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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">library-MATGlobalCommonFunctions-FHIR3-4.0.000</td></tr><tr><th scope=\"row\"><b>Type: </b></th><td style=\"padding-right: 25px;\"> Logic Library </td></tr><tr><th scope=\"row\"><b>Version: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">4.0.000</td></tr><tr><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Related: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-FHIRHelpers-3.0.0</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"9\" scope=\"row\"><b>Data Requirements: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Condition</span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Condition</span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Location</span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Provenance</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>target</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Medication</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>id</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Content: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td></tr><tr><td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\"><pre><code class=\"language-cql\">library MATGlobalCommonFunctions_FHIR3 version '4.0.000'\n\n/*\nThis example is a work in progress and should not be considered a final specification\nor recommendation for guidance. This example will help guide and direct the process\nof finding conventions and usage patterns that meet the needs of the various stakeholders\nin the measure development community.\n*/\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\n\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\ncodesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct/731000124108'\ncodesystem &quot;RoleCode&quot;: 'http://hl7.org/fhir/v3/RoleCode'\ncodesystem &quot;Diagnosis Role&quot;: 'http://hl7.org/fhir/diagnosis-role'\n\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset &quot;Emergency Department Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset &quot;Observation Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\n\ncode &quot;Birthdate&quot;: '21112-8' from &quot;LOINC&quot; display 'Birth date'\ncode &quot;Dead&quot;: '419099009' from &quot;SNOMEDCT&quot; display 'Dead'\ncode &quot;ER&quot;: 'ER' from &quot;RoleCode&quot; display 'Emergency room'\ncode &quot;ICU&quot;: 'ICU' from &quot;RoleCode&quot; display 'Intensive care unit'\ncode &quot;Billing&quot;: 'billing' from &quot;Diagnosis Role&quot; display 'Billing'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n\ncontext Patient\n\ndefine &quot;Inpatient Encounter&quot;:\n\t[Encounter: &quot;Encounter Inpatient&quot;] EncounterInpatient\n\t\twhere EncounterInpatient.status = 'finished'\n\t\t  and &quot;LengthInDays&quot;(EncounterInpatient.period) &lt;= 120\n\t\t\tand EncounterInpatient.period ends during &quot;Measurement Period&quot;\n\ndefine function &quot;ToDate&quot;(Value DateTime):\n\tDateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)\n\ndefine function &quot;CalendarAgeInDaysAt&quot;(BirthDateTime DateTime, AsOf DateTime):\n\tdays between ToDate(BirthDateTime)and ToDate(AsOf)\n\ndefine function &quot;CalendarAgeInDays&quot;(BirthDateTime DateTime):\n\tCalendarAgeInDaysAt(BirthDateTime, Today())\n\ndefine function &quot;CalendarAgeInMonthsAt&quot;(BirthDateTime DateTime, AsOf DateTime):\n\tmonths between ToDate(BirthDateTime)and ToDate(AsOf)\n\ndefine function &quot;CalendarAgeInMonths&quot;(BirthDateTime DateTime):\n\tCalendarAgeInMonthsAt(BirthDateTime, Today())\n\ndefine function &quot;CalendarAgeInYearsAt&quot;(BirthDateTime DateTime, AsOf DateTime):\n\tyears between ToDate(BirthDateTime)and ToDate(AsOf)\n\ndefine function &quot;CalendarAgeInYears&quot;(BirthDateTime DateTime):\n\tCalendarAgeInYearsAt(BirthDateTime, Today())\n\ndefine function &quot;LengthInDays&quot;(Value Interval&lt;DateTime&gt;):\n\tdifference in days between start of Value and end of Value\n\ndefine function &quot;ED Visit&quot;(TheEncounter FHIR.Encounter):\n    singleton from (\n        [Encounter: &quot;Emergency Department Visit&quot;] EDVisit\n            where EDVisit.status = 'finished'\n                and EDVisit.period ends 1 hour or less on or before start of FHIRHelpers.ToInterval(TheEncounter.period)\n    )\n\ndefine function &quot;Hospitalization&quot;(TheEncounter FHIR.Encounter):\n\t( &quot;ED Visit&quot;(TheEncounter) ) X\n    return\n        if X is null then TheEncounter.period\n        else Interval[start of FHIRHelpers.ToInterval(X.period), end of FHIRHelpers.ToInterval(TheEncounter.period)]\n\ndefine function &quot;Hospitalization Locations&quot;(TheEncounter FHIR.Encounter):\n\t( &quot;ED Visit&quot;(TheEncounter) ) EDEncounter\n    return\n        if EDEncounter is null then TheEncounter.location\n        else flatten { EDEncounter.location, TheEncounter.location }\n\ndefine function &quot;Hospitalization Length of Stay&quot;(TheEncounter FHIR.Encounter):\n\tLengthInDays(&quot;Hospitalization&quot;(TheEncounter))\n\ndefine function &quot;Hospital Admission Time&quot;(TheEncounter FHIR.Encounter):\n\tstart of &quot;Hospitalization&quot;(TheEncounter)\n\ndefine function &quot;Hospital Discharge Time&quot;(TheEncounter FHIR.Encounter):\n\tend of FHIRHelpers.ToInterval(TheEncounter.period)\n\ndefine function &quot;Hospital Arrival Time&quot;(TheEncounter FHIR.Encounter):\n\tstart of FHIRHelpers.ToInterval(First(\n\t    ( &quot;Hospitalization Locations&quot;(TheEncounter) ) HospitalLocation\n\t\t\tsort by start of FHIRHelpers.ToInterval(period)\n\t).period)\n\ndefine function &quot;HospitalizationWithObservation&quot;(TheEncounter FHIR.Encounter):\n\tTheEncounter Visit\n\t\tlet ObsVisit: Last([Encounter: &quot;Observation Services&quot;] LastObs\n\t\t\t\twhere LastObs.period ends 1 hour or less on or before start of Visit.period\n\t\t\t\tsort by end of period\n\t\t\t),\n\t\t\tVisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n\t\t\tEDVisit: Last([Encounter: &quot;Emergency Department Visit&quot;] LastED\n\t\t\t\twhere LastED.period ends 1 hour or less on or before VisitStart\n\t\t\t\tsort by end of period\n\t\t\t)\n\t\treturn Interval[Coalesce(start of EDVisit.period, VisitStart), end of Visit.period]\n\ndefine function &quot;HospitalizationWithObservationLengthofStay&quot;(Encounter FHIR.Encounter):\n\t&quot;LengthInDays&quot;(&quot;HospitalizationWithObservation&quot;(Encounter))\n\n// TODO - fix these (must fetch Location resources and compare id to reference)\n/*define function &quot;Hospital Departure Time&quot;(TheEncounter FHIR.Encounter):\n\tend of FHIRHelpers.ToInterval(Last(\n\t    ( &quot;Hospitalization Locations&quot;(TheEncounter) ) HospitalLocation\n\t\t\tsort by start of FHIRHelpers.ToInterval(period)\n\t).period)\n\ndefine function &quot;Emergency Department Arrival Time&quot;(TheEncounter FHIR.Encounter):\n\tstart of FHIRHelpers.ToInterval((\n\t    singleton from (\n\t        ( &quot;Hospitalization Locations&quot;(TheEncounter) ) HospitalLocation\n\t\t\t\twhere HospitalLocation.type ~ &quot;ER&quot;\n\t\t)\n\t).period)\n\ndefine function &quot;First Inpatient Intensive Care Unit&quot;(TheEncounter FHIR.Encounter):\n\tFirst(\n\t    ( TheEncounter.location ) HospitalLocation\n\t\t\twhere HospitalLocation.type ~ &quot;ICU&quot;\n\t\t\t\tand HospitalLocation.period during TheEncounter.period\n\t\t\tsort by start of FHIRHelpers.ToInterval(period)\n\t)*/\n\n/*\n*\n*    CQFMeasures Common Logic\n*\n*/\n\ndefine function &quot;Normalize Onset&quot;(onset Choice&lt;FHIR.dateTime, FHIR.Age, FHIR.Period, FHIR.Range, FHIR.string&gt;):\n  if onset is FHIR.dateTime then\n\t  Interval[FHIRHelpers.ToDateTime(onset as FHIR.dateTime), FHIRHelpers.ToDateTime(onset as FHIR.dateTime)]\n\telse if onset is FHIR.Period then\n\t  FHIRHelpers.ToInterval(onset as FHIR.Period)\n\telse if onset is FHIR.Age then\n\t  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(onset as FHIR.Age),\n\t\t  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(onset as FHIR.Age) + 1 year)\n\telse null\n\ndefine function &quot;Normalize Abatement&quot;(condition Condition):\n\tif condition.abatement is FHIR.dateTime then\n\t  Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]\n\telse if condition.abatement is FHIR.Period then\n\t  FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)\n\telse if condition.abatement is FHIR.Age then\n\t\tInterval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),\n\t\t\tFHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)\n\telse if condition.abatement is FHIR.boolean then\n\t  Interval[end of &quot;Normalize Onset&quot;(condition.onset), condition.assertedDate)\n\telse null\n\ndefine function &quot;GetPrevalencePeriod&quot;(condition Condition):\n  Interval[start of &quot;Normalize Onset&quot;(condition.onset), end of &quot;Normalize Abatement&quot;(condition))\n\ndefine function &quot;Normalize Interval&quot;(choice Choice&lt;FHIR.dateTime, FHIR.Period&gt;):\n  if choice is FHIR.dateTime then\n\t  Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]\n\telse\n\t  FHIRHelpers.ToInterval(choice as FHIR.Period)\n\ndefine function &quot;GetId&quot;(uri String):\n\tLast(Split(uri, '/'))\n\ndefine function &quot;EncounterDiagnosis&quot;(Encounter Encounter):\n  Encounter.diagnosis D\n    return singleton from ([Condition] Condition where Condition.id.value = &quot;GetId&quot;(D.condition.reference))\n\n// Returns the condition that is specified as the principal diagnosis for the encounter\ndefine function &quot;PrincipalDiagnosis&quot;(Encounter Encounter):\n\t(singleton from (Encounter.diagnosis D where D.role ~ ToConcept(&quot;Billing&quot;) and D.rank = 1)) PD\n\t//&quot;GetId&quot;(uri String): returns the last String of a Split by / List therefor cannot use in\n\t\treturn singleton from ([Condition] Condition where Condition.id.value = &quot;GetId&quot;(PD.condition.reference))\n\n// Returns the location for the given location reference\ndefine function GetLocation(reference Reference):\n  singleton from (\n    [Location] Location where Location.id.value = GetId(reference.reference)\n  )\n\n/*\nNOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function &quot;GetExtensions&quot;(domainResource DomainResource, url String):\n  domainResource.extension E\n\t  where E.url = ('http://hl7.org/fhir/us/qicore/StructureDefinition/' + url)\n\t\treturn E\n\ndefine function &quot;GetExtension&quot;(domainResource DomainResource, url String):\n  singleton from &quot;GetExtensions&quot;(domainResource, url)\n\n/*\nNOTE: Extensions are not the preferred approach, but are used as a way to access\ncontent that is defined by extensions but not yet surfaced in the\nCQL model info.\n*/\ndefine function &quot;GetBaseExtensions&quot;(domainResource DomainResource, url String):\n  domainResource.extension E\n\t  where E.url = ('http://hl7.org/fhir/StructureDefinition/' + url)\n\t\treturn E\n\ndefine function &quot;GetBaseExtension&quot;(domainResource DomainResource, url String):\n  singleton from &quot;GetBaseExtensions&quot;(domainResource, url)\n\n/*\nNOTE: Provenance is not the preferred approach, this is provided only as an illustration\nfor what using Provenance could look like, and is not a tested pattern\n*/\ndefine function &quot;GetProvenance&quot;(resource Resource):\n  singleton from ([Provenance: target in resource.id])\n\ndefine function &quot;GetMedicationCode&quot;(request MedicationRequest):\n  if request.medication is CodeableConcept then\n\t  request.medication as CodeableConcept\n\telse\n\t  (singleton from ([Medication: id in GetId((request.medication as Reference).reference)])).code\n</code></pre>\n                    \n                    \n                </td>\n            </tr>\n        \n    </table>\n</div>"
        },
        "version": "4.0.000",
        "name": "MATGlobalCommonFunctions_FHIR3",
        "status": "active",
        "experimental": true,
        "type": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/library-type",
              "code": "logic-library"
            }
          ]
        },
        "relatedArtifact": [
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-FHIRHelpers-3.0.0"
            }
          }
        ],
        "dataRequirement": [
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            "type": "Encounter",
            "codeFilter": [
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                "path": "type",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
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              }
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          },
          {
            "type": "Condition"
          },
          {
            "type": "Condition"
          },
          {
            "type": "Location"
          },
          {
            "type": "Provenance",
            "codeFilter": [
              {
                "path": "target"
              }
            ]
          },
          {
            "type": "Medication",
            "codeFilter": [
              {
                "path": "id"
              }
            ]
          }
        ],
        "content": [
          {
            "contentType": "application/elm+xml",
            "data": "[encoded data, 98464 characters]"
          },
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            "contentType": "text/cql",
            "data": "[encoded data, 13216 characters]"
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        "method": "PUT",
        "url": "Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000"
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      "resource": {
        "resourceType": "ValueSet",
        "id": "1.3.6.1.4.1.33895.1.3.0.45",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "1.3.6.1.4.1.33895.1.3.0.45"
          }
        ],
        "version": "20160331",
        "name": "ComfortMeasures",
        "title": "Comfort Measures",
        "status": "active",
        "publisher": "TJC EH Steward",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2018-03",
              "concept": [
                {
                  "code": "133918004",
                  "display": "Comfort measures (regime/therapy)"
                },
                {
                  "code": "182964004",
                  "display": "Terminal care (regime/therapy)"
                },
                {
                  "code": "385736008",
                  "display": "Dying care (regime/therapy)"
                },
                {
                  "code": "385763009",
                  "display": "Hospice care (regime/therapy)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/1.3.6.1.4.1.33895.1.3.0.45"
      }
    },
    {
      "resource": {
        "resourceType": "Library",
        "id": "library-SupplementalDataElements-FHIR3-1.0.0",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">library-SupplementalDataElements-FHIR3-1.0.0</td></tr><tr><th scope=\"row\"><b>Type: </b></th><td style=\"padding-right: 25px;\"> Logic Library </td></tr><tr><th scope=\"row\"><b>Version: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">1.0.0</td></tr><tr><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Related: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-FHIRHelpers-3.0.0</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Data Requirements: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Coverage</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Content: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td></tr><tr><td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\"><pre><code class=\"language-cql\">library SupplementalDataElements_FHIR3 version '1.0.0'\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\n\nvalueset &quot;ONC Administrative Sex&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'\nvalueset &quot;Race&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\nvalueset &quot;Ethnicity&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\nvalueset &quot;Payer&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\n\ncontext Patient\n\ndefine &quot;SDE Ethnicity&quot;:\n  (flatten (\n    Patient.extension Extension\n      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n        return Extension.extension\n  )) E\n    where E.url = 'ombCategory'\n      or E.url = 'detailed'\n    return E.value as Coding\n\ndefine &quot;SDE Payer&quot;:\n    [Coverage: type in &quot;Payer&quot;] Payer\n      return {\n        code: Payer.type,\n        period: Payer.period\n      }\n\ndefine &quot;SDE Race&quot;:\n  (flatten (\n    Patient.extension Extension\n      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n        return Extension.extension\n  )) E\n    where E.url = 'ombCategory'\n      or E.url = 'detailed'\n    return E.value as Coding\n\ndefine &quot;SDE Sex&quot;:\n  case\n    when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n    when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n    else null\n  end\n</code></pre>\n                    \n                    \n                </td>\n            </tr>\n        \n    </table>\n</div>"
        },
        "version": "1.0.0",
        "name": "SupplementalDataElements_FHIR3",
        "status": "active",
        "experimental": true,
        "type": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/library-type",
              "code": "logic-library"
            }
          ]
        },
        "relatedArtifact": [
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-FHIRHelpers-3.0.0"
            }
          }
        ],
        "dataRequirement": [
          {
            "type": "Coverage",
            "codeFilter": [
              {
                "path": "type",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
              }
            ]
          }
        ],
        "content": [
          {
            "contentType": "application/elm+xml",
            "data": "[encoded data, 11480 characters]"
          },
          {
            "contentType": "text/cql",
            "data": "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"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Library/library-SupplementalDataElements-FHIR3-1.0.0"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.309",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "2.16.840.1.113883.3.117.1.7.1.309"
          }
        ],
        "version": "20170726",
        "name": "PatientExpired",
        "title": "Patient Expired",
        "status": "active",
        "publisher": "NLM",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2018-03",
              "concept": [
                {
                  "code": "371828006",
                  "display": "Patient deceased during stay (discharge status = dead) (finding)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.309"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.209",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "2.16.840.1.113883.3.117.1.7.1.209"
          }
        ],
        "version": "20170725",
        "name": "DischargedtoHomeforHospiceCare",
        "title": "Discharged to Home for Hospice Care",
        "status": "active",
        "publisher": "NLM",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2018-03",
              "concept": [
                {
                  "code": "428361000124107",
                  "display": "Discharge to home for hospice care (procedure)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.209"
      }
    },
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        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.308",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308",
        "identifier": [
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            "system": "urn:ietf:rfc:3986",
            "value": "2.16.840.1.113883.3.117.1.7.1.308"
          }
        ],
        "version": "20170726",
        "name": "LeftAgainstMedicalAdvice",
        "title": "Left Against Medical Advice",
        "status": "active",
        "publisher": "NLM",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2018-03",
              "concept": [
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                  "code": "445060000",
                  "display": "Left against medical advice (finding)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.308"
      }
    },
    {
      "resource": {
        "resourceType": "Condition",
        "id": "denom-EXM104-FHIR3-1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
          ]
        },
        "verificationStatus": "confirmed",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116288000",
              "display": "Paralytic stroke (disorder)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/denom-EXM104-FHIR3"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Condition/denom-EXM104-FHIR3-1"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.87",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "2.16.840.1.113883.3.117.1.7.1.87"
          }
        ],
        "version": "20170725",
        "name": "DischargeToAcuteCareFacility",
        "title": "Discharge To Acute Care Facility",
        "status": "active",
        "publisher": "NLM",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2018-03",
              "concept": [
                {
                  "code": "306701001",
                  "display": "Discharge to community hospital (procedure)"
                },
                {
                  "code": "306703003",
                  "display": "Discharge to tertiary referral hospital (procedure)"
                },
                {
                  "code": "434781000124105",
                  "display": "Discharge to acute care hospital (procedure)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.87"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.201",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201",
        "title": "Antithrombotic Therapy",
        "status": "active",
        "publisher": "The Joint Commission",
        "compose": {
          "include": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "version": "2019-08",
              "concept": [
                {
                  "code": "1037045",
                  "display": "dabigatran etexilate 150 MG Oral Capsule"
                },
                {
                  "code": "1037179",
                  "display": "dabigatran etexilate 75 MG Oral Capsule"
                },
                {
                  "code": "103863",
                  "display": "Aspirin 150 MG Rectal Suppository"
                },
                {
                  "code": "1092398",
                  "display": "Aspirin 500 MG / Diphenhydramine Hydrochloride 25 MG Oral Tablet"
                },
                {
                  "code": "1114198",
                  "display": "rivaroxaban 10 MG Oral Tablet"
                },
                {
                  "code": "1232082",
                  "display": "rivaroxaban 15 MG Oral Tablet"
                },
                {
                  "code": "1232086",
                  "display": "rivaroxaban 20 MG Oral Tablet"
                },
                {
                  "code": "1250907",
                  "display": "Aspirin 500 MG / Diphenhydramine Citrate 38.3 MG Oral Tablet"
                },
                {
                  "code": "1291868",
                  "display": "Aspirin 325 MG / Diphenhydramine Citrate 38 MG Oral Tablet"
                },
                {
                  "code": "1361574",
                  "display": "heparin sodium, porcine 20000 UNT/ML Injectable Solution"
                },
                {
                  "code": "1364435",
                  "display": "apixaban 2.5 MG Oral Tablet"
                },
                {
                  "code": "1364445",
                  "display": "apixaban 5 MG Oral Tablet"
                },
                {
                  "code": "1536467",
                  "display": "Aspirin 325 MG / Citric Acid 1000 MG / Sodium Bicarbonate 1700 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1536498",
                  "display": "Aspirin 325 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine bitartrate 7.8 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1536503",
                  "display": "Aspirin 500 MG / Dextromethorphan Hydrobromide 10 MG / doxylamine succinate 6.25 MG / Phenylephrine bitartrate 7.8 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1536675",
                  "display": "Aspirin 325 MG / Citric Acid 1000 MG / Sodium Bicarbonate 1916 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1536815",
                  "display": "Aspirin 500 MG / Caffeine 65 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1536833",
                  "display": "Aspirin 500 MG / Citric Acid 1000 MG / Sodium Bicarbonate 1985 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1536840",
                  "display": "Aspirin 325 MG / Chlorpheniramine Maleate 2 MG / Phenylephrine bitartrate 7.8 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1537029",
                  "display": "Aspirin 325 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine bitartrate 7.8 MG Effervescent Oral Tablet"
                },
                {
                  "code": "1549682",
                  "display": "{42 (rivaroxaban 15 MG Oral Tablet) / 9 (rivaroxaban 20 MG Oral Tablet) } Pack"
                },
                {
                  "code": "1593110",
                  "display": "Acetaminophen 250 MG / Aspirin 250 MG / Diphenhydramine Citrate 38 MG Oral Tablet"
                },
                {
                  "code": "1599543",
                  "display": "edoxaban 15 MG Oral Tablet"
                },
                {
                  "code": "1599551",
                  "display": "edoxaban 30 MG Oral Tablet"
                },
                {
                  "code": "1599555",
                  "display": "edoxaban 60 MG Oral Tablet"
                },
                {
                  "code": "1658717",
                  "display": "250 ML heparin sodium, porcine 100 UNT/ML Injection"
                },
                {
                  "code": "1659195",
                  "display": "500 ML heparin sodium, porcine 50 UNT/ML Injection"
                },
                {
                  "code": "1659197",
                  "display": "250 ML heparin sodium, porcine 50 UNT/ML Injection"
                },
                {
                  "code": "1665356",
                  "display": "24 HR Aspirin 162.5 MG Extended Release Oral Capsule"
                },
                {
                  "code": "1722689",
                  "display": "Aspirin 81 MG / Calcium Carbonate 777 MG Oral Tablet"
                },
                {
                  "code": "1723476",
                  "display": "dabigatran etexilate 110 MG Oral Capsule"
                },
                {
                  "code": "1730187",
                  "display": "{12 (Aspirin 325 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine bitartrate 7.8 MG Effervescent Oral Tablet) / 8 (Aspirin 500 MG / Dextromethorphan Hydrobromide 10 MG / doxylamine succinate 6.25 MG / Phenylephrine bitartrate 7.8 MG Effervescent Oral Tablet) } Pack"
                },
                {
                  "code": "1804735",
                  "display": "50 ML argatroban 1 MG/ML Injection"
                },
                {
                  "code": "1804737",
                  "display": "125 ML argatroban 1 MG/ML Injection"
                },
                {
                  "code": "1804738",
                  "display": "250 ML argatroban 1 MG/ML Injection"
                },
                {
                  "code": "1811631",
                  "display": "Aspirin 81 MG / Omeprazole 40 MG Delayed Release Oral Tablet"
                },
                {
                  "code": "1811632",
                  "display": "Aspirin 325 MG / Omeprazole 40 MG Delayed Release Oral Tablet"
                },
                {
                  "code": "198464",
                  "display": "Aspirin 300 MG Rectal Suppository"
                },
                {
                  "code": "198466",
                  "display": "Aspirin 325 MG Oral Capsule"
                },
                {
                  "code": "198467",
                  "display": "Aspirin 325 MG Delayed Release Oral Tablet"
                },
                {
                  "code": "198471",
                  "display": "Aspirin 500 MG Oral Tablet"
                },
                {
                  "code": "198473",
                  "display": "Aspirin 600 MG Rectal Suppository"
                },
                {
                  "code": "198475",
                  "display": "Aspirin 650 MG Oral Tablet"
                },
                {
                  "code": "198479",
                  "display": "Aspirin 400 MG / Caffeine 32 MG Oral Tablet"
                },
                {
                  "code": "198480",
                  "display": "Aspirin 500 MG / Caffeine 32 MG Oral Tablet"
                },
                {
                  "code": "1992427",
                  "display": "{74 (apixaban 5 MG Oral Tablet) } Pack"
                },
                {
                  "code": "199274",
                  "display": "Aspirin 300 MG Oral Capsule"
                },
                {
                  "code": "212033",
                  "display": "Aspirin 325 MG Oral Tablet"
                },
                {
                  "code": "243670",
                  "display": "Aspirin 81 MG Oral Tablet"
                },
                {
                  "code": "243685",
                  "display": "Aspirin 421 MG / Caffeine 32 MG Oral Tablet"
                },
                {
                  "code": "243694",
                  "display": "Acetaminophen 194 MG / Aspirin 227 MG / Caffeine 33 MG Oral Tablet"
                },
                {
                  "code": "259081",
                  "display": "12 HR Aspirin 25 MG / Dipyridamole 200 MG Extended Release Oral Capsule"
                },
                {
                  "code": "308278",
                  "display": "Acetaminophen 115 MG / Aspirin 210 MG / Caffeine 16 MG / salicylamide 65 MG Oral Tablet"
                },
                {
                  "code": "308297",
                  "display": "Acetaminophen 250 MG / Aspirin 250 MG / Caffeine 65 MG Oral Tablet"
                },
                {
                  "code": "308351",
                  "display": "2.5 ML argatroban 100 MG/ML Injection"
                },
                {
                  "code": "308363",
                  "display": "Aspirin 325 MG / Caffeine 16 MG / salicylamide 95 MG Oral Tablet"
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                  "display": "Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery"
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                  "display": "Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">library-FHIRHelpers-3.0.0</td></tr><tr><th scope=\"row\"><b>Type: </b></th><td style=\"padding-right: 25px;\"> Logic Library </td></tr><tr><th scope=\"row\"><b>Version: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">3.0.0</td></tr><tr><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Content: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td></tr><tr><td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\"><pre><code class=\"language-cql\">library FHIRHelpers version '3.0.0'\n\nusing FHIR version '3.0.0'\n\ndefine function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]\n\ndefine function ToQuantity(quantity FHIR.Quantity):\n    if quantity is null then\n        null\n    else\n        System.Quantity { value: quantity.value.value, unit: quantity.unit.value }\n\ndefine function ToInterval(range FHIR.Range):\n    if range is null then\n        null\n    else\n        Interval[ToQuantity(range.low), ToQuantity(range.high)]\n\ndefine function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }\n\ndefine 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        }\n\ndefine function ToString(value FHIR.uuid): value.value\ndefine function ToString(value FHIR.TestScriptRequestMethodCode): value.value\ndefine function ToString(value FHIR.ProvenanceEntityRole): value.value\ndefine function ToString(value FHIR.UnitsOfTime): value.value\ndefine function ToString(value FHIR.AddressType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceCategory): value.value\ndefine function ToString(value FHIR.SpecimenStatus): value.value\ndefine function ToString(value FHIR.RestfulCapabilityMode): value.value\ndefine function ToString(value FHIR.DetectedIssueSeverity): value.value\ndefine function ToString(value FHIR.IssueSeverity): value.value\ndefine function ToString(value FHIR.CareTeamStatus): value.value\ndefine function ToString(value FHIR.DataElementStringency): value.value\ndefine function ToString(value FHIR.VisionEyes): value.value\ndefine function ToString(value FHIR.EncounterStatus): value.value\ndefine function ToString(value FHIR.StructureDefinitionKind): value.value\ndefine function ToString(value FHIR.PublicationStatus): value.value\ndefine function ToString(value FHIR.ConsentDataMeaning): value.value\ndefine function ToString(value FHIR.StructureMapSourceListMode): value.value\ndefine function ToString(value FHIR.RequestStatus): value.value\ndefine function ToString(value FHIR.QuestionnaireResponseStatus): value.value\ndefine function ToString(value FHIR.SearchComparator): value.value\ndefine function ToString(value FHIR.ChargeItemStatus): value.value\ndefine function ToString(value FHIR.ActionParticipantType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceType): value.value\ndefine function ToString(value FHIR.DocumentRelationshipType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceClinicalStatus): value.value\ndefine function ToString(value FHIR.CarePlanActivityStatus): value.value\ndefine function ToString(value FHIR.ActionList): value.value\ndefine function ToString(value FHIR.ParticipationStatus): value.value\ndefine function ToString(value FHIR.TestReportResult): value.value\ndefine function ToString(value FHIR.ConceptMapGroupUnmappedMode): value.value\ndefine function ToDateTime(value FHIR.instant): value.value\ndefine function ToDateTime(value FHIR.dateTime): value.value\ndefine function ToDate(value FHIR.date): value.value\ndefine function ToString(value FHIR.DocumentMode): value.value\ndefine function ToString(value FHIR.AssertionOperatorType): value.value\ndefine function ToString(value FHIR.DaysOfWeek): value.value\ndefine function ToString(value FHIR.IssueType): value.value\ndefine function ToString(value FHIR.ContentType): value.value\ndefine function ToString(value FHIR.StructureMapContextType): value.value\ndefine function ToString(value FHIR.FamilyHistoryStatus): value.value\ndefine function ToInteger(value FHIR.positiveInt): value.value\ndefine function ToString(value FHIR.ClinicalImpressionStatus): value.value\ndefine function ToString(value FHIR.AssertionResponseTypes): value.value\ndefine function ToString(value FHIR.RequestIntent): value.value\ndefine function ToString(value FHIR.NarrativeStatus): value.value\ndefine function ToString(value FHIR.MeasmntPrinciple): value.value\ndefine function ToString(value FHIR.ConsentExceptType): value.value\ndefine function ToString(value FHIR.string): value.value\ndefine function ToString(value FHIR.ActionRequiredBehavior): value.value\ndefine function ToString(value FHIR.EndpointStatus): value.value\ndefine function ToString(value FHIR.GuidePageKind): value.value\ndefine function ToString(value FHIR.GuideDependencyType): value.value\ndefine function ToString(value FHIR.ResourceVersionPolicy): value.value\ndefine function ToString(value FHIR.MedicationRequestStatus): value.value\ndefine function ToString(value FHIR.MedicationAdministrationStatus): value.value\ndefine function ToString(value FHIR.ActionCardinalityBehavior): value.value\ndefine function ToString(value FHIR.MedicationRequestIntent): value.value\ndefine function ToString(value FHIR.NamingSystemIdentifierType): value.value\ndefine function ToString(value FHIR.ImmunizationStatusCodes): value.value\ndefine function ToString(value FHIR.AccountStatus): value.value\ndefine function ToString(value FHIR.MedicationDispenseStatus): value.value\ndefine function ToString(value FHIR.ConfidentialityClassification): value.value\ndefine function ToString(value FHIR.IdentifierUse): value.value\ndefine function ToString(value FHIR.DigitalMediaType): value.value\ndefine function ToString(value FHIR.StructureMapTargetListMode): value.value\ndefine function ToString(value FHIR.TestReportParticipantType): value.value\ndefine function ToString(value FHIR.BindingStrength): value.value\ndefine function ToString(value FHIR.RequestPriority): value.value\ndefine function ToString(value FHIR.ParticipantRequired): value.value\ndefine function ToString(value FHIR.DiscriminatorType): value.value\ndefine function ToString(value FHIR.XPathUsageType): value.value\ndefine function ToString(value FHIR.StructureMapInputMode): value.value\ndefine function ToString(value FHIR.InstanceAvailability): value.value\ndefine function ToString(value FHIR.id): value.value\ndefine function ToString(value FHIR.LinkageType): value.value\ndefine function ToString(value FHIR.ReferenceHandlingPolicy): value.value\ndefine function ToString(value FHIR.MedicationStatus): value.value\ndefine function ToString(value FHIR.FilterOperator): value.value\ndefine function ToString(value FHIR.NamingSystemType): value.value\ndefine function ToString(value FHIR.ResearchStudyStatus): value.value\ndefine function ToString(value FHIR.ExtensionContext): value.value\ndefine function ToString(value FHIR.FHIRDefinedType): value.value\ndefine function ToString(value FHIR.AuditEventOutcome): value.value\ndefine function ToString(value FHIR.ActionRelationshipType): value.value\ndefine function ToString(value FHIR.ConstraintSeverity): value.value\ndefine function ToString(value FHIR.EventCapabilityMode): value.value\ndefine function ToString(value FHIR.ContractResourceStatusCodes): value.value\ndefine function ToString(value FHIR.ResearchSubjectStatus): value.value\ndefine function ToString(value FHIR.UDIEntryType): value.value\ndefine function ToString(value FHIR.DeviceMetricCategory): value.value\ndefine function ToString(value FHIR.TestReportActionResult): value.value\ndefine function ToString(value FHIR.StructureMapTransform): value.value\ndefine function ToString(value FHIR.ResponseType): value.value\ndefine function ToDecimal(value FHIR.decimal): value.value\ndefine function ToString(value FHIR.AggregationMode): value.value\ndefine function ToString(value FHIR.CapabilityStatementKind): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceVerificationStatus): value.value\ndefine function ToString(value FHIR.EventTiming): value.value\ndefine function ToString(value FHIR.GoalStatus): value.value\ndefine function ToString(value FHIR.SearchParamType): value.value\ndefine function ToString(value FHIR.SystemRestfulInteraction): value.value\ndefine function ToString(value FHIR.ActionGroupingBehavior): value.value\ndefine function ToString(value FHIR.StructureMapModelMode): value.value\ndefine function ToString(value FHIR.TaskStatus): value.value\ndefine function ToString(value FHIR.AdverseEventCausality): value.value\ndefine function ToString(value FHIR.SubscriptionChannelType): value.value\ndefine function ToString(value FHIR.GraphCompartmentRule): value.value\ndefine function ToString(value FHIR.AssertionDirectionType): value.value\ndefine function ToString(value FHIR.CarePlanIntent): value.value\ndefine function ToString(value FHIR.SlicingRules): value.value\ndefine function ToString(value FHIR.ExplanationOfBenefitStatus): value.value\ndefine function ToString(value FHIR.ConsentState): value.value\ndefine function ToString(value FHIR.AdverseEventCategory): value.value\ndefine function ToString(value FHIR.LinkType): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceCriticality): value.value\ndefine function ToString(value FHIR.MedicationRequestPriority): value.value\ndefine function ToString(value FHIR.ConceptMapEquivalence): value.value\ndefine function ToString(value FHIR.FHIRAllTypes): value.value\ndefine function ToString(value FHIR.PropertyRepresentation): value.value\ndefine function ToString(value FHIR.AuditEventAction): value.value\ndefine function ToString(value FHIR.TriggerType): value.value\ndefine function ToString(value FHIR.SearchModifierCode): value.value\ndefine function ToString(value FHIR.CompositionStatus): value.value\ndefine function ToString(value FHIR.AppointmentStatus): value.value\ndefine function ToString(value FHIR.MessageSignificanceCategory): value.value\ndefine function ToString(value FHIR.EventStatus): value.value\ndefine function ToString(value FHIR.OperationParameterUse): value.value\ndefine function ToString(value FHIR.ListMode): value.value\ndefine function ToString(value FHIR.ActionConditionKind): value.value\ndefine function ToString(value FHIR.ObservationStatus): value.value\ndefine function ToString(value FHIR.qualityType): value.value\ndefine function ToString(value FHIR.AdministrativeGender): value.value\ndefine function ToString(value FHIR.ResourceType): value.value\ndefine function ToString(value FHIR.QuestionnaireItemType): value.value\ndefine function ToBoolean(value FHIR.boolean): value.value\ndefine function ToString(value FHIR.StructureMapGroupTypeMode): value.value\ndefine function ToString(value FHIR.DeviceMetricCalibrationType): value.value\ndefine function ToString(value FHIR.code): value.value\ndefine function ToString(value FHIR.SupplyRequestStatus): value.value\ndefine function ToString(value FHIR.ActionSelectionBehavior): value.value\ndefine function ToString(value FHIR.EncounterLocationStatus): value.value\ndefine function ToString(value FHIR.SupplyDeliveryStatus): value.value\ndefine function ToString(value FHIR.DiagnosticReportStatus): value.value\ndefine function ToString(value FHIR.FlagStatus): value.value\ndefine function ToString(value FHIR.CarePlanStatus): value.value\ndefine function ToString(value FHIR.ConditionClinicalStatusCodes): value.value\ndefine function ToString(value FHIR.ListStatus): value.value\ndefine function Tobase64Binary(value FHIR.base64Binary): value.value\ndefine function ToString(value FHIR.DeviceUseStatementStatus): value.value\ndefine function ToString(value FHIR.AuditEventAgentNetworkType): value.value\ndefine function ToString(value FHIR.AddressUse): value.value\ndefine function ToString(value FHIR.ConditionalDeleteStatus): value.value\ndefine function ToString(value FHIR.ContactPointUse): value.value\ndefine function ToString(value FHIR.DeviceMetricOperationalStatus): value.value\ndefine function ToString(value FHIR.NutritionOrderStatus): value.value\ndefine function ToString(value FHIR.uri): value.value\ndefine function ToString(value FHIR.ContributorType): value.value\ndefine function ToString(value FHIR.ReferenceVersionRules): value.value\ndefine function ToString(value FHIR.Use): value.value\ndefine function ToString(value FHIR.IdentityAssuranceLevel): value.value\ndefine function ToString(value FHIR.MeasureReportStatus): value.value\ndefine function ToString(value FHIR.DeviceMetricColor): value.value\ndefine function ToString(value FHIR.SearchEntryMode): value.value\ndefine function ToTime(value FHIR.time): value.value\ndefine function ToString(value FHIR.ConditionalReadStatus): value.value\ndefine function ToString(value FHIR.ConditionVerificationStatus): value.value\ndefine function ToString(value FHIR.AllergyIntoleranceSeverity): value.value\ndefine function ToString(value FHIR.FinancialResourceStatusCodes): value.value\ndefine function ToString(value FHIR.OperationKind): value.value\ndefine function ToString(value FHIR.ObservationRelationshipType): value.value\ndefine function ToInteger(value FHIR.unsignedInt): value.value\ndefine function ToString(value FHIR.NameUse): value.value\ndefine function ToString(value FHIR.SubscriptionStatus): value.value\ndefine function ToString(value FHIR.DocumentReferenceStatus): value.value\ndefine function ToString(value FHIR.LocationMode): value.value\ndefine function ToInteger(value FHIR.integer): value.value\ndefine function ToString(value FHIR.repositoryType): value.value\ndefine function ToString(value FHIR.LocationStatus): value.value\ndefine function ToString(value FHIR.FHIRSubstanceStatus): value.value\ndefine function ToString(value FHIR.UnknownContentCode): value.value\ndefine function ToString(value FHIR.NoteType): value.value\ndefine function ToString(value FHIR.TestReportStatus): value.value\ndefine function ToString(value FHIR.HTTPVerb): value.value\ndefine function ToString(value FHIR.CodeSystemContentMode): value.value\ndefine function ToString(value FHIR.EpisodeOfCareStatus): value.value\ndefine function ToString(value FHIR.RemittanceOutcome): value.value\ndefine function ToString(value FHIR.FHIRDeviceStatus): value.value\ndefine function ToString(value FHIR.ContactPointSystem): value.value\ndefine function ToString(value FHIR.SlotStatus): value.value\ndefine function ToString(value FHIR.PropertyType): value.value\ndefine function ToString(value FHIR.markdown): value.value\ndefine function ToString(value FHIR.TypeDerivationRule): value.value\ndefine function ToString(value FHIR.MedicationStatementStatus): value.value\ndefine function ToString(value FHIR.GuidanceResponseStatus): value.value\ndefine function ToString(value FHIR.QuantityComparator): value.value\ndefine function ToString(value FHIR.RelatedArtifactType): value.value\ndefine function ToString(value FHIR.oid): value.value\ndefine function ToString(value FHIR.MeasureReportType): value.value\ndefine function ToString(value FHIR.ActionPrecheckBehavior): value.value\ndefine function ToString(value FHIR.SampledDataDataType): value.value\ndefine function ToString(value FHIR.MedicationStatementTaken): value.value\ndefine function ToString(value FHIR.CompartmentType): value.value\ndefine function ToString(value FHIR.CompositionAttestationMode): value.value\ndefine function ToString(value FHIR.DeviceMetricCalibrationState): value.value\ndefine function ToString(value FHIR.GroupType): value.value\ndefine function ToString(value FHIR.TypeRestfulInteraction): value.value\ndefine function ToString(value FHIR.CodeSystemHierarchyMeaning): value.value\ndefine function ToString(value FHIR.VisionBase): value.value\ndefine function ToString(value FHIR.BundleType): value.value\ndefine function ToString(value FHIR.SystemVersionProcessingMode): value.value\n</code></pre>\n                    \n                    \n                </td>\n            </tr>\n        \n    </table>\n</div>"
        },
        "version": "3.0.0",
        "name": "FHIRHelpers",
        "status": "active",
        "experimental": true,
        "type": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/library-type",
              "code": "logic-library"
            }
          ]
        },
        "content": [
          {
            "contentType": "application/elm+xml",
            "data": "[encoded data, 122448 characters]"
          },
          {
            "contentType": "text/cql",
            "data": "[encoded data, 20760 characters]"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Library/library-FHIRHelpers-3.0.0"
      }
    },
    {
      "resource": {
        "resourceType": "Encounter",
        "id": "denom-EXM104-FHIR3-2",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "32485007",
                "display": "Hospital admission (procedure)"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/denom-EXM104-FHIR3"
        },
        "period": {
          "start": "2019-08-21T00:00:00-06:00",
          "end": "2019-12-19T08:15:00-07:00"
        },
        "diagnosis": [
          {
            "condition": {
              "reference": "Condition/denom-EXM104-FHIR3-1"
            },
            "role": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/diagnosis-role",
                  "code": "billing",
                  "display": "Billing"
                }
              ]
            },
            "rank": 1
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Encounter/denom-EXM104-FHIR3-2"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.207",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "2.16.840.1.113883.3.117.1.7.1.207"
          }
        ],
        "version": "20170725",
        "name": "DischargedtoHealthCareFacilityforHospiceCare",
        "title": "Discharged to Health Care Facility for Hospice Care",
        "status": "active",
        "publisher": "NLM",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2018-03",
              "concept": [
                {
                  "code": "428371000124100",
                  "display": "Discharge to healthcare facility for hospice care (procedure)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.207"
      }
    },
    {
      "resource": {
        "resourceType": "Measure",
        "id": "measure-EXM104-FHIR3-8.1.000",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-09-13T20:33:19.546+00:00",
          "profile": [
            "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"width: 60%; border-bottom: none;\" class=\"header_table\">      <!-- <tr th:if=\"${resource.hasId()}\" style=\"vertical-align: top;\"><th style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Id: </span></th><td style=\"width:80%\" colspan=\"3\"  th:narrative=\"${resource.id}\"></td></tr> --><tr style=\"vertical-align: top;\"><td scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">Measure Title</span></td><td colspan=\"1\" style=\"width:60%\"><h1 style=\"font-size:10px\">Discharged on Antithrombotic Therapy</h1></td><td scope=\"row\" style=\"background-color:#656565; width:10%\"><span class=\"td_label\">Measure ID</span></td><td colspan=\"1\" style=\"width:10%\"><h1 style=\"font-size:10px\">EXM104</h1></td></tr>      <!-- <th:block th:each=\"ident, iter : ${resource.identifier}\"><tr th:if=\"${ident.type.coding[0].code == 'CMS'}\" style=\"vertical-align: top;\"><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">eCQM Identifier (Measure Authoring Tool)</span></td><td style=\"width:30%\" th:narrative=\"${ident.value}\"></td><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">eCQM Version number</span></td><td style=\"width:30%\" th:narrative=\"${resource.version}\"></td></tr></th:block><th:block th:each=\"ident, iter : ${resource.identifier}\"><tr th:if=\"${ident.type.coding[0].code == 'NQF'}\" style=\"vertical-align: top;\"><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">NQF Number</span></td><td style=\"width:30%\" th:narrative=\"${ident.value}\"></td><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">GUID</span></td><td style=\"width:30%\" th:narrative=\"${resource.url}\"></td></tr></th:block> --><tr style=\"vertical-align: top;\"><td scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">Description</span></td><td colspan=\"3\" style=\"width:80%\"><div style=\"width:660px;overflow-x:hidden;overflow-y:auto\"><pre><p>Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge</p>\n</pre>\n                </div>\n            </td>\n        </tr>\n        <tr>\n            <td scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">Measurement Period</span></td>\n            <td colspan=\"3\" style=\"width:80%\">January 1 - December 31</td>\n        </tr>\n              <!-- <tr>\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Measure Steward</span></td>\n            <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.publisher}\"></td>\n        </tr>\n        <tr>\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Measure Developer</span></td>\n            <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.publisher}\"></td>\n        </tr> -->\n              <!-- <tr th:if=\"${resource.hasDisclaimer()}\">\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Disclaimer</span></td>\n            <td style=\"width:80%\" colspan=\"3\">\n                <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                    <pre th:text=\"${resource.disclaimer}\"></pre>\n                </div>\n            </td>\n        </tr> -->\n        <tr>\n            <td scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">Copyright and Disclaimer Notice</span></td>\n            <td colspan=\"3\" style=\"width:80%\">\n                <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                    <pre>These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.</pre>\n                    <br/>\n                    <pre>HEDIS%26reg; is a registered trademark of the National Committee for Quality Assurance (NCQA). The HEDIS measures and specifications are owned by NCQA. NCQA holds a copyright in the HEDIS measures and specifications and may rescind or alter these measures and specifications at any time. Users of the HEDIS measures and specifications shall not have the right to alter, enhance or otherwise modify the HEDIS measures and specifications, and shall not disassemble, recompile or reverse engineer the HEDIS measures and specifications. Anyone desiring to use or reproduce the materials, subject to licensed user restrictions, without modification for an internal, non-commercial purpose may do so without obtaining any approval from NCQA. Use of the Rules for Allowable Adjustments of HEDIS to make permitted adjustments of the materials does not constitute a modification. All other uses, including a commercial use, or any external reproduction, distribution and publication must be approved by NCQA and are subject to a license at the discretion of NCQA.\n\nHEDIS measures and specifications are not clinical guidelines, do not establish a standard of medical care and have not been tested for all potential applications. The measures and specifications are provided “as is” without warranty of any kind. NCQA makes no representations, warranties or endorsements about the quality of any product, test or protocol identified as numerator compliant or otherwise identified as meeting the requirements of a HEDIS measure or specification. NCQA also makes no representations, warranties or endorsements about the quality of any organization or clinician who uses or reports performance measures. NCQA has no liability to anyone who relies on HEDIS measures and specifications or data reflective of performance under such measures and specifications.\n\nCalculated measure results, based on unadjusted HEDIS specifications, may not be termed “Health Plan HEDIS rates” until the logic used to produce the measure results has been certified by NCQA and has been audited and designated reportable by an NCQA-Certified Auditor. Such results should be referred to as “Uncertified, Unaudited Health Plan HEDIS Rates.”\n\nCalculated measure results, based on adjusted HEDIS specifications, may not be termed “Adjusted HEDIS rates” until the logic used to produce the measure results has been certified by NCQA and has been audited and designated reportable by an NCQA-Certified Auditor. Such results should be referred to as “Adjusted, Uncertified, Unaudited HEDIS Rates.”\n\nLimited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. NCQA disclaims all liability for use or accuracy of any coding contained in the specifications.\n\nThe American Medical Association holds a copyright to the CPT%26reg; codes contained in the measures specifications.\n\nThe American Hospital Association holds a copyright to the Uniform Bill Codes (UB) contained in the measure specifications. The UB Codes in the HEDIS specifications are included with the permission of the AHA. The UB Codes contained in the HEDIS specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting HEDIS measure results or using HEDIS measure results for their internal quality improvement purposes. All other uses of the UB Codes require a license from the AHA. Anyone desiring to use the UB Codes in a commercial Product(s) to generate HEDIS results, or for any other commercial use, must obtain a commercial use license directly from the AHA. To inquire about licensing, contact ub04@healthforum.com.\n\nSome measure specifications contain coding from LOINC%26reg; (http://loinc.org). The LOINC table, LOINC codes, LOINC panels and form file, LOINC linguistic variants file, LOINC/RSNA Radiology Playbook, and LOINC/IEEE Medical Device Code Mapping Table are copyright %26copy; 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/terms-of-use.\n\n&quot;SNOMED” and “SNOMED CT” are registered trademarks of the International Health Terminology Standards Development Organization (IHTSDO).\n\n“HL7” is the registered trademark of Health Level Seven International.\n\n%26copy; 2019 by the National Committee for Quality Assurance, all rights reserved.</pre>\n                </div>\n            </td>\n        </tr>\n        <tr>\n            <td scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">Clinical Recommendation Statement</span></td>\n            <td colspan=\"3\" style=\"width:80%\">\n                <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\"><p>Clinical trial results suggest that antithrombotic therapy should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality and morbidity as long as no contraindications exist</p>\n</div>\n            </td>\n        </tr>\n        \n            <tr style=\"vertical-align: top;\">\n                <td rowspan=\"8\" scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">References</span></td>\n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Adams HP, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks E. Guidelines for the Early Management of Adults with Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke Council, Clinical CardiologyCouncil, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke. 2007;38:1655-1711.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Adams H, Adams R, Del Zoppo G, Goldstein LB. Guidelines for the Early Management of Patients With Ischemic Stroke: Guidelines Update A Scientific Statement From the Stroke Council of the American Heart Association/American Stroke Association. Stroke Vol. 36, 2005: 916:923.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Albers GW, Amarenco P, Easton JD, Sacco RL, Teal P. Antithrombotic and Thrombolytic Therapy for Ischemic Stroke. Chest Vol. 119, 2001: 300-320.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Brott TG, Clark WM, Grotta JC, et al. Stroke the first hours. Guidelines for acute treatment. Consensus Statement. National Stroke Association. 2000.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Chen ZM, Sandercock P, Pan HC, et al. Indications for early aspirin use in acute ischemic stroke: a combined analysis of 40,000 randomized patients from the Chinese acute stroke trial and the international stroke trial. On behalf of the CAST and IST collaborative groups, Stroke 2000;31:1240-1249.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Coull BM, Williams LS, Goldstein LB, et al. Anticoagulants and Antiplatelet Agents in Acute Ischemic Stroke. Report of the Joint Stroke Guideline Development Committee of the American Academy of Neurology and the American Stroke Association (a Division of the American Heart Association) Stroke. 2002;33:1934 - 1942.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Guideline on the Use of Aspirin as Secondary Prophylaxis for Vascular Disease in Primary Care, Centre for Health Services Research University of Newcastle upon Tyne, %26amp; Centre for Health Economics of York, 1998.</pre>\n                    </div>\n                </td>\n            </tr>\n        \n        \n            <tr style=\"vertical-align: top;\">\n                \n                <td colspan=\"3\" style=\"width:80%\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre>Kernan, W.N., B. Ovbiagele, H. R. Black, D. M. Bravata, M. I. Chimowitz, M. D. Ezekowitz, M. C. Fang, M. Fisher, K. L. Furie, D. V. Heck, S. C. Johnston, S. E. Kasner, S. J. Kittner, P. H. Mitchell, M. W. Rich, D. Richardson, L. H. Schwamm, J. A. Wilson. &quot;Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association.&quot; [in eng.]  Stroke 45, no. 7 (May 2014): 2160-223. </pre>\n                    </div>\n                </td>\n            </tr>\n        \n        <tr>\n            <td colspan=\"4\" scope=\"row\" style=\"background-color:#656565; width:100%\"><span class=\"td_label\">Characteristics</span></td>\n        </tr>\n        <tr>\n            <td scope=\"row\" style=\"width:20%\"><span>Scoring</span></td>\n            <td colspan=\"3\" style=\"width:80%\">Proportion</td>\n        </tr>\n              <!-- <tr th:if=\"${resource.hasCompositeScoring()}\">\n            <td style=\"width:20%\" scope=\"row\"><span class=\"td_label\">Composite Scoring</span></td>\n            <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.compositeScoring.getText().substring(0, 1).toUpperCase() + resource.compositeScoring.getText().substring(1)}\"></td>\n        </tr> -->\n        \n            <tr style=\"vertical-align: top;\">\n                <td rowspan=\"1\" scope=\"row\" style=\"width:20%\"><span>Type</span></td>\n                <td colspan=\"3\" style=\"width:80%\">Process</td>\n            </tr>\n        \n              <!-- <tr th:if=\"${resource.hasStatus()}\" style=\"vertical-align: top;\">\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Status</span></td>\n            <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.status.toString().substring(0, 1).toUpperCase() + resource.status.toString().substring(1).toLowerCase()}\"></td>\n        </tr>\n        <tr th:if=\"${resource.hasPurpose()}\" style=\"vertical-align: top;\">\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Purpose</span></td>\n            <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.purpose}\"></td>\n        </tr>\n        <tr th:if=\"${resource.hasUsage()}\" style=\"vertical-align: top;\" >\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Usage</span></td>\n            <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.usage}\"></td>\n        </tr>\n        <th:block th:each=\"context, iter : ${resource.useContext}\" >\n            <tr style=\"vertical-align: top;\">\n                <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Use Context</span></td>\n                <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${context}\"></td>\n            </tr>\n        </th:block>\n        <th:block th:each=\"topics, iter : ${resource.topic}\" >\n            <tr style=\"vertical-align: top;\">\n                <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Topic</span></td>\n                <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${topics}\"></td>\n            </tr>\n        </th:block>\n        <th:block th:each=\"cont, iter : ${resource.contributor}\" >\n            <tr style=\"vertical-align: top;\">\n                <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Contributor</span></td>\n                <td style=\"width:80%\" colspan=\"3\">\n                    <b><span th:narrative=\"${cont.type.toCode()}\"></span>: </b><span th:narrative=\"${cont.name}\"></span>\n                </td>\n            </tr>\n        </th:block> -->\n              <!-- <th:block th:each=\"lib, iter : ${resource.library}\" >\n            <tr style=\"vertical-align: top;\">\n                <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Library</span></td>\n                <td style=\"width:80%\" colspan=\"3\">\n                    <p th:if=\"${lib.hasIdentifier()}\"><b>identifier: </b><span th:narrative=\"${lib.identifier}\"></span></p>\n                    <p th:if=\"${lib.hasReference()}\"><b>reference: </b><span th:narrative=\"${lib.reference}\"></span></p>\n                    <p th:if=\"${lib.hasDisplay()}\"><b>display: </b><span th:narrative=\"${lib.display}\"></span></p>\n                </td>\n            </tr>\n        </th:block> -->\n        \n              <!-- <tr th:if=\"${resource.hasRateAggregation()}\" >\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Rate Aggregation</span></td>\n            <td style=\"width:80%\" colspan=\"3\">\n                <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                    <pre th:text=\"${resource.rateAggregation}\"></pre>\n                </div>\n            </td>\n        </tr>\n        <tr th:if=\"${resource.hasRationale()}\">\n            <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Rationale</span></td>\n            <td style=\"width:80%\" colspan=\"3\">\n                <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                    <pre th:text=\"${resource.rationale}\"></pre>\n                </div>\n            </td>\n        </tr> -->\n        <tr>\n            <td scope=\"row\" style=\"width:20%\"><span>Improvement Notation</span></td>\n            <td colspan=\"3\" style=\"width:80%\">A higher rate indicates better performance.</td>\n            \n        </tr>\n        <tr>\n            <td scope=\"row\" style=\"width:20%\"><span>Guidance</span></td>\n            <td colspan=\"3\" style=\"width:80%\">\n                <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\"><p>The &quot;Non-elective Inpatient Encounter&quot; value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the &quot;Inpatient encounter&quot; value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective admissions include emergency, urgent and unplanned admissions.</p>\n<p>The &quot;Medication, Discharge&quot; datatype refers to the discharge medication list and is intended to express medications ordered for post-discharge use.</p>\n</div>\n            </td>\n        </tr>\n        <tr>\n            <td colspan=\"4\" scope=\"row\" style=\"background-color:#656565; width:100%\"><span class=\"td_label\">Definitions</span></td>\n        </tr>\n        \n        \n              <!-- <th:block th:each=\"groups, iter : ${resource.uniquePopulationGroup}\" >\n            <tr style=\"vertical-align: top;\">\n                <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\" th:text=\"${groups.identifier.value}\"></span></td>\n                <td style=\"width:80%\" colspan=\"3\">\n                    <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n                        <pre th:text=\"${pops.description}\"></pre>\n                    </div>\n                </td>\n            </tr>\n        </th:block> -->\n    </table>\n    <table style=\"width: 60%; border-top: none; border-bottom: none\" class=\"header_table\">\n        \n    </table>\n    <table style=\"width: 60%; border-top: none;\" class=\"header_table\">\n              <!-- <th:block th:each=\"supples, iter : ${resource.supplementalData}\">\n            <tr>\n                <th th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" scope=\"row\"><b>Supplemental Data:</b></th>\n                <td style=\"width:80%\" colspan=\"3\" >\n                    <p style=\"margin-bottom: 5px;\" th:narrative=\"${supples.identifier}\"></p>\n                    <p style=\"margin-bottom: 5px;\" th:each=\"uses : ${supples.usage}\">\n                        <b>usage: </b>\n                        <span th:narrative=\"${uses}\"></span>\n                    </p>\n                    <p style=\"margin-bottom: 5px;\" th:if=\"${supples.hasCriteria()}\">\n                        <b>criteria: </b>\n                        <span th:narrative=\"${supples.criteria}\"></span>\n                    </p>\n                    <p style=\"margin-bottom: 5px;\" th:if=\"${supples.hasPath()}\">\n                        <b>path: </b>\n                        <span th:narrative=\"${supples.path}\"></span>\n                    </p>\n                </td>\n            </tr>\n        </th:block> -->\n              <!-- <th:block th:each=\"param, iter : ${resource.parameter}\">\n            <tr style=\"vertical-align: top;\">\n                <th th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" scope=\"row\"><b>Parameter: </b></th>\n                <td style=\"width:80%\" colspan=\"3\" >\n                    <span th:if=\"${param.hasName()}\">\n                        <b>name: </b>\n                        <span th:narrative=\"${param.name}\"></span>\n                        <br/>\n                    </span>\n                    <b>use: </b>\n                    <span th:narrative=\"${param.use.toCode()}\"></span>\n                    <br/>\n                    <span th:if=\"${param.hasMin()}\">\n                        <b>minimum cardinality: </b>\n                        <span th:narrative=\"${param.min}\"></span>\n                        <br/>\n                    </span>\n                    <span th:if=\"${param.hasMax()}\">\n                        <b>maximum cardinality: </b>\n                        <span th:narrative=\"${param.max}\"></span>\n                        <br/>\n                    </span>\n                    <b>type: </b>\n                    <span th:narrative=\"${param.type}\"></span>\n                    <br/>\n                    <span th:if=\"${param.hasDocumentation()}\">\n                        <b>documentation: </b>\n                        <span th:narrative=\"${param.documentation}\"></span>\n                        <br/>\n                    </span>\n                    <span th:if=\"${param.hasProfile()}\">\n                        <b>profile: </b>\n                        <span th:narrative=\"${param.profile}\"></span>\n                        <br/>\n                    </span>\n                    <p style=\"margin-bottom: 5px;\"></p>\n                </td>\n            </tr>\n        </th:block> -->\n              <!-- <th:block th:each=\"dataReq, iter : ${resource.dataRequirement}\">\n            <tr style=\"vertical-align: top;\">\n                    <th th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" scope=\"row\" ><b>Data Requirements: </b></th>\n                    <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${dataReq}\"></td>\n            </tr>\n        </th:block> -->\n    </table>\n  <h2><a name=\"toc\">Table of Contents</a></h2>\n  <ul style=\"padding-left: 50px;\">\n   <li><a href=\"#d1e405\">Population Criteria</a></li>\n   <li><a href=\"#d1e649\">Definitions</a></li>\n   <li><a href=\"#d1e650\">Functions</a></li>\n   <li><a href=\"#d1e555\">Terminology</a></li>\n   <li><a href=\"#d1e647\">Data Criteria (QDM Data Elements)</a></li>\n   <li><a href=\"#d1e767\">Supplemental Data Elements</a></li>\n   <li><a href=\"#d1e879\">Risk Adjustment Variables</a></li>\n  </ul>\n  <div style=\"float:left; background:teal; height:3px; width:80%\"/>\n  \n  <h3><a name=\"d1e649\" href=\"#toc\">Definitions</a></h3>\n  \n  <h3><a name=\"d1e650\" href=\"#toc\">Functions</a></h3>\n  \n  <h3><a name=\"d1e555\" href=\"#toc\">Terminology</a></h3>\n  <div>\n   <ul style=\"padding-left: 50px;\">\n    \n   </ul>\n  </div>\n  <h3><a name=\"d1e647\" href=\"#toc\">Data Criteria (QDM Data Elements)</a></h3>\n  <div>\n    <ul style=\"padding-left: 50px;\">\n      \n    </ul>\n  </div>\n  <h3><a name=\"d1e767\" href=\"#toc\">Supplemental Data Elements</a></h3>\n  \n  <div>\n    <ul style=\"list-style:none;padding-left: 25px;\">\n        <li>None</li>\n    </ul>\n </div>\n  <h3><a name=\"d1e879\" href=\"#toc\">Risk Adjustment Variables</a></h3>\n  <div>\n   <ul style=\"list-style:none;padding-left: 25px;\">\n    <li>None</li>\n   </ul>\n  </div>\n  <div style=\"float:left; background:teal; height:3px; width:80%\"/>\n  <table>\n        \n              <!-- <th:block th:each=\"con, iter : ${resource.content}\">\n            <tr th:if=\"${con.contentType == 'text/cql'}\" style=\"vertical-align: top;\">\n                <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Content</span></td>\n                <td style=\"width:80%\" ><b>type: </b><span th:text=\"${con.contentType}\"></span></td>\n            </tr>\n            <tr th:if=\"${con.contentType == 'text/cql'}\">\n                <td style=\"width:100%\" colspan=\"2\" >\n                    <th:block th:if=\"${con.getData() != null }\" >\n                        <pre><code th:class=\"${con.contentType == 'text/cql' ? 'language-cql' : 'language-xml'}\" th:text=\"${new java.lang.String(con.getData())}\"></code></pre>\n                    </th:block>\n                    <th:block th:if=\"${con.getData() == null }\" >\n                        <span><i>%26lt;content is empty%26gt;</i></span>\n                    </th:block>\n                </td>\n            </tr>\n        </th:block > -->\n    </table>\n</div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
            "valueCode": "boolean"
          }
        ],
        "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm104-FHIR3",
        "identifier": [
          {
            "use": "official",
            "system": "http://hl7.org/fhir/cqi/ecqm/Measure/Identifier/cms",
            "value": "104"
          }
        ],
        "version": "8.1.000",
        "name": "EXM104",
        "title": "Discharged on Antithrombotic Therapy",
        "status": "draft",
        "experimental": true,
        "publisher": "National Committee for Quality Assurance (NCQA)",
        "description": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge",
        "purpose": "Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge",
        "approvalDate": "2016-01-01",
        "lastReviewDate": "2019-08-19",
        "effectivePeriod": {
          "start": "2019-01-01",
          "end": "2019-12-31"
        },
        "useContext": [
          {
            "code": {
              "code": "program"
            },
            "valueCodeableConcept": {
              "text": "eligible-provider"
            }
          }
        ],
        "jurisdiction": [
          {
            "coding": [
              {
                "system": "urn:iso:std:iso:3166",
                "code": "US"
              }
            ]
          }
        ],
        "topic": [
          {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "57024-2",
                "display": "Health Quality Measure Document"
              }
            ]
          }
        ],
        "contributor": [
          {
            "type": "author",
            "name": "National Committee for Quality Assurance"
          }
        ],
        "contact": [
          {
            "telecom": [
              {
                "system": "url",
                "value": "http://www.ncqa.org/"
              }
            ]
          }
        ],
        "copyright": "Measure specifications are in the Public Domain. LOINC(R) is a registered trademark of the Regenstrief Institute. This material contains SNOMED Clinical Terms(R) (SNOMED CT(C)) copyright 2004-2017 International Health Terminology Standards Development Organization. All rights reserved.",
        "relatedArtifact": [
          {
            "type": "citation",
            "citation": "Adams HP, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks E. Guidelines for the Early Management of Adults with Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke Council, Clinical CardiologyCouncil, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke. 2007;38:1655-1711."
          },
          {
            "type": "citation",
            "citation": "Adams H, Adams R, Del Zoppo G, Goldstein LB. Guidelines for the Early Management of Patients With Ischemic Stroke: Guidelines Update A Scientific Statement From the Stroke Council of the American Heart Association/American Stroke Association. Stroke Vol. 36, 2005: 916:923."
          },
          {
            "type": "citation",
            "citation": "Albers GW, Amarenco P, Easton JD, Sacco RL, Teal P. Antithrombotic and Thrombolytic Therapy for Ischemic Stroke. Chest Vol. 119, 2001: 300-320."
          },
          {
            "type": "citation",
            "citation": "Brott TG, Clark WM, Grotta JC, et al. Stroke the first hours. Guidelines for acute treatment. Consensus Statement. National Stroke Association. 2000."
          },
          {
            "type": "citation",
            "citation": "Chen ZM, Sandercock P, Pan HC, et al. Indications for early aspirin use in acute ischemic stroke: a combined analysis of 40,000 randomized patients from the Chinese acute stroke trial and the international stroke trial. On behalf of the CAST and IST collaborative groups, Stroke 2000;31:1240-1249."
          },
          {
            "type": "citation",
            "citation": "Coull BM, Williams LS, Goldstein LB, et al. Anticoagulants and Antiplatelet Agents in Acute Ischemic Stroke. Report of the Joint Stroke Guideline Development Committee of the American Academy of Neurology and the American Stroke Association (a Division of the American Heart Association) Stroke. 2002;33:1934 - 1942."
          },
          {
            "type": "citation",
            "citation": "Guideline on the Use of Aspirin as Secondary Prophylaxis for Vascular Disease in Primary Care, Centre for Health Services Research University of Newcastle upon Tyne, & Centre for Health Economics of York, 1998."
          },
          {
            "type": "citation",
            "citation": "Kernan, W.N., B. Ovbiagele, H. R. Black, D. M. Bravata, M. I. Chimowitz, M. D. Ezekowitz, M. C. Fang, M. Fisher, K. L. Furie, D. V. Heck, S. C. Johnston, S. E. Kasner, S. J. Kittner, P. H. Mitchell, M. W. Rich, D. Richardson, L. H. Schwamm, J. A. Wilson. \"Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association.\" [in eng.]  Stroke 45, no. 7 (May 2014): 2160-223. "
          }
        ],
        "library": [
          {
            "reference": "Library/library-EXM104-FHIR3-8.1.000"
          }
        ],
        "disclaimer": "These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.",
        "scoring": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/measure-scoring",
              "code": "proportion"
            }
          ]
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/measure-type",
                "code": "process"
              }
            ]
          }
        ],
        "rateAggregation": "none",
        "rationale": "The effectiveness of antithrombotic agents in reducing stroke mortality, stroke-related morbidity and recurrence rates has been studied in several large clinical trials. While the use of these agents for patients with acute ischemic stroke and transient ischemic attacks continues to be the subject of study, substantial evidence is available from completed studies. Data at this time suggest that antithrombotic therapy should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality and morbidity as long as no contraindications exist.\n\nFor patients with a stroke due to a cardioembolic source (eg atrial fibrillation, mechanical heart valve), warfarin is recommended unless contraindicated. In recent years, novel oral anticoagulant agents (NOACs) have been developed and approved by the U.S. Food and Drug Administration (FDA) for stroke prevention, and may be considered as an alternative to warfarin for select patients. Anticoagulation therapy is not generally recommended for secondary stroke prevention in patients presumed to have a non-cardioembolic stroke.\nAnticoagulants at doses to prevent venous thromboembolism are insufficient antithrombotic therapy to prevent recurrent ischemic stroke or TIA.",
        "clinicalRecommendationStatement": "Clinical trial results suggest that antithrombotic therapy should be prescribed at discharge following acute ischemic stroke to reduce stroke mortality and morbidity as long as no contraindications exist",
        "improvementNotation": "increase",
        "guidance": "The \"Non-elective Inpatient Encounter\" value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the \"Inpatient encounter\" value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective admissions include emergency, urgent and unplanned admissions.\n\nThe \"Medication, Discharge\" datatype refers to the discharge medication list and is intended to express medications ordered for post-discharge use.",
        "group": [
          {
            "identifier": {
              "value": "group-1"
            },
            "population": [
              {
                "identifier": {
                  "value": "initial-population-identifier"
                },
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                },
                "criteria": "Initial Population"
              },
              {
                "identifier": {
                  "value": "numerator-identifier"
                },
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "numerator",
                      "display": "Numerator"
                    }
                  ]
                },
                "criteria": "Numerator"
              },
              {
                "identifier": {
                  "value": "denominator-identifier"
                },
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "denominator",
                      "display": "Denominator"
                    }
                  ]
                },
                "criteria": "Denominator"
              },
              {
                "identifier": {
                  "value": "denominator-exclusions-identifier"
                },
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "denominator-exclusion",
                      "display": "Denominator Exclusion"
                    }
                  ]
                },
                "criteria": "Denominator Exclusion"
              }
            ]
          }
        ],
        "supplementalData": [
          {
            "identifier": {
              "value": "sde-ethnicity"
            },
            "usage": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/measure-data-usage",
                    "code": "supplemental-data"
                  }
                ]
              }
            ],
            "criteria": "SDE Ethnicity"
          },
          {
            "identifier": {
              "value": "sde-payer"
            },
            "usage": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/measure-data-usage",
                    "code": "supplemental-data"
                  }
                ]
              }
            ],
            "criteria": "SDE Payer"
          },
          {
            "identifier": {
              "value": "sde-race"
            },
            "usage": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/measure-data-usage",
                    "code": "supplemental-data"
                  }
                ]
              }
            ],
            "criteria": "SDE Race"
          },
          {
            "identifier": {
              "value": "sde-sex"
            },
            "usage": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/measure-data-usage",
                    "code": "supplemental-data"
                  }
                ]
              }
            ],
            "criteria": "SDE Sex"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Measure/measure-EXM104-FHIR3-8.1.000/_history/4"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113883.3.117.1.7.1.93",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93",
        "title": "Patient Refusal",
        "status": "active",
        "publisher": "The Joint Commission",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2019-03",
              "concept": [
                {
                  "code": "105480006",
                  "display": "Refusal of treatment by patient (situation)"
                },
                {
                  "code": "182890002",
                  "display": "Patient requests alternative treatment (finding)"
                },
                {
                  "code": "182895007",
                  "display": "Drug declined by patient (situation)"
                },
                {
                  "code": "182896008",
                  "display": "Drug declined by patient - dislikes taste (situation)"
                },
                {
                  "code": "182897004",
                  "display": "Drug declined by patient - side effects (situation)"
                },
                {
                  "code": "182898009",
                  "display": "Drug declined by patient - inconvenient (situation)"
                },
                {
                  "code": "182900006",
                  "display": "Drug declined by patient - patient beliefs (situation)"
                },
                {
                  "code": "182901005",
                  "display": "Drug declined by patient - alternative therapy (situation)"
                },
                {
                  "code": "182903008",
                  "display": "Drug declined by patient - reason unknown (situation)"
                },
                {
                  "code": "183944003",
                  "display": "Procedure refused (situation)"
                },
                {
                  "code": "183945002",
                  "display": "Procedure refused for religious reason (situation)"
                },
                {
                  "code": "183946001",
                  "display": "Procedure refused - uncooperative (situation)"
                },
                {
                  "code": "183947005",
                  "display": "Refused procedure - after thought (situation)"
                },
                {
                  "code": "183948000",
                  "display": "Refused procedure - parent's wish (situation)"
                },
                {
                  "code": "275936005",
                  "display": "Patient noncompliance - general (situation)"
                },
                {
                  "code": "371138003",
                  "display": "Refusal of treatment by parents (situation)"
                },
                {
                  "code": "406149000",
                  "display": "Medication refused (situation)"
                },
                {
                  "code": "413312003",
                  "display": "Patient non-compliant - refused service (situation)"
                },
                {
                  "code": "416432009",
                  "display": "Procedure not wanted (situation)"
                },
                {
                  "code": "443390004",
                  "display": "Refused (qualifier value)"
                },
                {
                  "code": "609589008",
                  "display": "Refused by parents of subject (qualifier value)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113883.3.117.1.7.1.93"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113762.1.4.1111.143",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143",
        "title": "Observation Services",
        "status": "active",
        "publisher": "The Joint Commission",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "version": "2019-09",
              "concept": [
                {
                  "code": "448851000124103",
                  "display": "Hospital admission from observation unit (procedure)"
                },
                {
                  "code": "448951000124107",
                  "display": "Admission to observation unit (procedure)"
                },
                {
                  "code": "76464004",
                  "display": "Hospital admission, for observation (procedure)"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113762.1.4.1111.143"
      }
    },
    {
      "resource": {
        "resourceType": "Library",
        "id": "library-TJCOverall-FHIR3-3.6.000",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">library-TJCOverall-FHIR3-3.6.000</td></tr><tr><th scope=\"row\"><b>Type: </b></th><td style=\"padding-right: 25px;\"> Logic Library </td></tr><tr><th scope=\"row\"><b>Version: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">3.6.000</td></tr><tr><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"3\" scope=\"row\"><b>Related: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-FHIRHelpers-3.0.0</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-SupplementalDataElements-FHIR3-1.0.0</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"4\" scope=\"row\"><b>Data Requirements: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>ProcedureRequest</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>code</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Procedure</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>code</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Patient</span></p></div></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Content: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td></tr><tr><td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\"><pre><code class=\"language-cql\">library TJCOverall_FHIR3 version '3.6.000'\n\nusing FHIR version '3.0.0'\ninclude FHIRHelpers version '3.0.0' called FHIRHelpers\n//TODO: MATGlobalCommonFunctions_FHIR version '2.0.000' need to be updated to 4.0\ninclude MATGlobalCommonFunctions_FHIR3 version '4.0.000' called Global\ninclude SupplementalDataElements_FHIR3 version '1.0.0' called SDE\n\ncodesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct/731000124108'\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\n\nvalueset &quot;Comfort Measures&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'\nvalueset &quot;Discharge To Acute Care Facility&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'\nvalueset &quot;Discharged to Health Care Facility for Hospice Care&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'\nvalueset &quot;Discharged to Home for Hospice Care&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'\nvalueset &quot;Emergency Department Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset &quot;Encounter Inpatient&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'\nvalueset &quot;Hemorrhagic Stroke&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'\nvalueset &quot;Ischemic Stroke&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'\nvalueset &quot;Left Against Medical Advice&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'\nvalueset &quot;Non-Elective Inpatient Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'\nvalueset &quot;Patient Expired&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'\nvalueset &quot;Ticagrelor Therapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39'\nvalueset &quot;Observation Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\n\ncode &quot;Birth date&quot;: '21112-8' from &quot;LOINC&quot; display 'Birth date'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n\ncontext Patient\n\ndefine &quot;Intervention Comfort Measures&quot;:\n\t([&quot;ProcedureRequest&quot;: &quot;Comfort Measures&quot;] P\n\t\twhere P.intent = 'order')\n\t\tunion\n\t\t([&quot;Procedure&quot;: &quot;Comfort Measures&quot;] InterventionPerformed\n\t\twhere InterventionPerformed.status = 'completed')\n\ndefine &quot;All Stroke Encounter&quot;:\n\t&quot;Non Elective Inpatient Encounter&quot; NonElectiveEncounter\n    where Global.PrincipalDiagnosis(NonElectiveEncounter).code in &quot;Hemorrhagic Stroke&quot;\n      or Global.PrincipalDiagnosis(NonElectiveEncounter).code in &quot;Ischemic Stroke&quot;\n\ndefine &quot;Ischemic Stroke Encounter&quot;:\n\t&quot;Encounter with Principal Diagnosis and Age&quot; EncounterWithAge\n\t\twhere Global.PrincipalDiagnosis(EncounterWithAge).code in &quot;Ischemic Stroke&quot;\n\ndefine &quot;Non Elective Inpatient Encounter&quot;:\n\t[&quot;Encounter&quot;: &quot;Non-Elective Inpatient Encounter&quot;] NonElectiveEncounter\n\t\twhere Global.&quot;LengthInDays&quot;(NonElectiveEncounter.period)&lt;= 120\n\t\t\tand NonElectiveEncounter.period ends during &quot;Measurement Period&quot;\n\ndefine &quot;Ischemic Stroke Encounters with Discharge Disposition&quot;:\n\t( ( &quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n\t\t\t\twhere IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Discharge To Acute Care Facility&quot;\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Left Against Medical Advice&quot;\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Patient Expired&quot;\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Discharged to Home for Hospice Care&quot;\n\t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Discharged to Health Care Facility for Hospice Care&quot;\n\t\t)\n\t)\n\ndefine &quot;Comfort Measures during Hospitalization&quot;:\n\t&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n\t\twith &quot;Intervention Comfort Measures&quot; ComfortMeasure\n\t\t\tsuch that Coalesce(start of FHIRHelpers.ToInterval(ComfortMeasure.performed), ComfortMeasure.authoredOn)during Global.&quot;HospitalizationWithObservation&quot;(IschemicStrokeEncounter)\n\ndefine &quot;Encounter with Principal Diagnosis and Age&quot;:\n\t&quot;All Stroke Encounter&quot; AllStrokeEncounter\n\t\twith [&quot;Patient&quot;] BirthDate\n\t\t\tsuch that Global.&quot;CalendarAgeInYearsAt&quot;(FHIRHelpers.ToDate(BirthDate.birthDate), start of FHIRHelpers.ToInterval(AllStrokeEncounter.period)) &gt;= 18\n\ndefine function &quot;CalendarDayOfOrDayAfter&quot;(StartValue DateTime ):\n\tInterval(Global.&quot;ToDate&quot;(StartValue), Global.&quot;ToDate&quot;(StartValue + 2 days))\n</code></pre>\n                    \n                    \n                </td>\n            </tr>\n        \n    </table>\n</div>"
        },
        "version": "3.6.000",
        "name": "TJCOverall_FHIR3",
        "status": "active",
        "experimental": true,
        "type": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/library-type",
              "code": "logic-library"
            }
          ]
        },
        "relatedArtifact": [
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-FHIRHelpers-3.0.0"
            }
          },
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000"
            }
          },
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-SupplementalDataElements-FHIR3-1.0.0"
            }
          }
        ],
        "dataRequirement": [
          {
            "type": "ProcedureRequest",
            "codeFilter": [
              {
                "path": "code",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45"
              }
            ]
          },
          {
            "type": "Procedure",
            "codeFilter": [
              {
                "path": "code",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45"
              }
            ]
          },
          {
            "type": "Encounter",
            "codeFilter": [
              {
                "path": "type",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424"
              }
            ]
          },
          {
            "type": "Patient"
          }
        ],
        "content": [
          {
            "contentType": "application/elm+xml",
            "data": "[encoded data, 23028 characters]"
          },
          {
            "contentType": "text/cql",
            "data": "[encoded data, 5792 characters]"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Library/library-TJCOverall-FHIR3-3.6.000"
      }
    },
    {
      "resource": {
        "resourceType": "Library",
        "id": "library-EXM104-FHIR3-8.1.000",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">library-EXM104-FHIR3-8.1.000</td></tr><tr><th scope=\"row\"><b>Type: </b></th><td style=\"padding-right: 25px;\"> Logic Library </td></tr><tr><th scope=\"row\"><b>Version: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">8.1.000</td></tr><tr><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"4\" scope=\"row\"><b>Related: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-FHIRHelpers-3.0.0</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-TJCOverall-FHIR3-3.6.000</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>depends-on</span></p><p style=\"margin-bottom: 5px;\"><b>Resource: </b><br/><span><span style=\"padding-left: 25px;\"><b>reference: </b><span>Library/library-SupplementalDataElements-FHIR3-1.0.0</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"7\" scope=\"row\"><b>Data Requirements: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Encounter</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>type</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Patient</span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>ProcedureRequest</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>code</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>Procedure</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>code</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>MedicationRequest</span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>MedicationRequest</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>medication</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><td style=\"padding-left: 25px; padding-right: 25px;\"><div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"margin-bottom: 5px;\"><b>type: </b><span>MedicationRequest</span></p><p style=\"margin-bottom: 5px;\"><b>code filter:</b><br/><span style=\"padding-left: 25px;\"><b>path: </b><span>medication</span></span><br/><span style=\"padding-left: 25px;\"><b>valueset: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39</span></span></p></div></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Content: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td></tr><tr><td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\"><pre><code class=\"language-cql\">library EXM104_FHIR3 version '8.1.000'\n\n/*\nBased on CMS104v8 - Discharged on Antithrombotic Therapy\nAuthor: TJC\nSTK 2\n*/\n\nusing FHIR version '3.0.0'\n\ninclude FHIRHelpers version '3.0.0'\ninclude MATGlobalCommonFunctions_FHIR3 version '4.0.000' called Global\ninclude TJCOverall_FHIR3 version '3.6.000' called TJC\ninclude SupplementalDataElements_FHIR3 version '1.0.0' called SDE\n\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\ncodesystem &quot;SNOMEDCT&quot;: 'http://snomed.info/sct/731000124108'\ncodesystem &quot;Diagnosis Role&quot;: 'http://hl7.org/fhir/diagnosis-role'\ncodesystem &quot;RequestIntent&quot;: 'http://hl7.org/fhir/request-intent'\n// NOTE: This is an R4 code system\ncodesystem &quot;MedicationRequestCategory&quot;: 'http://terminology.hl7.org/CodeSystem/medicationrequest-category'\n\nvalueset &quot;Antithrombotic Therapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201'\nvalueset &quot;Comfort Measures&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45'\nvalueset &quot;Discharge To Acute Care Facility&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.87'\nvalueset &quot;Discharged to Health Care Facility for Hospice Care&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.207'\nvalueset &quot;Discharged to Home for Hospice Care&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.209'\nvalueset &quot;Emergency Department Visit&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'\nvalueset &quot;Ethnicity&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'\nvalueset &quot;Hemorrhagic Stroke&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212'\nvalueset &quot;Ischemic Stroke&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247'\nvalueset &quot;Left Against Medical Advice&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.308'\nvalueset &quot;Medical Reason&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.473'\nvalueset &quot;Non-Elective Inpatient Encounter&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424'\nvalueset &quot;Observation Services&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143'\nvalueset &quot;ONC Administrative Sex&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'\nvalueset &quot;Patient Expired&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309'\nvalueset &quot;Patient Refusal&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.93'\nvalueset &quot;Payer&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'\nvalueset &quot;Race&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'\nvalueset &quot;Ticagrelor Therapy&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39'\n\ncode &quot;Birth date&quot;: '21112-8' from &quot;LOINC&quot; display 'Birth date'\n\n// NOTE: This is an R4 code\ncode &quot;Discharge&quot;: 'discharge' from &quot;MedicationRequestCategory&quot; display 'Discharge'\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n  default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)\n\ncontext Patient\n\ndefine &quot;SDE Ethnicity&quot;:\n  SDE.&quot;SDE Ethnicity&quot;\n\ndefine &quot;SDE Payer&quot;:\n\tSDE.&quot;SDE Payer&quot;\n\ndefine &quot;SDE Race&quot;:\n  SDE.&quot;SDE Race&quot;\n\ndefine &quot;SDE Sex&quot;:\n\tSDE.&quot;SDE Sex&quot;\n\ndefine &quot;Initial Population&quot;:\n\tTJC.&quot;Encounter with Principal Diagnosis and Age&quot;\n\n  define &quot;Encounter with Principal Diagnosis and Age&quot;:\n  \t&quot;All Stroke Encounter&quot; AllStrokeEncounter\n  \t\twith [&quot;Patient&quot;] BirthDate\n  \t\t\tsuch that AgeInYearsAt(AllStrokeEncounter.period.start) &gt;= 18\n\n        define &quot;All Stroke Encounter&quot;:\n        \t&quot;Non Elective Inpatient Encounter&quot; NonElectiveEncounter\n        \t\twhere Global.PrincipalDiagnosis(NonElectiveEncounter).code in &quot;Hemorrhagic Stroke&quot;\n        \t\tor Global.PrincipalDiagnosis(NonElectiveEncounter).code in &quot;Ischemic Stroke&quot;\n\n            define &quot;Non Elective Inpatient Encounter&quot;:\n            \t[&quot;Encounter&quot;: &quot;Non-Elective Inpatient Encounter&quot;] NonElectiveEncounter\n            \t\twhere Global.&quot;LengthInDays&quot;(NonElectiveEncounter.period)&lt;= 120\n            \t\t\tand NonElectiveEncounter.period ends during &quot;Measurement Period&quot;\n\ndefine &quot;Denominator&quot;:\n\tTJC.&quot;Ischemic Stroke Encounter&quot;\n\n  define &quot;Ischemic Stroke Encounter&quot;:\n  \t&quot;Encounter with Principal Diagnosis and Age&quot; EncounterWithAge\n  \t\twhere Global.PrincipalDiagnosis(EncounterWithAge).code in &quot;Ischemic Stroke&quot;\n\ndefine &quot;Denominator Exclusion&quot;:\n\tTJC.&quot;Ischemic Stroke Encounters with Discharge Disposition&quot;\n\t\tunion TJC.&quot;Comfort Measures during Hospitalization&quot;\n\n    define &quot;Ischemic Stroke Encounters with Discharge Disposition&quot;:\n    \t( ( &quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n    \t\t\t\twhere IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Discharge To Acute Care Facility&quot;\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Left Against Medical Advice&quot;\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Patient Expired&quot;\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Discharged to Home for Hospice Care&quot;\n    \t\t\t\t\tor IschemicStrokeEncounter.hospitalization.dischargeDisposition in &quot;Discharged to Health Care Facility for Hospice Care&quot;\n    \t\t)\n    \t)\n\n    define &quot;Comfort Measures during Hospitalization&quot;:\n    \t&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n    \t\twith &quot;Intervention Comfort Measures&quot; ComfortMeasure\n    \t\t\tsuch that Coalesce(start of ComfortMeasure.performed, ComfortMeasure.authoredOn)during Global.&quot;HospitalizationWithObservation&quot;(IschemicStrokeEncounter)\n\n          define &quot;Intervention Comfort Measures&quot;:\n          \t([&quot;ProcedureRequest&quot;: &quot;Comfort Measures&quot;] P\n          \t\twhere P.intent = 'order')\n          \t\tunion\n          \t\t([&quot;Procedure&quot;: &quot;Comfort Measures&quot;] IntervetionPerformed\n          \t\twhere IntervetionPerformed.status = 'completed')\n\ndefine &quot;Numerator&quot;:\n\tTJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n\t\twith &quot;Antithrombotic Therapy at Discharge&quot; DischargeAntithrombotic\n\t\t\tsuch that DischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period\n\n      define &quot;Antithrombotic Therapy at Discharge&quot;:\n      \t//The following should work, but it's pending a fix in the CQL Engine, ref https://github.com/DBCG/cql_engine/issues/271.\n        //[&quot;MedicationRequest&quot;: &quot;Antithrombotic Therapy&quot;] Antithrombotic\n        //where Antithrombotic.intent = 'order'\n        \n        //Temporarily using the following until the fix is available.\n        [&quot;MedicationRequest&quot;] Antithrombotic\n            where (Antithrombotic.medication as CodeableConcept) in &quot;Antithrombotic Therapy&quot;\n      \t    and Antithrombotic.intent = 'order'\n\ndefine &quot;Denominator Exceptions&quot;:\n\t&quot;Encounter With No Antithrombotic At Discharge&quot;\n\t\tunion &quot;Encounter With Ticagrelor at Discharge&quot;\n\n    define &quot;Encounter With No Antithrombotic At Discharge&quot;:\n    \tTJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n    \t\twith &quot;Antithrombotic Not Given at Discharge&quot; NoDischargeAntithrombotic\n    \t\t\tsuch that NoDischargeAntithrombotic.authoredOn during IschemicStrokeEncounter.period\n\n          define &quot;Antithrombotic Not Given at Discharge&quot;:\n          \t[&quot;MedicationRequest&quot;: &quot;Antithrombotic Therapy&quot;] NoAntithromboticDischarge\n          \t  // STU3\n          \t\twhere exists (NoAntithromboticDischarge.extension E where E.url = 'http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-doNotPerform' and E.value is true)\n          \t\t// R4\n          \t\t//where NoAntithromboticDischarge.doNotPerform is true\n          \t\t\tand (singleton from NoAntithromboticDischarge.reasonCode in &quot;Medical Reason&quot;\n          \t\t\t\tor singleton from NoAntithromboticDischarge.reasonCode in &quot;Patient Refusal&quot;)\n\n          // NOTE: On the assumption that status of not-taken is the closest to what the measure is looking for, this is the expression:\n          // TODO: Request discussion w/ Pharmacy regarding how medications not prescribed at discharged would be documented\n          //define &quot;Antithrombotic Not Given at Discharge R4&quot;:\n          //  [&quot;MedicationStatement&quot;: &quot;Antithrombotic Therapy&quot;] AntithromboticTherapy\n          //\t  where AntithromboticTherapy.status = 'not-taken'\n          //\t\t  and (AntithromboticTherapy.statusReason in &quot;Medical Reason&quot;\n          //\t\t\t\tor AntithrombtoicTherapy.statusReason in &quot;Patient Refusal&quot;)\n\n          // If it's documented as a checkbox, it may be represented as an observation\n          //define &quot;Antithrombotic Not Given at Discharge (Observation)&quot;:\n          //  [&quot;Observation&quot;: &quot;Medication Not Given At Discharge&quot;] O\n          //\t  where O.value in &quot;Antithrombotic Therapy&quot;\n\n      /*\n      define &quot;Encounter With Ticagrelor During Hospitalization&quot;:\n      \tTJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n      \t\twith [&quot;MedicationAdministration&quot;: medication in TJC.&quot;Ticagrelor Therapy&quot;] Ticagrelor\n      \t\t\tsuch that Ticagrelor.effective starts during Global.&quot;HospitalizationWithObservation&quot;(IschemicStrokeEncounter)\n      */\n      //Looking for Ticagrelor as discharge medication, include a corrected defintion in 2021 CQL based measure\n      define &quot;Encounter With Ticagrelor at Discharge&quot;:\n        TJC.&quot;Ischemic Stroke Encounter&quot; IschemicStrokeEncounter\n          with &quot;Ticagrelor Therapy at Discharge&quot; DischargeTicagrelor\n            such that DischargeTicagrelor.authoredOn during IschemicStrokeEncounter.period\n\n            define &quot;Ticagrelor Therapy at Discharge&quot;:\n              [&quot;MedicationRequest&quot;: medication in TJC.&quot;Ticagrelor Therapy&quot;] Ticagrelor\n                where (Ticagrelor.medication as CodeableConcept) in TJC.&quot;Ticagrelor Therapy&quot;\n                  and Ticagrelor.intent = 'order'\n</code></pre>\n                    \n                    \n                </td>\n            </tr>\n        \n    </table>\n</div>"
        },
        "version": "8.1.000",
        "name": "EXM104_FHIR3",
        "status": "active",
        "experimental": true,
        "type": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/library-type",
              "code": "logic-library"
            }
          ]
        },
        "relatedArtifact": [
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-FHIRHelpers-3.0.0"
            }
          },
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-MATGlobalCommonFunctions-FHIR3-4.0.000"
            }
          },
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-TJCOverall-FHIR3-3.6.000"
            }
          },
          {
            "type": "depends-on",
            "resource": {
              "reference": "Library/library-SupplementalDataElements-FHIR3-1.0.0"
            }
          }
        ],
        "dataRequirement": [
          {
            "type": "Encounter",
            "codeFilter": [
              {
                "path": "type",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424"
              }
            ]
          },
          {
            "type": "Patient"
          },
          {
            "type": "ProcedureRequest",
            "codeFilter": [
              {
                "path": "code",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45"
              }
            ]
          },
          {
            "type": "Procedure",
            "codeFilter": [
              {
                "path": "code",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.33895.1.3.0.45"
              }
            ]
          },
          {
            "type": "MedicationRequest"
          },
          {
            "type": "MedicationRequest",
            "codeFilter": [
              {
                "path": "medication",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201"
              }
            ]
          },
          {
            "type": "MedicationRequest",
            "codeFilter": [
              {
                "path": "medication",
                "valueSetString": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.39"
              }
            ]
          }
        ],
        "content": [
          {
            "contentType": "application/elm+xml",
            "data": "[encoded data, 39348 characters]"
          },
          {
            "contentType": "text/cql",
            "data": "[encoded data, 12752 characters]"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Library/library-EXM104-FHIR3-8.1.000"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "2.16.840.1.113762.1.4.1",
        "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1",
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "2.16.840.1.113762.1.4.1"
          }
        ],
        "version": "20150331",
        "name": "ONCAdministrativeSex",
        "title": "ONC Administrative Sex",
        "status": "active",
        "publisher": "NLM",
        "compose": {
          "include": [
            {
              "system": "http://hl7.org/fhir/v3/AdministrativeGender",
              "version": "HL7V3.0_2017-07",
              "concept": [
                {
                  "code": "F",
                  "display": "Female"
                },
                {
                  "code": "M",
                  "display": "Male"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/2.16.840.1.113762.1.4.1"
      }
    },
    {
      "resource": {
        "resourceType": "MeasureReport",
        "id": "measurereport-numer-EXM104-FHIR3",
        "contained": [
          {
            "resourceType": "Bundle",
            "id": "edc87d47-5804-4d85-8874-ee2d50e51c51",
            "type": "collection",
            "entry": [
              {
                "fullUrl": "MedicationRequest/numer-EXM104-FHIR3-5",
                "resource": {
                  "resourceType": "MedicationRequest",
                  "id": "numer-EXM104-FHIR3-5",
                  "meta": {
                    "versionId": "1",
                    "lastUpdated": "2019-12-18T22:42:17.748-07:00"
                  },
                  "status": "completed",
                  "intent": "order",
                  "category": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                        "code": "discharge",
                        "display": "Discharge"
                      }
                    ]
                  },
                  "medicationCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                        "code": "1037045",
                        "display": "dabigatran etexilate 150 MG Oral Capsule"
                      }
                    ]
                  },
                  "subject": {
                    "reference": "Patient/numer-EXM104-FHIR3"
                  },
                  "authoredOn": "2019-12-19T08:00:00-07:00"
                }
              },
              {
                "fullUrl": "Patient/numer-EXM104-FHIR3",
                "resource": {
                  "resourceType": "Patient",
                  "id": "numer-EXM104-FHIR3",
                  "meta": {
                    "versionId": "1",
                    "lastUpdated": "2019-12-18T22:42:17.748-07:00",
                    "profile": [
                      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
                    ]
                  },
                  "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Louise <b>JONES </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>9999999911</td></tr><tr><td>Date of birth</td><td><span>21 November 1971</span></td></tr></tbody></table></div>"
                  },
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