",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "DiagnosticReport"
        },
        {
          "name" : "SDE Minimal Patient",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "Patient"
        },
        {
          "name" : "SDE Medication",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Medication"
        },
        {
          "name" : "SDE Specimen",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Specimen"
        }
      ],
      "dataRequirement" : [
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
          ],
          "mustSupport" : [
            "type",
            "status",
            "period",
            "id",
            "extension",
            "identifier",
            "statusHistory",
            "class",
            "classHistory",
            "serviceType",
            "priority",
            "subject",
            "participant",
            "length",
            "reasonCode",
            "reasonReference",
            "diagnosis",
            "account",
            "hospitalization",
            "location",
            "partOf"
          ],
          "codeFilter" : [
            {
              "path" : "type",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
            }
          ]
        },
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
          ],
          "mustSupport" : [
            "type",
            "status",
            "period",
            "id",
            "extension",
            "identifier",
            "statusHistory",
            "class",
            "classHistory",
            "serviceType",
            "priority",
            "subject",
            "participant",
            "length",
            "reasonCode",
            "reasonReference",
            "diagnosis",
            "account",
            "hospitalization",
            "location",
            "partOf"
          ],
          "codeFilter" : [
            {
              "path" : "type",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
            }
          ]
        },
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
          ],
          "mustSupport" : [
            "type",
            "status",
            "period",
            "id",
            "extension",
            "identifier",
            "statusHistory",
            "class",
            "classHistory",
            "serviceType",
            "priority",
            "subject",
            "participant",
            "length",
            "reasonCode",
            "reasonReference",
            "diagnosis",
            "account",
            "hospitalization",
            "location",
            "partOf"
          ],
          "codeFilter" : [
            {
              "path" : "type",
              "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143"
            }
          ]
        },
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
          ],
          "mustSupport" : [
            "class",
            "status",
            "period",
            "id",
            "extension",
            "identifier",
            "statusHistory",
            "classHistory",
            "type",
            "serviceType",
            "priority",
            "subject",
            "participant",
            "length",
            "reasonCode",
            "reasonReference",
            "diagnosis",
            "account",
            "hospitalization",
            "location",
            "partOf"
          ],
          "codeFilter" : [
            {
              "path" : "class",
              "code" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "code" : "EMER",
                  "display" : "emergency"
                },
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "code" : "ACUTE",
                  "display" : "inpatient acute"
                },
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "code" : "IMP",
                  "display" : "inpatient encounter"
                },
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "code" : "NONAC",
                  "display" : "inpatient non-acute"
                },
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "code" : "SS",
                  "display" : "short stay"
                }
              ]
            }
          ]
        },
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
          ],
          "mustSupport" : [
            "status",
            "period",
            "id",
            "extension",
            "identifier",
            "statusHistory",
            "class",
            "classHistory",
            "type",
            "serviceType",
            "priority",
            "subject",
            "participant",
            "length",
            "reasonCode",
            "reasonReference",
            "diagnosis",
            "account",
            "hospitalization",
            "location",
            "partOf"
          ]
        },
        {
          "type" : "Location",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Location"
          ],
          "mustSupport" : [
            "id",
            "extension",
            "status",
            "operationalStatus",
            "name",
            "alias",
            "description",
            "mode",
            "type",
            "telecom",
            "address",
            "physicalType",
            "position",
            "managingOrganization",
            "partOf",
            "hoursOfOperation",
            "availabilityExceptions",
            "endpoint"
          ]
        },
        {
          "type" : "MedicationRequest",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          ],
          "mustSupport" : [
            "authoredOn",
            "id",
            "extension",
            "status",
            "statusReason",
            "intent",
            "category",
            "priority",
            "doNotPerform",
            "reported",
            "medication",
            "subject",
            "encounter",
            "requester",
            "recorder",
            "reasonCode",
            "reasonReference",
            "instantiatesCanonical",
            "instantiatesUri",
            "courseOfTherapyType",
            "dosageInstruction"
          ]
        },
        {
          "type" : "Coverage",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Coverage"
          ],
          "mustSupport" : [
            "period",
            "id",
            "extension",
            "status",
            "type",
            "policyHolder",
            "subscriber",
            "subscriberId",
            "beneficiary",
            "dependent",
            "relationship",
            "payor",
            "class",
            "order",
            "network",
            "subrogation",
            "contract"
          ]
        },
        {
          "type" : "Procedure",
          "profile" : [
            🔗 "http://hl7.org/fhir/StructureDefinition/Procedure"
          ],
          "mustSupport" : [
            "performed",
            "id",
            "extension",
            "instantiatesCanonical",
            "instantiatesUri",
            "basedOn",
            "partOf",
            "status",
            "statusReason",
            "category",
            "code",
            "subject",
            "encounter",
            "recorder",
            "asserter",
            "performer",
            "location",
            "reasonCode",
            "reasonReference",
            "bodySite",
            "outcome",
            "report",
            "complication",
            "complicationDetail",
            "followUp",
            "note",
            "focalDevice",
            "usedReference",
            "usedCode"
          ]
        },
        {
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          ]
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            🔗 "http://hl7.org/fhir/StructureDefinition/Observation"
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        },
        {
          "type" : "MedicationAdministration",
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            🔗 "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
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          "mustSupport" : [
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          ]
        },
        {
          "type" : "Condition",
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            🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
          ],
          "mustSupport" : [
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          "type" : "ServiceRequest",
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      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode" : "Encounter"
    },
    {
      "id" : "effective-data-requirements",
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
      "valueReference" : {
        "reference" : "#effective-data-requirements"
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/nhsn-dqm/Measure/NHSNdQMAcuteCareHospitalInitialPopulation",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.25.316204395913842452684237438142819890580.29.2"
    }
  ],
  "version" : "1.0.0-ballot",
  "name" : "NHSNdQMAcuteCareHospitalInitialPopulation",
  "title" : "NHSN dQM Acute Care Hospital Initial Population",
  "status" : "draft",
  "experimental" : false,
  "date" : "2024-02-29T17:44:38-05:00",
  "publisher" : "HL7 International / Public Health",
  "contact" : [
    {
      "name" : "HL7 International / Public Health",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pher"
        }
      ]
    }
  ],
  "description" : "The Acute Care Hospital Initial Population includes all encounters for patients of any age in an ED, observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets.",
  "relatedArtifact" : [
    {
      "type" : "documentation",
      "display" : "https://www.cdc.gov/nhsn/index.html [placeholder for link to protocol on CDC website]",
      "url" : "https://www.cdc.gov/nhsn/index.html",
      "document" : {
        "url" : "https://www.cdc.gov/nhsn/index.html"
      }
    }
  ],
  "library" : [
    🔗 "http://hl7.org/fhir/us/nhsn-dqm/Library/NHSNdQMAcuteCareHospitalInitialPopulationLibrary"
  ],
  "disclaimer" : "This performance measure is not a clinical guideline, does not establish a standard of medical care and has not been tested for all potential applications.        THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.        This measure and specifications are subject to further revisions.",
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "cohort",
        "display" : "Cohort"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "outcome",
          "display" : "Outcome"
        }
      ]
    }
  ],
  "rationale" : "The NHSN Acute Care Hospital dQM allows for facilities to report line level patient data electronically to NHSN for the following modules that are reported monthly: Glycemic Control, Hypoglycemia; Healthcare facility-onset, antibiotic-Treated Clostridioides difficile (C. difficile) Infection (HT-CDI); Hospital-Onset Bacteremia & Fungemia (HOB); Venous Thromboembolism (VTE); Late Onset Sepsis / Meningitis. *Please see [Acute Care / Critical Access Hospitals (ACH) | NHSN | CDC](https://www.cdc.gov/nhsn/acute-care-hospital/index.html) for the individual measure protocols.",
  "group" : [
    {
      "population" : [
        {
          "id" : "initial-population",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population",
                "display" : "Initial Population"
              }
            ]
          },
          "description" : "All encounters for patients of any age in an ED, observation, or inpatient location or all encounters for patients of any age with an ED, observation, inpatient, or short stay status during the measurement period.",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Initial Population"
          }
        }
      ]
    }
  ],
  "supplementalData" : [
    {
      "id" : "sde-condition",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Condition",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Condition"
      }
    },
    {
      "id" : "sde-device",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Device",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Device"
      }
    },
    {
      "id" : "sde-diagnosticreport-lab",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE DiagnosticReport Lab",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE DiagnosticReport Lab"
      }
    },
    {
      "id" : "sde-diagnosticreport-note",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE DiagnosticReport Note",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE DiagnosticReport Note"
      }
    },
    {
      "id" : "sde-diagnosticreport-others",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE DiagnosticReport Others",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE DiagnosticReport Others"
      }
    },
    {
      "id" : "sde-encounter",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Encounter",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Encounter"
      }
    },
    {
      "id" : "sde-location",
      "usage" : [
        {
          "coding" : [
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              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Location",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Location"
      }
    },
    {
      "id" : "sde-medication-administration",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Medication Administration",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Medication Administration"
      }
    },
    {
      "id" : "sde-medication-request",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Medication Request",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Medication Request"
      }
    },
    {
      "id" : "sde-medication",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Medication",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Medication"
      }
    },
    {
      "id" : "sde-observation-lab-category",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Observation Lab Category",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Observation Lab Category"
      }
    },
    {
      "id" : "sde-observation-vital-signs-category",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Observation Vital Signs Category",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Observation Vital Signs Category"
      }
    },
    {
      "id" : "sde-observation-category",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Observation Category",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Observation Category"
      }
    },
    {
      "id" : "sde-coverage",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Coverage",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Coverage"
      }
    },
    {
      "id" : "sde-procedure",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Procedure",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Procedure"
      }
    },
    {
      "id" : "sde-specimen",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Specimen",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Specimen"
      }
    },
    {
      "id" : "sde-service-request",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Service Request",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Service Request"
      }
    },
    {
      "id" : "sde-minimal-patient",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "description" : "SDE Minimal Patient",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "SDE Minimal Patient"
      }
    }
  ]
}