Package | gov.healthit.ecqi.ecqms.subset |
Type | Measure |
Id | Id |
FHIR Version | R4 |
Source | http://ecqi.healthit.gov/ecqms/subset/https://build.fhir.org/ig/cqframework/ecqm-content-qicore-2024-subset/Measure-SevereObstetricComplicationsFHIR.html |
Url | https://madie.cms.gov/Measure/SevereObstetricComplicationsFHIR |
Version | 0.1.000 |
Status | active |
Date | 2024-09-09T19:21:02+00:00 |
Name | SevereObstetricComplicationsFHIR |
Title | Severe Obstetric ComplicationsFHIR |
Experimental | True |
Description | Patients with severe obstetric complications that occur during the inpatient delivery hospitalization |
Purpose | UNKNOWN |
Copyright | Measure specifications are in the Public Domain. LOINC(R) copyright 2004-2023 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2023 World Health Organization. All Rights Reserved. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Knowledge Artifact Metadata | |
---|---|
Name (machine-readable) | SevereObstetricComplicationsFHIR |
Title (human-readable) | Severe Obstetric ComplicationsFHIR |
Status | Active |
Experimental | true |
Description | Patients with severe obstetric complications that occur during the inpatient delivery hospitalization |
Purpose | UNKNOWN |
Clinical Usage | In the case of multiple births, map the first delivery date/time (Baby A) as the delivery date/time for the encounter. This measure allows for 3 approaches to determine gestational age (GA) in the following order of precedence: 1. The GA is calculated using the American College of Obstetricians and Gynecologists ReVITALize guidelines.* 2. The GA is obtained from a discrete field in the electronic health record. This option is only used when the calculated GA is not available. 3. The GA is based on ICD10 or SNOMED codes indicative of weeks gestation. This option is only used when results from items #1 and #2 (see above) are not available. Wherever gestational age is mentioned, relative to the delivery, the intent is to capture the last estimated gestational age prior to or at the time of delivery. *ACOG ReVITALize Guidelines for Calculating Gestational Age (ACOG, 2014): Gestational Age = (280-(Estimated Due Date minus Reference Date))/7 --Estimated Due Date (EDD): The best obstetrical EDD is determined by last menstrual period if confirmed by early ultrasound or no ultrasound performed, or early ultrasound if no known last menstrual period or the ultrasound is not consistent with last menstrual period, or known date of fertilization (e.g., assisted reproductive technology) --Reference Date is the date on which you are trying to determine gestational age. For purposes of this eCQM, Reference Date would be the Date of Delivery. Note however the calculation may yield a non-whole number and gestational age should be rounded down to the nearest completed week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. Definition: For this measure, specifications are modeled after the nationally available and adopted CDC definition for Severe Maternal Morbidity (SMM) with the addition of maternal mortality. At times, we may refer to the CDC indicators of morbidity as SMM, but the outcome of the measure, which includes morbidity and mortality, is referred to as Severe Obstetric Complications (SOC). Note: This measure will be stratified by race/ethnicity and payer after measure submission. This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period. This FHIR-based measure has been derived from the QDM-based measure CMS1028v3. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (https://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html). |
Effective Period | 2025-01-01..2025-12-31 |
Use Context | Venue = EH |
Measure Developer | The Joint Commission: https://www.jointcommission.org/ |
Measure Developer | Centers for Medicare & Medicaid Services (CMS): https://www.cms.gov/ |
Measure Developer | Yale New Haven Health Service Corporation/ Center for Outcomes Research and Evaluation: https://medicine.yale.edu/core/ |
Measure Steward | The Joint Commission |
Steward Contact Details | https://www.jointcommission.org/ |
Copyright | Measure specifications are in the Public Domain. LOINC(R) copyright 2004-2023 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2023 World Health Organization. All Rights Reserved. |
Measure Metadata | |
Short Name Identifier | CMS1028FHIR |
Version Independent Identifier | urn:uuid:6cf03fe2-b962-4f83-ac37-26d7477183c7 |
Version Specific Identifier | urn:uuid:3efa7f95-1d8e-45fa-af68-023d3554e8c1 |
Publisher (CMS) Identifier | 1028FHIR |
Version Number | 0.1.000 |
Measure Scoring | Proportion |
Rationale | The United States (US) experiences higher rates of maternal morbidity and mortality than most other developed countries. These rates have continued to trend upward in recent decades (CDC, 2021). Research indicates that the overall rate of severe maternal morbidity (SMM) increased by almost 200% between 1993 and 2014 to 144 per 10,000 delivery hospitalizations (CDC, 2021), with more than 25,000 women per year experiencing obstetric complications (U.S. Department of Health and Human Services, 2020). Recent maternal mortality data from 2018 reveal that 658 women in the US died from maternal causes, resulting in a rate of 17.4 deaths per 100,000 live births, with 77% of the deaths attributed to direct obstetric causes like hemorrhage, preeclampsia, obstetric embolism, and other complications (Hoyert & Minino, 2018). 144 per 10,000 women hospitalized for delivery have experienced SMM, including hemorrhage, embolism, hypertension, stroke, and other serious complications (CDC, 2021). Racial and ethnic disparities exist: Black women and Hispanic women are at a significantly higher risk for developing these complications than are Non-Hispanic White women (Leonard, Main, Scott, Profit, & Carmichael, 2019). Increasing rates of SMM are resulting in increased healthcare costs, longer hospitalization stays and impacts on a woman's health (Callaghan, Creanga, & Kuklina, 2012). There is limited national evaluation of hospitals' performance on maternal morbidity and mortality although SMM is widely used at the population level. SMM is linked to maternal mortality, varies significantly among hospitals, and has significant racial/ethnic and urban/rural disparities. SMM is a cost driver for both Medicaid and commercial plans. This measure is important as it will assist in the discovery and understanding of SMM patterns that can lead to improvements in the safety and quality of maternal care necessary to reduce SMM rates. |
Clinical Recommendation Statement | Healthy People 2030 Measure (MICH-05): Reduce severe maternal complications identified during delivery hospitalizations (U.S. Department of Health and Human Services, n.d.). The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine recommend identifying potential cases of severe maternal morbidity for further review, with a focus on outcomes and complications, and consider this an important step toward promoting safe obstetric care (American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Kilpatrick, & Ecker, 2016). |
Guidance | In the case of multiple births, map the first delivery date/time (Baby A) as the delivery date/time for the encounter. This measure allows for 3 approaches to determine gestational age (GA) in the following order of precedence:
Wherever gestational age is mentioned, relative to the delivery, the intent is to capture the last estimated gestational age prior to or at the time of delivery. *ACOG ReVITALize Guidelines for Calculating Gestational Age (ACOG, 2014):
--Estimated Due Date (EDD): The best obstetrical EDD is determined by last menstrual period if confirmed by early ultrasound or no ultrasound performed, or early ultrasound if no known last menstrual period or the ultrasound is not consistent with last menstrual period, or known date of fertilization (e.g., assisted reproductive technology) --Reference Date is the date on which you are trying to determine gestational age. For purposes of this eCQM, Reference Date would be the Date of Delivery. Note however the calculation may yield a non-whole number and gestational age should be rounded down to the nearest completed week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. Definition: For this measure, specifications are modeled after the nationally available and adopted CDC definition for Severe Maternal Morbidity (SMM) with the addition of maternal mortality. At times, we may refer to the CDC indicators of morbidity as SMM, but the outcome of the measure, which includes morbidity and mortality, is referred to as Severe Obstetric Complications (SOC). Note: This measure will be stratified by race/ethnicity and payer after measure submission. This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period. This FHIR-based measure has been derived from the QDM-based measure CMS1028v3. Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (https://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html). |
Supplemental Data Guidance | For every patient evaluated by this measure also identify payer, race, ethnicity, sex, variable calculated gestational age, SOC diagnosis details, and SOC procedure details |
Supplemental Data Guidance | The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov). Pre-existing conditions and variables must be present on admission. Please note that present on admission codes may be extracted from billing/claims data that was entered by coding staff (Leonard, Kennedy, Carmichael, Lyell, & Main, 2020; Main, Leonard, & Menard, 2020). - Anemia (includes sickle cell disease) - Asthma - Autoimmune Disease - Bariatric Surgery - Bleeding Disorder - Cardiac Disease - Economic Housing Instability - Gastrointestinal Disease - Gestational Diabetes - HIV - Hypertension - Long-term Anticoagulant Use - Maternal Age (derived from birthdate) - Mental Health Disorder - Morbid Obesity - Multiple Pregnancy - Neuromuscular Disease - Obstetric VTE - Other Pre-eclampsia - Placenta Previa - Placental Abruption - Placental Accreta Spectrum - Pre-existing Diabetes - Preterm Birth - Previous Cesarean - Pulmonary Hypertension - Renal Disease - Severe Pre-eclampsia - Substance Abuse - Thyrotoxicosis Lab and Physical Exam Results: Report the first resulted value 24 hours prior to start of encounter and before time of delivery in UCUM units specified: - Heart rate: {beats}/min - Systolic blood pressure: mm[Hg] - Hematocrit: % - White blood cell count: 10*3/uL Note regarding submission of risk variable data: The risk variable definitions are included in the specifications and risk variable data should be sent with eCQM data in the QRDA1 file. Specific risk variable templates are not needed in the QRDA1 files. |
Measure Population Criteria (ID: 64efa90856d636294b157c9a) | |
Summary | All Severe Obstetric Complications (SOC) |
Initial Population |
ID: 8D56845B-BA26-4F6A-8D23-BBFD696C9450
Description: Inpatient hospitalizations for patients age greater than or equal to 8 years and less than 65 admitted to the hospital for inpatient acute care who undergo a delivery procedure with a discharge date during the measurement period Logic Definition: Initial Population |
Denominator |
ID: 8542DE86-6114-4575-9A2B-D09A0FA7C671
Description: Inpatient hospitalizations for patients delivering stillborn or live birth with greater than or equal to 20 weeks, 0 days gestation completed Logic Definition: Denominator |
Denominator Exclusion |
ID: 16605347-8AF3-47AA-B230-65B7208909B9
Description: Inpatient hospitalizations for patients with confirmed diagnosis of COVID with COVID-related respiratory condition or patients with confirmed diagnosis of COVID with COVID-related respiratory procedure during the encounter Logic Definition: Denominator Exclusion |
Numerator |
ID: 05AD3648-8C60-4938-96C4-82385B9C4F91
Description: Two numerator populations are defined for this measure: 1. All Severe Obstetric Complications (SOC). 2. SOC excluding encounters where transfusion was the only SOC. Inpatient hospitalizations for patients with severe obstetric complications (not present on admission that occur during the current delivery encounter) including the following: - Severe maternal morbidity diagnoses (see list below) - Severe maternal morbidity procedures (see list below) - Discharge disposition of expired Please note that present on admission codes may be extracted from billing/claims data that was entered by coding staff. Severe Maternal Morbidity Diagnoses: - Cardiac Acute heart failure Acute myocardial infarction Aortic aneurysm Cardiac arrest/ventricular fibrillation Heart failure/arrest during procedure or surgery - Hemorrhage Disseminated intravascular coagulation Shock - Renal Acute renal failure - Respiratory Adult respiratory distress syndrome Pulmonary edema - Sepsis - Other OB Air and thrombotic embolism Amniotic fluid embolism Eclampsia Severe anesthesia complications - Other Medical Puerperal cerebrovascular disorder Sickle cell disease with crisis Severe Maternal Morbidity Procedures: - Blood transfusion - Conversion of cardiac rhythm - Hysterectomy - Temporary tracheostomy - Ventilation Logic Definition: Numerator |
Numerator Exclusion |
ID: e29f29ee-889e-4314-983c-e0ddc189a16c
Description: Inpatient hospitalizations with blood transfusion or hysterectomy with a diagnosis of placenta percreta or placenta increta and no additional severe obstetrical complications. Logic Definition: SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC |
Population Basis | Encounter |
Scoring | Proportion |
Type | Outcome |
Rate Aggregation | Two hospital-level measure scores are calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: 1. All Severe Obstetric Complications (SOC). ((Num1 – NumExcl) / (Den-DenExcl)) * 10,000 2. SOC excluding encounters where transfusion was the only SOC. ((Num2 – NumExcl) / (Den-DenExcl)) * 10,000 Num1: Number of delivery encounters with SOC Num2: Number of delivery encounters with SOC excluding encounters where transfusion was the only SOC NumExcl: Delivery encounters with blood transfusion or hysterectomy with Placenta Percreta or Placenta Increta Den: Delivery encounters with > or = 20 weeks gestation completed DenExcl: Delivery encounters for patients with a COVID diagnosis and COVID-related respiratory condition or a COVID diagnosis and COVID-related respiratory procedure |
Improvement Notation | Decreased score indicates improvement |
Measure Population Criteria (ID: 658b2eadd4b024647cc00341) | |
Summary | SOC excluding encounters where transfusion was the only SOC |
Initial Population |
ID: 4e1478e6-a3d4-42e5-a5cd-0026cc5617ed
Description: Inpatient hospitalizations for patients age >= 8 years and < 65 admitted to the hospital for inpatient acute care who undergo a delivery procedure with a discharge date that ends during the measurement period Logic Definition: Initial Population |
Denominator |
ID: e4a80a9b-190c-4cd1-bc7b-8d6d9e5720cd
Description: Inpatient hospitalizations for patients delivering stillborn or live birth with >= 20 weeks, 0 days gestation completed Logic Definition: Denominator |
Denominator Exclusion |
ID: 4db4aa26-e64c-4d09-81fd-d119e14fee05
Description: Inpatient hospitalizations for patients with confirmed diagnosis of COVID with COVID-related respiratory condition or patients with confirmed diagnosis of COVID with COVID-related respiratory procedure during the encounter Logic Definition: Denominator Exclusion |
Numerator |
ID: 0d5818b3-43e6-4d06-991f-adcc939f01b8
Description: Inpatient hospitalizations for patients with severe obstetric complications (not present on admission that occur during the current delivery encounter) including severe maternal morbidity diagnoses (see following list), severe maternal morbidity procedures (see following list), and discharge disposition of expired, yet excluding encounters where transfusion was the only SOC. Please note that present on admission codes may be those entered by coding staff, extracted from billing/claims data. Severe Maternal Morbidity Diagnoses: - Cardiac Acute heart failure Acute myocardial infarction Aortic aneurysm Cardiac arrest/ventricular fibrillation Heart failure/arrest during procedure or surgery - Hemorrhage Disseminated intravascular coagulation Shock - Renal Acute renal failure - Respiratory Adult respiratory distress syndrome Pulmonary edema - Sepsis - Other OB Air and thrombotic embolism Amniotic fluid embolism Eclampsia Severe anesthesia complications - Other Medical Puerperal cerebrovascular disorder Sickle cell disease with crisis Severe Maternal Morbidity Procedures: - Blood transfusion - Conversion of cardiac rhythm - Hysterectomy - Temporary tracheostomy - Ventilation Logic Definition: Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only |
Numerator Exclusion |
ID: b5aef46b-f0d5-442b-b1d4-564444fd471a
Description: Inpatient hospitalizations with blood transfusion or hysterectomy with a diagnosis of placenta percreta or placenta increta and no additional severe obstetrical complications. Logic Definition: SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC |
Population Basis | Encounter |
Scoring | Proportion |
Type | Outcome |
Rate Aggregation | SOC excluding encounters where transfusion was the only SOC, calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: ((Num2 – NumExcl) / (Den-DenExcl)) * 10,000 Num2: Number of delivery encounters with SOC excluding encounters where transfusion was the only SOC; NumExcl: Delivery encounters with blood transfusion or hysterectomy with Placenta Percreta or Placenta Increta; Den: Delivery encounters with > or = 20 weeks gestation completed; DenExcl: Delivery encounters for patients with a COVID diagnosis and COVID-related respiratory condition or a COVID diagnosis and COVID-related respiratory procedure |
Supplemental Data Elements | |
Supplemental Data Element |
ID: sde-ethnicity
Usage Code: Supplemental Data Description: SDE Ethnicity Logic Definition: SDE Ethnicity |
Supplemental Data Element |
ID: sde-payer
Usage Code: Supplemental Data Description: SDE Payer Logic Definition: SDE Payer |
Supplemental Data Element |
ID: sde-race
Usage Code: Supplemental Data Description: SDE Race Logic Definition: SDE Race |
Supplemental Data Element |
ID: sde-sex
Usage Code: Supplemental Data Description: SDE Sex Logic Definition: SDE Sex |
Supplemental Data Element |
ID: sde-variable-calculated-gestational-age
Usage Code: Supplemental Data Description: SDE Variable Calculated Gestational Age Logic Definition: SDE Variable Calculated Gestational Age |
Supplemental Data Element |
ID: sde-soc-diagnoses-detail
Usage Code: Supplemental Data Description: SDE SOC Diagnoses Detail Logic Definition: SDE SOC Diagnoses Detail |
Supplemental Data Element |
ID: sde-soc-procedure-detail
Usage Code: Supplemental Data Description: SDE SOC Procedure Detail Logic Definition: SDE SOC Procedure Detail |
Supplemental Data Element |
ID: sde-delivery-encounters-with-severe-obstetric-complication-diagnosis
Usage Code: Supplemental Data Description: SDE Delivery Encounters with Severe Obstetric Complication Diagnosis Logic Definition: SDE Delivery Encounters with Severe Obstetric Complication Diagnosis |
Supplemental Data Element |
ID: sde-delivery-encounters-with-severe-obstetric-complication-procedures
Usage Code: Supplemental Data Description: SDE Delivery Encounters with Severe Obstetric Complication Procedures Logic Definition: SDE Delivery Encounters with Severe Obstetric Complication Procedures |
Supplemental Data Element |
ID: risk-variable-lab-and-physical-exam-results
Usage Code: Risk Adjustment Factor Description: Risk Variable Lab and Physical Exam Results Logic Definition: Risk Variable Lab and Physical Exam Results |
Supplemental Data Element |
ID: risk-variable-asthma
Usage Code: Risk Adjustment Factor Description: Risk Variable Asthma Logic Definition: Risk Variable Asthma |
Supplemental Data Element |
ID: risk-variable-autoimmune-disease
Usage Code: Risk Adjustment Factor Description: Risk Variable Autoimmune Disease Logic Definition: Risk Variable Autoimmune Disease |
Supplemental Data Element |
ID: risk-variable-bariatric-surgery
Usage Code: Risk Adjustment Factor Description: Risk Variable Bariatric Surgery Logic Definition: Risk Variable Bariatric Surgery |
Supplemental Data Element |
ID: risk-variable-bleeding-disorder
Usage Code: Risk Adjustment Factor Description: Risk Variable Bleeding Disorder Logic Definition: Risk Variable Bleeding Disorder |
Supplemental Data Element |
ID: risk-variable-morbid-obesity
Usage Code: Risk Adjustment Factor Description: Risk Variable Morbid Obesity Logic Definition: Risk Variable Morbid Obesity |
Supplemental Data Element |
ID: risk-variable-cardiac-disease
Usage Code: Risk Adjustment Factor Description: Risk Variable Cardiac Disease Logic Definition: Risk Variable Cardiac Disease |
Supplemental Data Element |
ID: risk-variable-economic-housing-instability
Usage Code: Risk Adjustment Factor Description: Risk Variable Economic Housing Instability Logic Definition: Risk Variable Economic Housing Instability |
Supplemental Data Element |
ID: risk-variable-gastrointestinal-disease
Usage Code: Risk Adjustment Factor Description: Risk Variable Gastrointestinal Disease Logic Definition: Risk Variable Gastrointestinal Disease |
Supplemental Data Element |
ID: risk-variable-gestational-diabetes
Usage Code: Risk Adjustment Factor Description: Risk Variable Gestational Diabetes Logic Definition: Risk Variable Gestational Diabetes |
Supplemental Data Element |
ID: risk-variable-hiv
Usage Code: Risk Adjustment Factor Description: Risk Variable HIV Logic Definition: Risk Variable HIV |
Supplemental Data Element |
ID: risk-variable-hypertension
Usage Code: Risk Adjustment Factor Description: Risk Variable Hypertension Logic Definition: Risk Variable Hypertension |
Supplemental Data Element |
ID: risk-variable-long-term-anticoagulant-use
Usage Code: Risk Adjustment Factor Description: Risk Variable Long Term Anticoagulant Use Logic Definition: Risk Variable Long Term Anticoagulant Use |
Supplemental Data Element |
ID: risk-variable-mental-health-disorder
Usage Code: Risk Adjustment Factor Description: Risk Variable Mental Health Disorder Logic Definition: Risk Variable Mental Health Disorder |
Supplemental Data Element |
ID: risk-variable-multiple-pregnancy
Usage Code: Risk Adjustment Factor Description: Risk Variable Multiple Pregnancy Logic Definition: Risk Variable Multiple Pregnancy |
Supplemental Data Element |
ID: risk-variable-neuromuscular
Usage Code: Risk Adjustment Factor Description: Risk Variable Neuromuscular Logic Definition: Risk Variable Neuromuscular |
Supplemental Data Element |
ID: risk-variable-obstetrical-vte
Usage Code: Risk Adjustment Factor Description: Risk Variable Obstetrical VTE Logic Definition: Risk Variable Obstetrical VTE |
Supplemental Data Element |
ID: risk-variable-placenta-previa
Usage Code: Risk Adjustment Factor Description: Risk Variable Placenta Previa Logic Definition: Risk Variable Placenta Previa |
Supplemental Data Element |
ID: risk-variable-placental-abruption
Usage Code: Risk Adjustment Factor Description: Risk Variable Placental Abruption Logic Definition: Risk Variable Placental Abruption |
Supplemental Data Element |
ID: risk-variable-placental-accreta-spectrum
Usage Code: Risk Adjustment Factor Description: Risk Variable Placental Accreta Spectrum Logic Definition: Risk Variable Placental Accreta Spectrum |
Supplemental Data Element |
ID: risk-variable-preexisting-diabetes
Usage Code: Risk Adjustment Factor Description: Risk Variable Preexisting Diabetes Logic Definition: Risk Variable Preexisting Diabetes |
Supplemental Data Element |
ID: risk-variable-previous-cesarean
Usage Code: Risk Adjustment Factor Description: Risk Variable Previous Cesarean Logic Definition: Risk Variable Previous Cesarean |
Supplemental Data Element |
ID: risk-variable-pulmonary-hypertension
Usage Code: Risk Adjustment Factor Description: Risk Variable Pulmonary Hypertension Logic Definition: Risk Variable Pulmonary Hypertension |
Supplemental Data Element |
ID: risk-variable-renal-disease
Usage Code: Risk Adjustment Factor Description: Risk Variable Renal Disease Logic Definition: Risk Variable Renal Disease |
Supplemental Data Element |
ID: risk-variable-severe-preeclampsia
Usage Code: Risk Adjustment Factor Description: Risk Variable Severe Preeclampsia Logic Definition: Risk Variable Severe Preeclampsia |
Supplemental Data Element |
ID: risk-variable-substance-abuse
Usage Code: Risk Adjustment Factor Description: Risk Variable Substance Abuse Logic Definition: Risk Variable Substance Abuse |
Supplemental Data Element |
ID: risk-variable-thyrotoxicosis
Usage Code: Risk Adjustment Factor Description: Risk Variable Thyrotoxicosis Logic Definition: Risk Variable Thyrotoxicosis |
Supplemental Data Element |
ID: risk-variable-other-preeclampsia
Usage Code: Risk Adjustment Factor Description: Risk Variable Other Preeclampsia Logic Definition: Risk Variable Other Preeclampsia |
Supplemental Data Element |
ID: risk-variable-preterm-birth
Usage Code: Risk Adjustment Factor Description: Risk Variable Preterm Birth Logic Definition: Risk Variable Preterm Birth |
Supplemental Data Element |
ID: risk-variable-anemia
Usage Code: Risk Adjustment Factor Description: Risk Variable Anemia Logic Definition: Risk Variable Anemia |
Supplemental Data Element |
ID: risk-variable-systolic-blood-pressure
Usage Code: Risk Adjustment Factor Description: Risk Variable Systolic Blood Pressure Logic Definition: Risk Variable Systolic Blood Pressure |
Supplemental Data Element |
ID: risk-variable-heart-rate
Usage Code: Risk Adjustment Factor Description: Risk Variable Heart Rate Logic Definition: Risk Variable Heart Rate |
Supplemental Data Element |
ID: risk-variable-first-white-blood-cell-count-lab-test
Usage Code: Risk Adjustment Factor Description: Risk Variable First White Blood Cell Count Lab Test Logic Definition: Risk Variable First White Blood Cell Count Lab Test |
Supplemental Data Element |
ID: risk-variable-first-hematocrit-lab-test
Usage Code: Risk Adjustment Factor Description: Risk Variable First Hematocrit Lab Test Logic Definition: Risk Variable First Hematocrit Lab Test |
Supplemental Data Element |
ID: delivery-encounters-with-blood-transfusion
Usage Code: Risk Adjustment Factor Description: Delivery Encounters with Blood Transfusion Logic Definition: Delivery Encounters with Blood Transfusion |
Supplemental Data Element |
ID: risk-variable-maternal-age
Usage Code: Risk Adjustment Factor Description: Risk Variable Maternal Age Logic Definition: Risk Variable Maternal Age |
Measure Logic | |
Primary Library | SevereObstetricComplicationsFHIR |
Dependency |
Description: Library PCMaternal
Resource: Library/PCMaternal|5.19.000
Canonical URL: Library/PCMaternal|5.19.000 |
Dependency |
Description: Library CQMCommon
Resource: Library/CQMCommon|2.2.000
Canonical URL: Library/CQMCommon|2.2.000 |
Dependency |
Description: Library FHIRHelpers
Resource: Library/FHIRHelpers|4.4.000
Canonical URL: Library/FHIRHelpers|4.4.000 |
Dependency |
Description: Library QICoreCommon
Resource: Library/QICoreCommon|2.1.000
Canonical URL: Library/QICoreCommon|2.1.000 |
Dependency |
Description: Library SDE
Resource: Library/SupplementalDataElements|3.5.000
Canonical URL: Library/SupplementalDataElements|3.5.000 |
Dependency |
Description: Code system LOINC
Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org |
Dependency |
Description: Code system AdministrativeGender
Resource: AdministrativeGender Canonical URL: http://hl7.org/fhir/administrative-gender |
Dependency |
Description: Value set Encounter Inpatient
Resource: Encounter Inpatient Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 |
Dependency |
Description: Value set Delivery Procedures
Resource: Delivery Procedures Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59 |
Dependency |
Description: Value set Observation Services
Resource: Observation Services Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143 |
Dependency |
Description: Value set ED Visit and OB Triage
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369 |
Dependency |
Description: Value set Estimated Gestational Age at Delivery
Resource: Estimated Gestational Age at Delivery Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26 |
Dependency |
Description: Value set 20 to 42 Plus Weeks Gestation
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.67 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.67 |
Dependency |
Description: Value set Present On Admission is Yes or Exempt
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.63 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.63 |
Dependency |
Description: Value set Acute or Persistent Asthma
Resource: Asthma Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.271 |
Dependency |
Description: Value set Present on Admission is No or Unable To Determine
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.370 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.370 |
Dependency |
Description: Value set Severe Maternal Morbidity Diagnoses
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.255 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.255 |
Dependency |
Description: Value set Severe Maternal Morbidity Procedures
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256 |
Dependency |
Description: Value set Patient Expired
Resource: Patient Expired Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309 |
Dependency |
Description: Value set Blood Transfusion
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213 |
Dependency |
Description: Value set Placenta Increta or Percreta
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.388 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.388 |
Dependency |
Description: Value set Hysterectomy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358 |
Dependency |
Description: Value set Conversion of Cardiac Rhythm
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357 |
Dependency |
Description: Value set Tracheostomy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359 |
Dependency |
Description: Value set Ventilation
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360 |
Dependency |
Description: Value set Placenta Accreta
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.302 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.302 |
Dependency |
Description: Value set Neuromuscular Disease
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.308 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.308 |
Dependency |
Description: Value set Hypertension
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.332 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.332 |
Dependency |
Description: Value set Preterm Birth
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.299 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.299 |
Dependency |
Description: Value set Payer Type
Resource: Payer Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 |
Dependency |
Description: Value set Placental Abruption
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.305 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.305 |
Dependency |
Description: Value set COVID 19 Confirmed
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.373 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.373 |
Dependency |
Description: Value set Respiratory Conditions Related to COVID 19
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.376 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.376 |
Dependency |
Description: Value set Respiratory Support Procedures Related to COVID 19
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379 |
Dependency |
Description: Value set Morbid or Severe Obesity
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.290 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.290 |
Dependency |
Description: Value set Preexisting Diabetes
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.275 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.275 |
Dependency |
Description: Value set Bariatric Surgery
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.317 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.317 |
Dependency |
Description: Value set Placenta Previa
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.78 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.78 |
Dependency |
Description: Value set Bleeding Disorder
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.287 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.287 |
Dependency |
Description: Value set White blood cells count lab test
Resource: White blood cells count lab test Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129 |
Dependency |
Description: Value set Hematocrit lab test
Resource: Hematocrit lab test Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114 |
Dependency |
Description: Value set Severe Preeclampsia
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.327 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.327 |
Dependency |
Description: Value set Anemia
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.323 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.323 |
Dependency |
Description: Value set Cardiac Disease
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.341 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.341 |
Dependency |
Description: Value set Long Term Anticoagulant Use
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.366 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.366 |
Dependency |
Description: Value set Acute Heart Failure
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.233 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.233 |
Dependency |
Description: Value set Acute Myocardial Infarction
Resource: Acute Myocardial Infarction (AMI) Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.623 |
Dependency |
Description: Value set Acute Renal Failure
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.53 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.53 |
Dependency |
Description: Value set Acute Respiratory Distress Syndrome
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.214 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.214 |
Dependency |
Description: Value set Air and Thrombotic Embolism
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.243 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.243 |
Dependency |
Description: Value set Amniotic Fluid Embolism
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.217 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.217 |
Dependency |
Description: Value set Aortic Aneurysm
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.219 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.219 |
Dependency |
Description: Value set Cardiac Arrest Ventricular Fibrillation
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.221 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.221 |
Dependency |
Description: Value set Disseminated Intravascular Coagulation
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.223 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.223 |
Dependency |
Description: Value set Eclampsia
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.225 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.225 |
Dependency |
Description: Value set Heart Failure Cardiac Arrest Related to Procedure or Surgery
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.227 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.227 |
Dependency |
Description: Value set Puerperal Cerebrovascular Disorder
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.229 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.229 |
Dependency |
Description: Value set Pulmonary Edema
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.231 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.231 |
Dependency |
Description: Value set Sepsis
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.237 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.237 |
Dependency |
Description: Value set Severe Anesthesia Complications
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.235 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.235 |
Dependency |
Description: Value set Shock
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.239 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.239 |
Dependency |
Description: Value set Sickle Cell Disease with Crisis
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.241 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.241 |
Dependency |
Description: Value set Substance Abuse
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.320 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.320 |
Dependency |
Description: Value set Renal Disease
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.335 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.335 |
Dependency |
Description: Value set Gastrointestinal Disease
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.338 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.338 |
Dependency |
Description: Value set Pulmonary Hypertension
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.281 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.281 |
Dependency |
Description: Value set Thyrotoxicosis
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.296 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.296 |
Dependency |
Description: Value set Mild or Moderate Preeclampsia
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.329 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.329 |
Dependency |
Description: Value set Economic Housing Instability
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.292 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.292 |
Dependency |
Description: Value set HIV in Pregnancy Childbirth and Puerperium
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.272 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.272 |
Dependency |
Description: Value set Mental Health Disorder
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.314 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.314 |
Dependency |
Description: Value set Venous Thromboembolism in Pregnancy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.363 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.363 |
Dependency |
Description: Value set Autoimmune Disease
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.311 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.311 |
Dependency |
Description: Value set Previous Cesarean
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.278 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.278 |
Dependency |
Description: Value set Gestational Diabetes
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.269 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.269 |
Dependency |
Description: Value set Multiple Pregnancy
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.284 Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.284 |
Direct Reference Code |
Display: Date and time of obstetric delivery
Code: 93857-1 System: http://loinc.org |
Direct Reference Code |
Display: Delivery date Estimated
Code: 11778-8 System: http://loinc.org |
Direct Reference Code |
Display: Male
Code: M System: http://hl7.org/fhir/administrative-gender |
Direct Reference Code |
Display: Female
Code: F System: http://hl7.org/fhir/administrative-gender |
Direct Reference Code |
Display: Systolic BP
Code: 8480-6 System: http://loinc.org |
Parameter |
Name: Measurement Period
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period |
Parameter |
Name: Risk Variable Asthma
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Delivery Encounters with Severe Obstetric Complication Diagnosis
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Placental Accreta Spectrum
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Neuromuscular
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Hypertension
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Preterm Birth
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Payer
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Placental Abruption
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Denominator Exclusion
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Morbid Obesity
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Preexisting Diabetes
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Bariatric Surgery
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Race
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
Parameter |
Name: Risk Variable Placenta Previa
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Sex
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding |
Parameter |
Name: Risk Variable Bleeding Disorder
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable First White Blood Cell Count Lab Test
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable First Hematocrit Lab Test
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Severe Preeclampsia
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Anemia
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Cardiac Disease
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Long Term Anticoagulant Use
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Systolic Blood Pressure
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE SOC Diagnoses Detail
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Substance Abuse
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Renal Disease
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Variable Calculated Gestational Age
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Gastrointestinal Disease
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Pulmonary Hypertension
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Thyrotoxicosis
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Other Preeclampsia
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Initial Population
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Economic Housing Instability
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable HIV
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Delivery Encounters with Severe Obstetric Complication Procedures
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Heart Rate
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Maternal Age
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Mental Health Disorder
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Obstetrical VTE
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Autoimmune Disease
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Previous Cesarean
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Gestational Diabetes
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE SOC Procedure Detail
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Numerator
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Risk Variable Multiple Pregnancy
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Denominator
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: Delivery Encounters with Blood Transfusion
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
Parameter |
Name: SDE Ethnicity
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
Measure Logic Data Requirements | |
Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, period, status, status.value, condition, condition.reference, condition.reference.value, extension, condition.code, hospitalization, hospitalization.dischargeDisposition, id, id.value Code Filter(s): Path: type ValueSet: Observation Services Path: status.value Code: |
Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, period, status, status.value, condition, condition.reference, condition.reference.value, extension, condition.code, hospitalization, hospitalization.dischargeDisposition, id, id.value Code Filter(s): Path: type ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369 Path: status.value Code: |
Data Requirement |
Type: Encounter
Profile(s): QICoreEncounter Must Support Elements: type, status, status.value, period, condition, condition.reference, condition.reference.value, extension, condition.code, hospitalization, hospitalization.dischargeDisposition, id, id.value Code Filter(s): Path: type ValueSet: Encounter Inpatient Path: status.value Code: |
Data Requirement |
Type: Patient
Profile(s): QICorePatient Must Support Elements: race, ethnicity |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: Delivery Procedures Path: status.value Code: |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256 Path: status.value Code: |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358 Path: status.value Code: |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357 |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359 |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360 |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379 Path: status.value Code: |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256 |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213 |
Data Requirement |
Type: Procedure
Profile(s): QICoreProcedure Must Support Elements: code, status, status.value, performed Code Filter(s): Path: code ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213 Path: status.value Code: |
Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, value, status, status.value, effective Code Filter(s): Path: code Code: |
Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, value, status, status.value, effective Code Filter(s): Path: code Code: |
Data Requirement |
Type: Observation
Profile(s): QICoreObservation Must Support Elements: code, effective, value, status, status.value Code Filter(s): Path: code ValueSet: Estimated Gestational Age at Delivery |
Data Requirement |
Type: Condition
Profile(s): QICoreCondition Must Support Elements: id, id.value, code |
Data Requirement |
Type: Coverage
Profile(s): QICoreCoverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer |
Data Requirement |
Type: Observation
Profile(s): US Core Laboratory Result Observation Profile Must Support Elements: code, issued, issued.value, status, status.value, value Code Filter(s): Path: code ValueSet: White blood cells count lab test |
Data Requirement |
Type: Observation
Profile(s): US Core Laboratory Result Observation Profile Must Support Elements: code, issued, issued.value, status, status.value, value Code Filter(s): Path: code ValueSet: Hematocrit lab test |
Data Requirement |
Type: Observation
Profile(s): Observation Blood Pressure Profile Must Support Elements: effective, status, status.value, component |
Data Requirement |
Type: Observation
Profile(s): Observation Heart Rate Profile Must Support Elements: effective, status, status.value, value |
Measure Logic Definitions | |
Logic Definition | Library Name: CQMCommon |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SupplementalDataElements |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SupplementalDataElements |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SupplementalDataElements |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SupplementalDataElements |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: QICoreCommon |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: PCMaternal |
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Logic Definition | Library Name: CQMCommon |
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Logic Definition | Library Name: QICoreCommon |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: FHIRHelpers |
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Logic Definition | Library Name: CQMCommon |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: FHIRHelpers |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Logic Definition | Library Name: SevereObstetricComplicationsFHIR |
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Generated using version 0.4.6 of the sample-content-ig Liquid templates |
{
"resourceType" : "Measure",
"id" : "SevereObstetricComplicationsFHIR",
"meta" : {
"profile" : [
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"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">SevereObstetricComplicationsFHIR</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">Severe Obstetric ComplicationsFHIR</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Active</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>Patients with severe obstetric complications that occur during the inpatient delivery hospitalization</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n<td class=\"content-container\"><div><p>UNKNOWN</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Clinical Usage</th>\n\n<td class=\"content-container\">In the case of multiple births, map the first delivery date/time (Baby A) as the delivery date/time for the encounter. This measure allows for 3 approaches to determine gestational age (GA) in the following order of precedence:\n\n1. The GA is calculated using the American College of Obstetricians and Gynecologists ReVITALize guidelines.*\n2. The GA is obtained from a discrete field in the electronic health record. This option is only used when the calculated GA is not available.\n3. The GA is based on ICD10 or SNOMED codes indicative of weeks gestation. This option is only used when results from items #1 and #2 (see above) are not available.\n\nWherever gestational age is mentioned, relative to the delivery, the intent is to capture the last estimated gestational age prior to or at the time of delivery. \n \n*ACOG ReVITALize Guidelines for Calculating Gestational Age (ACOG, 2014): \n \n Gestational Age = (280-(Estimated Due Date minus Reference Date))/7\n\n--Estimated Due Date (EDD): The best obstetrical EDD is determined by last menstrual period if confirmed by early ultrasound or no ultrasound performed, or early ultrasound if no known last menstrual period or the ultrasound is not consistent with last menstrual period, or known date of fertilization (e.g., assisted reproductive technology) \n--Reference Date is the date on which you are trying to determine gestational age. For purposes of this eCQM, Reference Date would be the Date of Delivery. \n\nNote however the calculation may yield a non-whole number and gestational age should be rounded down to the nearest completed week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks.\n\nDefinition:\nFor this measure, specifications are modeled after the nationally available and adopted CDC definition for Severe Maternal Morbidity (SMM) with the addition of maternal mortality. At times, we may refer to the CDC indicators of morbidity as SMM, but the outcome of the measure, which includes morbidity and mortality, is referred to as Severe Obstetric Complications (SOC).\n\nNote: This measure will be stratified by race/ethnicity and payer after measure submission.\n\nThis eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period.\n\nThis FHIR-based measure has been derived from the QDM-based measure CMS1028v3.\n\nPlease refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (https://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html).</td>\n</tr>\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n<td class=\"content-container\">2025-01-01..2025-12-31</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type venue}\">Venue</span> = <span title=\"Codes:{http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes eh}\">EH</span></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">The Joint Commission: <a href=\"https://www.jointcommission.org/\">https://www.jointcommission.org/</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">Centers for Medicare & Medicaid Services (CMS): <a href=\"https://www.cms.gov/\">https://www.cms.gov/</a></td>\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">Yale New Haven Health Service Corporation/ Center for Outcomes Research and Evaluation: <a href=\"https://medicine.yale.edu/core/\">https://medicine.yale.edu/core/</a></td>\n</tr>\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">The Joint Commission</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"https://www.jointcommission.org/\">https://www.jointcommission.org/</a></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n<td class=\"content-container\"><div><p>Measure specifications are in the Public Domain.</p>\n<p>LOINC(R) copyright 2004-2023 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2023 International Health Terminology Standards Development Organisation. ICD-10 copyright 2023 World Health Organization. All Rights Reserved.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Short Name Identifier</th>\n\n<td class=\"content-container\">CMS1028FHIR</td>\n</tr>\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Independent Identifier</th>\n\n<td class=\"content-container\">urn:uuid:6cf03fe2-b962-4f83-ac37-26d7477183c7</td>\n</tr>\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Specific Identifier</th>\n\n<td class=\"content-container\">urn:uuid:3efa7f95-1d8e-45fa-af68-023d3554e8c1</td>\n</tr>\n\n\n\n \n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Publisher (CMS) Identifier</th>\n\n<td class=\"content-container\">1028FHIR</td>\n</tr>\n\n \n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">0.1.000</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Rationale</th>\n\n<td class=\"content-container\"><div><p>The United States (US) experiences higher rates of maternal morbidity and mortality than most other developed countries. These rates have continued to trend upward in recent decades (CDC, 2021). Research indicates that the overall rate of severe maternal morbidity (SMM) increased by almost 200% between 1993 and 2014 to 144 per 10,000 delivery hospitalizations (CDC, 2021), with more than 25,000 women per year experiencing obstetric complications (U.S. Department of Health and Human Services, 2020). Recent maternal mortality data from 2018 reveal that 658 women in the US died from maternal causes, resulting in a rate of 17.4 deaths per 100,000 live births, with 77% of the deaths attributed to direct obstetric causes like hemorrhage, preeclampsia, obstetric embolism, and other complications (Hoyert & Minino, 2018). 144 per 10,000 women hospitalized for delivery have experienced SMM, including hemorrhage, embolism, hypertension, stroke, and other serious complications (CDC, 2021). Racial and ethnic disparities exist: Black women and Hispanic women are at a significantly higher risk for developing these complications than are Non-Hispanic White women (Leonard, Main, Scott, Profit, & Carmichael, 2019). Increasing rates of SMM are resulting in increased healthcare costs, longer hospitalization stays and impacts on a woman's health (Callaghan, Creanga, & Kuklina, 2012).</p>\n<p>There is limited national evaluation of hospitals' performance on maternal morbidity and mortality although SMM is widely used at the population level. SMM is linked to maternal mortality, varies significantly among hospitals, and has significant racial/ethnic and urban/rural disparities. SMM is a cost driver for both Medicaid and commercial plans. This measure is important as it will assist in the discovery and understanding of SMM patterns that can lead to improvements in the safety and quality of maternal care necessary to reduce SMM rates.</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Clinical Recommendation Statement</th>\n\n<td class=\"content-container\"><div><p>Healthy People 2030 Measure (MICH-05): Reduce severe maternal complications identified during delivery hospitalizations (U.S. Department of Health and Human Services, n.d.).</p>\n<p>The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine recommend identifying potential cases of severe maternal morbidity for further review, with a focus on outcomes and complications, and consider this an important step toward promoting safe obstetric care (American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Kilpatrick, & Ecker, 2016).</p>\n</div></td>\n</tr>\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Guidance</th>\n\n<td class=\"content-container\"><div><p>In the case of multiple births, map the first delivery date/time (Baby A) as the delivery date/time for the encounter. This measure allows for 3 approaches to determine gestational age (GA) in the following order of precedence:</p>\n<ol>\n<li>The GA is calculated using the American College of Obstetricians and Gynecologists ReVITALize guidelines.*</li>\n<li>The GA is obtained from a discrete field in the electronic health record. This option is only used when the calculated GA is not available.</li>\n<li>The GA is based on ICD10 or SNOMED codes indicative of weeks gestation. This option is only used when results from items #1 and #2 (see above) are not available.</li>\n</ol>\n<p>Wherever gestational age is mentioned, relative to the delivery, the intent is to capture the last estimated gestational age prior to or at the time of delivery.</p>\n<p>*ACOG ReVITALize Guidelines for Calculating Gestational Age (ACOG, 2014):</p>\n<pre><code> Gestational Age = (280-(Estimated Due Date minus Reference Date))/7\n</code></pre>\n<p>--Estimated Due Date (EDD): The best obstetrical EDD is determined by last menstrual period if confirmed by early ultrasound or no ultrasound performed, or early ultrasound if no known last menstrual period or the ultrasound is not consistent with last menstrual period, or known date of fertilization (e.g., assisted reproductive technology)\n--Reference Date is the date on which you are trying to determine gestational age. For purposes of this eCQM, Reference Date would be the Date of Delivery.</p>\n<p>Note however the calculation may yield a non-whole number and gestational age should be rounded down to the nearest completed week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks.</p>\n<p>Definition:\nFor this measure, specifications are modeled after the nationally available and adopted CDC definition for Severe Maternal Morbidity (SMM) with the addition of maternal mortality. At times, we may refer to the CDC indicators of morbidity as SMM, but the outcome of the measure, which includes morbidity and mortality, is referred to as Severe Obstetric Complications (SOC).</p>\n<p>Note: This measure will be stratified by race/ethnicity and payer after measure submission.</p>\n<p>This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period.</p>\n<p>This FHIR-based measure has been derived from the QDM-based measure CMS1028v3.</p>\n<p>Please refer to the HL7 QI-Core Implementation Guide (https://hl7.org/fhir/us/qicore/STU4.1.1/) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (https://hl7.org/fhir/us/qicore/STU4.1.1/qdm-to-qicore.html).</p>\n</div></td>\n</tr>\n\n\n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Guidance</th>\n\n<td class=\"content-container\">For every patient evaluated by this measure also identify payer, race, ethnicity, sex, variable calculated gestational age, SOC diagnosis details, and SOC procedure details\n\n \n </td>\n</tr>\n\n \n\n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Guidance</th>\n\n<td class=\"content-container\">The Severe Obstetric Complications Risk Adjustment Methodology Report is available on the eCQI Resource Center (https://ecqi.healthit.gov).\nPre-existing conditions and variables must be present on admission. Please note that present on admission codes may be extracted from billing/claims data that was entered by coding staff (Leonard, Kennedy, Carmichael, Lyell, & Main, 2020; Main, Leonard, & Menard, 2020).\n- Anemia (includes sickle cell disease)\n- Asthma \n- Autoimmune Disease\n- Bariatric Surgery\n- Bleeding Disorder\n- Cardiac Disease\n- Economic Housing Instability\n- Gastrointestinal Disease \n- Gestational Diabetes\n- HIV\n- Hypertension\n- Long-term Anticoagulant Use\n- Maternal Age (derived from birthdate)\n- Mental Health Disorder\n- Morbid Obesity\n- Multiple Pregnancy\t\n- Neuromuscular Disease\n- Obstetric VTE\n- Other Pre-eclampsia\n- Placenta Previa\n- Placental Abruption\n- Placental Accreta Spectrum\n- Pre-existing Diabetes \n- Preterm Birth\n- Previous Cesarean \n- Pulmonary Hypertension\n- Renal Disease \n- Severe Pre-eclampsia\n- Substance Abuse\n- Thyrotoxicosis \n\nLab and Physical Exam Results:\nReport the first resulted value 24 hours prior to start of encounter and before time of delivery in UCUM units specified:\n- Heart rate: {beats}/min\n- Systolic blood pressure: mm[Hg]\n- Hematocrit: %\n- White blood cell count: 10*3/uL \n\n\nNote regarding submission of risk variable data: The risk variable definitions are included in the specifications and risk variable data should be sent with eCQM data in the QRDA1 file. Specific risk variable templates are not needed in the QRDA1 files.</td>\n</tr>\n\n \n\n\n\n\n\n \n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria (ID: 64efa90856d636294b157c9a)</th>\n\n</tr>\n \n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Summary</th>\n\n<td class=\"content-container\">All Severe Obstetric Complications (SOC)</td>\n</tr>\n\n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 8D56845B-BA26-4F6A-8D23-BBFD696C9450\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients age greater than or equal to 8 years and less than 65 admitted to the hospital for inpatient acute care who undergo a delivery procedure with a discharge date during the measurement period</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-initial-population\">Initial Population</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 8542DE86-6114-4575-9A2B-D09A0FA7C671\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients delivering stillborn or live birth with greater than or equal to 20 weeks, 0 days gestation completed</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-denominator\">Denominator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator Exclusion</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 16605347-8AF3-47AA-B230-65B7208909B9\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients with confirmed diagnosis of COVID with COVID-related respiratory condition or patients with confirmed diagnosis of COVID with COVID-related respiratory procedure during the encounter</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-denominator-exclusion\">Denominator Exclusion</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 05AD3648-8C60-4938-96C4-82385B9C4F91\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Two numerator populations are defined for this measure:\n\n1. All Severe Obstetric Complications (SOC).\n2. SOC excluding encounters where transfusion was the only SOC.\n\nInpatient hospitalizations for patients with severe obstetric complications (not present on admission that occur during the current delivery encounter) including the following: \n- Severe maternal morbidity diagnoses (see list below)\n- Severe maternal morbidity procedures (see list below)\n- Discharge disposition of expired\nPlease note that present on admission codes may be extracted from billing/claims data that was entered by coding staff.\n\nSevere Maternal Morbidity Diagnoses:\n- Cardiac\n\t Acute heart failure \n\t Acute myocardial infarction\n\t Aortic aneurysm\n\t Cardiac arrest/ventricular fibrillation\n\t Heart failure/arrest during procedure or surgery\n- Hemorrhage\n\t Disseminated intravascular coagulation\n\t Shock\n- Renal\n Acute renal failure\n- Respiratory\n\t Adult respiratory distress syndrome\n\t Pulmonary edema\n- Sepsis\n- Other OB\n\t Air and thrombotic embolism\n\t Amniotic fluid embolism\n\t Eclampsia\n\t Severe anesthesia complications\n- Other Medical\n\t Puerperal cerebrovascular disorder\n\t Sickle cell disease with crisis\n\nSevere Maternal Morbidity Procedures:\n- Blood transfusion\n- Conversion of cardiac rhythm\n- Hysterectomy\n- Temporary tracheostomy\n- Ventilation</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-numerator\">Numerator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Numerator Exclusion</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: e29f29ee-889e-4314-983c-e0ddc189a16c\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations with blood transfusion or hysterectomy with a diagnosis of placenta percreta or placenta increta and no additional severe obstetrical complications.</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-soc-with-hysterectomy-or-blood-transfusion-with-placenta-increta-or-placenta-percreta-without-additional-soc\">SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC</a> \n \n \n </td>\n </tr>\n \n\n \n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Population Basis</th>\n\n<td class=\"content-container\">Encounter</td>\n</tr>\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></td>\n</tr>\n\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Rate Aggregation</th>\n\n<td class=\"content-container\">Two hospital-level measure scores are calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: 1. All Severe Obstetric Complications (SOC). ((Num1 – NumExcl) / (Den-DenExcl)) * 10,000 2. SOC excluding encounters where transfusion was the only SOC. ((Num2 – NumExcl) / (Den-DenExcl)) * 10,000 Num1: Number of delivery encounters with SOC Num2: Number of delivery encounters with SOC excluding encounters where transfusion was the only SOC NumExcl: Delivery encounters with blood transfusion or hysterectomy with Placenta Percreta or Placenta Increta Den: Delivery encounters with > or = 20 weeks gestation completed DenExcl: Delivery encounters for patients with a COVID diagnosis and COVID-related respiratory condition or a COVID diagnosis and COVID-related respiratory procedure</td>\n</tr>\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></td>\n</tr>\n\n\n\n \n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria (ID: 658b2eadd4b024647cc00341)</th>\n\n</tr>\n \n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Summary</th>\n\n<td class=\"content-container\">SOC excluding encounters where transfusion was the only SOC</td>\n</tr>\n\n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 4e1478e6-a3d4-42e5-a5cd-0026cc5617ed\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients age >= 8 years and < 65 admitted to the hospital for inpatient acute care who undergo a delivery procedure with a discharge date that ends during the measurement period</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-initial-population\">Initial Population</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: e4a80a9b-190c-4cd1-bc7b-8d6d9e5720cd\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients delivering stillborn or live birth with >= 20 weeks, 0 days gestation completed</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-denominator\">Denominator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator Exclusion</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 4db4aa26-e64c-4d09-81fd-d119e14fee05\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients with confirmed diagnosis of COVID with COVID-related respiratory condition or patients with confirmed diagnosis of COVID with COVID-related respiratory procedure during the encounter</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-denominator-exclusion\">Denominator Exclusion</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: 0d5818b3-43e6-4d06-991f-adcc939f01b8\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations for patients with severe obstetric complications (not present on admission that occur during the current delivery encounter) including severe maternal morbidity diagnoses (see following list), severe maternal morbidity procedures (see following list), and discharge disposition of expired, yet excluding encounters where transfusion was the only SOC. \nPlease note that present on admission codes may be those entered by coding staff, extracted from billing/claims data.\n\nSevere Maternal Morbidity Diagnoses:\n- Cardiac\n\t Acute heart failure \n\t Acute myocardial infarction\n\t Aortic aneurysm\n\t Cardiac arrest/ventricular fibrillation\n\t Heart failure/arrest during procedure or surgery\n- Hemorrhage\n\t Disseminated intravascular coagulation\n\t Shock\n- Renal\n Acute renal failure\n- Respiratory\n\t Adult respiratory distress syndrome\n\t Pulmonary edema\n- Sepsis\n- Other OB\n\t Air and thrombotic embolism\n\t Amniotic fluid embolism\n\t Eclampsia\n\t Severe anesthesia complications\n- Other Medical\n\t Puerperal cerebrovascular disorder\n\t Sickle cell disease with crisis\n\nSevere Maternal Morbidity Procedures:\n- Blood transfusion\n- Conversion of cardiac rhythm\n- Hysterectomy\n- Temporary tracheostomy\n- Ventilation</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-delivery-encounters-with-severe-obstetric-complications-excluding-blood-transfusions-only\">Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Numerator Exclusion</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: b5aef46b-f0d5-442b-b1d4-564444fd471a\n <br/>\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient hospitalizations with blood transfusion or hysterectomy with a diagnosis of placenta percreta or placenta increta and no additional severe obstetrical complications.</p>\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-soc-excluding-blood-transfusions-only-with-hysterectomy-or-blood-transfusion-with-placenta-increta-or-placenta-percreta-without-additional-soc\">SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC</a> \n \n \n </td>\n </tr>\n \n\n \n \n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Population Basis</th>\n\n<td class=\"content-container\">Encounter</td>\n</tr>\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></td>\n</tr>\n\n\n\n\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type outcome}\">Outcome</span></td>\n</tr>\n\n\n\n\n \n<tr>\n\n<th scope=\"row\" class=\"row-header\">Rate Aggregation</th>\n\n<td class=\"content-container\">SOC excluding encounters where transfusion was the only SOC, calculated as a risk-adjusted proportion reported as a rate per 10,000 delivery hospitalizations: ((Num2 – NumExcl) / (Den-DenExcl)) * 10,000 Num2: Number of delivery encounters with SOC excluding encounters where transfusion was the only SOC; NumExcl: Delivery encounters with blood transfusion or hysterectomy with Placenta Percreta or Placenta Increta; Den: Delivery encounters with > or = 20 weeks gestation completed; DenExcl: Delivery encounters for patients with a COVID diagnosis and COVID-related respiratory condition or a COVID diagnosis and COVID-related respiratory procedure</td>\n</tr>\n\n\n\n\n\n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Supplemental Data Elements</th>\n\n</tr>\n\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-ethnicity\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Ethnicity\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-ethnicity\">SDE Ethnicity</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-payer\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Payer\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-payer\">SDE Payer</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-race\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Race\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-race\">SDE Race</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-sex\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Sex\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-sex\">SDE Sex</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-variable-calculated-gestational-age\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Variable Calculated Gestational Age\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-variable-calculated-gestational-age\">SDE Variable Calculated Gestational Age</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-soc-diagnoses-detail\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE SOC Diagnoses Detail\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-soc-diagnoses-detail\">SDE SOC Diagnoses Detail</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-soc-procedure-detail\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE SOC Procedure Detail\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-soc-procedure-detail\">SDE SOC Procedure Detail</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-delivery-encounters-with-severe-obstetric-complication-diagnosis\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Delivery Encounters with Severe Obstetric Complication Diagnosis\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-delivery-encounters-with-severe-obstetric-complication-diagnosis\">SDE Delivery Encounters with Severe Obstetric Complication Diagnosis</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: sde-delivery-encounters-with-severe-obstetric-complication-procedures\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n \n <br/>\n \n \n \n <em>Description</em>: SDE Delivery Encounters with Severe Obstetric Complication Procedures\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-sde-delivery-encounters-with-severe-obstetric-complication-procedures\">SDE Delivery Encounters with Severe Obstetric Complication Procedures</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-lab-and-physical-exam-results\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Lab and Physical Exam Results\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-lab-and-physical-exam-results\">Risk Variable Lab and Physical Exam Results</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-asthma\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Asthma\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-asthma\">Risk Variable Asthma</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-autoimmune-disease\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Autoimmune Disease\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-autoimmune-disease\">Risk Variable Autoimmune Disease</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-bariatric-surgery\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Bariatric Surgery\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-bariatric-surgery\">Risk Variable Bariatric Surgery</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-bleeding-disorder\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Bleeding Disorder\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-bleeding-disorder\">Risk Variable Bleeding Disorder</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-morbid-obesity\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Morbid Obesity\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-morbid-obesity\">Risk Variable Morbid Obesity</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-cardiac-disease\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Cardiac Disease\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-cardiac-disease\">Risk Variable Cardiac Disease</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-economic-housing-instability\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Economic Housing Instability\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-economic-housing-instability\">Risk Variable Economic Housing Instability</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-gastrointestinal-disease\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Gastrointestinal Disease\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-gastrointestinal-disease\">Risk Variable Gastrointestinal Disease</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-gestational-diabetes\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Gestational Diabetes\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-gestational-diabetes\">Risk Variable Gestational Diabetes</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-hiv\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable HIV\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-hiv\">Risk Variable HIV</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-hypertension\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Hypertension\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-hypertension\">Risk Variable Hypertension</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-long-term-anticoagulant-use\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Long Term Anticoagulant Use\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-long-term-anticoagulant-use\">Risk Variable Long Term Anticoagulant Use</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-mental-health-disorder\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Mental Health Disorder\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-mental-health-disorder\">Risk Variable Mental Health Disorder</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-multiple-pregnancy\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Multiple Pregnancy\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-multiple-pregnancy\">Risk Variable Multiple Pregnancy</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-neuromuscular\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Neuromuscular\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-neuromuscular\">Risk Variable Neuromuscular</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-obstetrical-vte\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Obstetrical VTE\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-obstetrical-vte\">Risk Variable Obstetrical VTE</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-placenta-previa\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Placenta Previa\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-placenta-previa\">Risk Variable Placenta Previa</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-placental-abruption\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Placental Abruption\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-placental-abruption\">Risk Variable Placental Abruption</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-placental-accreta-spectrum\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Placental Accreta Spectrum\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-placental-accreta-spectrum\">Risk Variable Placental Accreta Spectrum</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-preexisting-diabetes\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Preexisting Diabetes\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-preexisting-diabetes\">Risk Variable Preexisting Diabetes</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-previous-cesarean\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Previous Cesarean\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-previous-cesarean\">Risk Variable Previous Cesarean</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-pulmonary-hypertension\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Pulmonary Hypertension\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-pulmonary-hypertension\">Risk Variable Pulmonary Hypertension</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-renal-disease\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Renal Disease\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-renal-disease\">Risk Variable Renal Disease</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-severe-preeclampsia\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Severe Preeclampsia\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-severe-preeclampsia\">Risk Variable Severe Preeclampsia</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-substance-abuse\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Substance Abuse\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-substance-abuse\">Risk Variable Substance Abuse</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-thyrotoxicosis\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Thyrotoxicosis\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-thyrotoxicosis\">Risk Variable Thyrotoxicosis</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-other-preeclampsia\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Other Preeclampsia\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-other-preeclampsia\">Risk Variable Other Preeclampsia</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-preterm-birth\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Preterm Birth\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-preterm-birth\">Risk Variable Preterm Birth</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-anemia\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Anemia\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-anemia\">Risk Variable Anemia</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-systolic-blood-pressure\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Systolic Blood Pressure\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-systolic-blood-pressure\">Risk Variable Systolic Blood Pressure</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-heart-rate\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Heart Rate\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-heart-rate\">Risk Variable Heart Rate</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-first-white-blood-cell-count-lab-test\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable First White Blood Cell Count Lab Test\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-first-white-blood-cell-count-lab-test\">Risk Variable First White Blood Cell Count Lab Test</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-first-hematocrit-lab-test\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable First Hematocrit Lab Test\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-first-hematocrit-lab-test\">Risk Variable First Hematocrit Lab Test</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: delivery-encounters-with-blood-transfusion\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Delivery Encounters with Blood Transfusion\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-delivery-encounters-with-blood-transfusion\">Delivery Encounters with Blood Transfusion</a> \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n <td class=\"content-container\">\n \n <em>ID</em>: risk-variable-maternal-age\n \n <br/>\n \n \n \n \n \n <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}\">Risk Adjustment Factor</span>\n \n <br/>\n \n \n \n <em>Description</em>: Risk Variable Maternal Age\n \n \n \n <br/>\n \n <em>Logic Definition</em>: <a href=\"#severeobstetriccomplicationsfhir-risk-variable-maternal-age\">Risk Variable Maternal Age</a> \n \n \n </td>\n</tr>\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><a href=\"Library-SevereObstetricComplicationsFHIR.html\">SevereObstetricComplicationsFHIR</a></td>\n</tr>\n\n\n\n\n \n \n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library PCMaternal\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>Library/PCMaternal|5.19.000</code>\n <br/>\n <em>Canonical URL</em>: <tt>Library/PCMaternal|5.19.000</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library CQMCommon\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>Library/CQMCommon|2.2.000</code>\n <br/>\n <em>Canonical URL</em>: <tt>Library/CQMCommon|2.2.000</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library FHIRHelpers\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>Library/FHIRHelpers|4.4.000</code>\n <br/>\n <em>Canonical URL</em>: <tt>Library/FHIRHelpers|4.4.000</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library QICoreCommon\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>Library/QICoreCommon|2.1.000</code>\n <br/>\n <em>Canonical URL</em>: <tt>Library/QICoreCommon|2.1.000</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library SDE\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>Library/SupplementalDataElements|3.5.000</code>\n <br/>\n <em>Canonical URL</em>: <tt>Library/SupplementalDataElements|3.5.000</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Code system LOINC\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://loinc.org</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Code system AdministrativeGender\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://hl7.org/fhir/administrative-gender</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Encounter Inpatient\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Delivery Procedures\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.59/expansion\">Delivery Procedures</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Observation Services\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1111.143/expansion\">Observation Services</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set ED Visit and OB Triage\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.369/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Estimated Gestational Age at Delivery\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.26/expansion\">Estimated Gestational Age at Delivery</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set 20 to 42 Plus Weeks Gestation\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1110.67/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.67</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.67</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Present On Admission is Yes or Exempt\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1110.63/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.63</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.63</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Acute or Persistent Asthma\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.271/expansion\">Asthma</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.271</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Present on Admission is No or Unable To Determine\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.370/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.370</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.370</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Severe Maternal Morbidity Diagnoses\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.255/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.255</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.255</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Severe Maternal Morbidity Procedures\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.256/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Patient Expired\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.309/expansion\">Patient Expired</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Blood Transfusion\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.213/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Placenta Increta or Percreta\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.388/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.388</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.388</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Hysterectomy\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.358/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Conversion of Cardiac Rhythm\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.357/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Tracheostomy\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.359/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Ventilation\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.360/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Placenta Accreta\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.302/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.302</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.302</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Neuromuscular Disease\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.308/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.308</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.308</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Hypertension\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.332/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.332</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.332</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Preterm Birth\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.299/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.299</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.299</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Payer Type\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Placental Abruption\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.305/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.305</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.305</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set COVID 19 Confirmed\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.373/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.373</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.373</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Respiratory Conditions Related to COVID 19\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.376/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.376</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.376</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Respiratory Support Procedures Related to COVID 19\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.379/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Morbid or Severe Obesity\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.290/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.290</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.290</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Preexisting Diabetes\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.275/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.275</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.275</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Bariatric Surgery\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.317/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.317</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.317</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Placenta Previa\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1110.78/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.78</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.78</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Bleeding Disorder\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.287/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.287</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.287</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set White blood cells count lab test\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.129/expansion\">White blood cells count lab test</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Hematocrit lab test\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.114/expansion\">Hematocrit lab test</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Severe Preeclampsia\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.327/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.327</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.327</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Anemia\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.323/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.323</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.323</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Cardiac Disease\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.341/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.341</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.341</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Long Term Anticoagulant Use\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.366/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.366</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.366</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Acute Heart Failure\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.233/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.233</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.233</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Acute Myocardial Infarction\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.623/expansion\">Acute Myocardial Infarction (AMI)</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.623</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Acute Renal Failure\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1110.53/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.53</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.53</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Acute Respiratory Distress Syndrome\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.214/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.214</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.214</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Air and Thrombotic Embolism\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.243/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.243</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.243</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Amniotic Fluid Embolism\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.217/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.217</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.217</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Aortic Aneurysm\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.219/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.219</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.219</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Cardiac Arrest Ventricular Fibrillation\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.221/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.221</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.221</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Disseminated Intravascular Coagulation\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.223/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.223</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.223</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Eclampsia\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.225/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.225</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.225</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Heart Failure Cardiac Arrest Related to Procedure or Surgery\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.227/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.227</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.227</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Puerperal Cerebrovascular Disorder\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.229/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.229</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.229</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Pulmonary Edema\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.231/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.231</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.231</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Sepsis\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.237/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.237</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.237</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Severe Anesthesia Complications\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.235/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.235</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.235</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Shock\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.239/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.239</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.239</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Sickle Cell Disease with Crisis\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.241/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.241</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.241</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Substance Abuse\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.320/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.320</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.320</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Renal Disease\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.335/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.335</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.335</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Gastrointestinal Disease\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.338/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.338</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.338</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Pulmonary Hypertension\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.281/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.281</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.281</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Thyrotoxicosis\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.296/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.296</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.296</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Mild or Moderate Preeclampsia\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.329/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.329</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.329</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Economic Housing Instability\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.292/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.292</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.292</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set HIV in Pregnancy Childbirth and Puerperium\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.272/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.272</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.272</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Mental Health Disorder\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.314/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.314</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.314</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Venous Thromboembolism in Pregnancy\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.363/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.363</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.363</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Autoimmune Disease\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.311/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.311</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.311</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Previous Cesarean\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.278/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.278</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.278</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Gestational Diabetes\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.269/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.269</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.269</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Multiple Pregnancy\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.284/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.284</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.284</tt>\n \n </td>\n</tr>\n\n\n \n <tr>\n <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n <td class=\"content-container\">\n \n <em>Display</em>: Date and time of obstetric delivery\n <br/>\n \n <em>Code</em>: 93857-1\n <br/>\n <em>System</em>: <tt>http://loinc.org</tt>\n </td>\n </tr>\n\n <tr>\n <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n <td class=\"content-container\">\n \n <em>Display</em>: Delivery date Estimated\n <br/>\n \n <em>Code</em>: 11778-8\n <br/>\n <em>System</em>: <tt>http://loinc.org</tt>\n </td>\n </tr>\n\n <tr>\n <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n <td class=\"content-container\">\n \n <em>Display</em>: Male\n <br/>\n \n <em>Code</em>: M\n <br/>\n <em>System</em>: <tt>http://hl7.org/fhir/administrative-gender</tt>\n </td>\n </tr>\n\n <tr>\n <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n <td class=\"content-container\">\n \n <em>Display</em>: Female\n <br/>\n \n <em>Code</em>: F\n <br/>\n <em>System</em>: <tt>http://hl7.org/fhir/administrative-gender</tt>\n </td>\n </tr>\n\n <tr>\n <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n <td class=\"content-container\">\n \n <em>Display</em>: Systolic BP\n <br/>\n \n <em>Code</em>: 8480-6\n <br/>\n <em>System</em>: <tt>http://loinc.org</tt>\n </td>\n </tr>\n\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Measurement Period\n <br/>\n <em>Use</em>: In\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Period\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Asthma\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Delivery Encounters with Severe Obstetric Complication Diagnosis\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Placental Accreta Spectrum\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Neuromuscular\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Hypertension\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Preterm Birth\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Payer\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Placental Abruption\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Denominator Exclusion\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Morbid Obesity\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Preexisting Diabetes\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Bariatric Surgery\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Race\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Placenta Previa\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Sex\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Coding\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Bleeding Disorder\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable First White Blood Cell Count Lab Test\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable First Hematocrit Lab Test\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Severe Preeclampsia\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Anemia\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Cardiac Disease\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Long Term Anticoagulant Use\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Systolic Blood Pressure\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE SOC Diagnoses Detail\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Substance Abuse\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Renal Disease\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Variable Calculated Gestational Age\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Gastrointestinal Disease\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Pulmonary Hypertension\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Thyrotoxicosis\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Other Preeclampsia\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Initial Population\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Economic Housing Instability\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable HIV\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Delivery Encounters with Severe Obstetric Complication Procedures\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Heart Rate\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Maternal Age\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Mental Health Disorder\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Obstetrical VTE\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Autoimmune Disease\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Previous Cesarean\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Gestational Diabetes\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE SOC Procedure Detail\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Numerator\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Risk Variable Multiple Pregnancy\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Denominator\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Delivery Encounters with Blood Transfusion\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: SDE Ethnicity\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Resource\n </td>\n</tr>\n \n \n <tr>\n <th colspan=\"2\" scope=\"row\" class=\"section-header\"><a name=\"effective-data-requirements\"> </a>Measure Logic Data Requirements</th>\n </tr>\n \n \n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Encounter\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: type, period, status, status.value, condition, condition.reference, condition.reference.value, extension, condition.code, hospitalization, hospitalization.dischargeDisposition, id, id.value\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: type</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1111.143/expansion\">Observation Services</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Encounter\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: type, period, status, status.value, condition, condition.reference, condition.reference.value, extension, condition.code, hospitalization, hospitalization.dischargeDisposition, id, id.value\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: type</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.369/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Encounter\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: type, status, status.value, period, condition, condition.reference, condition.reference.value, extension, condition.code, hospitalization, hospitalization.dischargeDisposition, id, id.value\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: type</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Patient\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: race, ethnicity\n <br/>\n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.59/expansion\">Delivery Procedures</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.256/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.358/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.357/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.359/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.360/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.379/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.256/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.213/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Procedure\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, status, status.value, performed\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1029.213/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213</a>\n <br/> \n \n \n \n \n <span class=\"tab-one\"><em>Path</em>: status.value</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, value, status, status.value, effective\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, value, status, status.value, effective\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n \n <span class=\"tab-one\"><em>Code</em>: </span>\n <br/>\n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, effective, value, status, status.value\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.26/expansion\">Estimated Gestational Age at Delivery</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Condition\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: id, id.value, code\n <br/>\n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Coverage\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-coverage.html\">QICoreCoverage</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: type, period\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: type</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, issued, issued.value, status, status.value, value\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.129/expansion\">White blood cells count lab test</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: code, issued, issued.value, status, status.value, value\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: code</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.114/expansion\">Hematocrit lab test</a>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/bp.html\">Observation Blood Pressure Profile</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: effective, status, status.value, component\n <br/>\n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Observation\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/heartrate.html\">Observation Heart Rate Profile</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: effective, status, status.value, value\n <br/>\n \n \n </td>\n</tr>\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic Definitions</th>\n\n</tr>\n \n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"cqmcommon-inpatient-encounter\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> CQMCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Inpatient Encounter":\n [Encounter: "Encounter Inpatient"] EncounterInpatient\n\t\twhere EncounterInpatient.status = 'finished'\n\t\tand EncounterInpatient.period ends during day of "Measurement Period"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-encounter-with-age-range\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Encounter with Age Range":\n CQMCommon."Inpatient Encounter" InpatientEncounter\n where AgeInYearsAt(date from start of InpatientEncounter.period) in Interval[ 8, 65 )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-delivery-encounter-with-age-range\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounter with Age Range":\n "Encounter with Age Range" EncounterWithAge\n with ["Procedure": "Delivery Procedures"] DeliveryProcedure\n such that DeliveryProcedure.status = 'completed'\n and DeliveryProcedure.performed.toInterval ( ) starts during EncounterWithAge.hospitalizationWithEDOBTriageObservation ()</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-calculated-gestational-age-greater-than-or-equal-to-20-weeks\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks":\n PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter\n where DeliveryEncounter.calculatedGestationalAge ( ) >= 20</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-estimated-gestational-age-assessment-greater-than-or-equal-to-20-weeks\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks":\n PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter\n where DeliveryEncounter.calculatedGestationalAge ( ) is null\n and ( DeliveryEncounter.lastEstimatedGestationalAge ( ) >= 20 weeks )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-gestational-age-greater-than-or-equal-to-20-weeks-based-on-coding\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding":\n PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge ( ),\n EGA: DeliveryEncounter.lastEstimatedGestationalAge ( )\n where CGA is null\n and EGA is null\n and exists ( ( DeliveryEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in "20 to 42 Plus Weeks Gestation"\n )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-at-greater-than-or-equal-to-20-weeks-gestation\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation":\n "Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks"\n union "Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks"\n union "Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-asthma\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Asthma":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Acute or Persistent Asthma"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-severe-obstetric-complications-diagnosis-or-procedure-excluding-blood-transfusion\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsNoOrUTD ( ) in "Severe Maternal Morbidity Diagnoses"\n or exists ( ["Procedure": "Severe Maternal Morbidity Procedures"] SMMProcedures\n where SMMProcedures.status = 'completed'\n and SMMProcedures.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )\n )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-expiration\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Expiration":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.hospitalization.dischargeDisposition in "Patient Expired"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-blood-transfusion\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Blood Transfusion":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n with ["Procedure": "Blood Transfusion"] BloodTransfusion\n such that BloodTransfusion.status = 'completed'\n and BloodTransfusion.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-severe-obstetric-complications\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Severe Obstetric Complications":\n "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion"\n union "Delivery Encounters with Expiration"\n union "Delivery Encounters with Blood Transfusion"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-hysterectomy\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Hysterectomy":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n with ["Procedure": "Hysterectomy"] Hysterectomy\n such that Hysterectomy.status = 'completed'\n and Hysterectomy.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-cardiac-conversion,-tracheostomy-or-ventilation-procedures\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Cardiac Conversion, Tracheostomy or Ventilation Procedures":\n ["Procedure": "Conversion of Cardiac Rhythm"]\n union ["Procedure": "Tracheostomy"]\n union ["Procedure": "Ventilation"]</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-cardiac-conversion,-tracheostomy-or-ventilation-procedures\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n with "Cardiac Conversion, Tracheostomy or Ventilation Procedures" ConvTrachVentProcedures\n such that ConvTrachVentProcedures.status = 'completed'\n and ConvTrachVentProcedures.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-soc-with-hysterectomy-or-blood-transfusion-with-placenta-increta-or-placenta-percreta-without-additional-soc\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC":\n ( "Delivery Encounters with Severe Obstetric Complications" SOCEncounter\n where exists ( ( SOCEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in "Placenta Increta or Percreta"\n )\n and ( exists "Delivery Encounters with Blood Transfusion"\n or exists "Delivery Encounters with Hysterectomy"\n )\n )\n\t//The following logic keeps encounter in the numerator if there is an additional SOC besides Blood Transfusion or Hysterectomy\n \n except ( ( "Delivery Encounters with Severe Obstetric Complications" SOCEncounter\n where ( SOCEncounter.pOAIsNoOrUTD ( ) in "Severe Maternal Morbidity Diagnoses" )\n )\n union "Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures"\n union "Delivery Encounters with Expiration"\n )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-delivery-encounters-with-severe-obstetric-complication-diagnosis\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Delivery Encounters with Severe Obstetric Complication Diagnosis":\n ( "Delivery Encounters with Severe Obstetric Complications"\n except "SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC" ) Encounter\n where Encounter.pOAIsNoOrUTD ( ) in "Severe Maternal Morbidity Diagnoses"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-placental-accreta-spectrum\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Placental Accreta Spectrum":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Placenta Accreta"\n or TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Placenta Increta or Percreta"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-neuromuscular\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Neuromuscular":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Neuromuscular Disease"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-hypertension\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Hypertension":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Hypertension"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-preterm-birth\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Preterm Birth":\n/* CGA = Calculated Gestational Age. EGA = Estimated Gestational Age. */\n \n ( PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge ( ),\n EGA: DeliveryEncounter.lastEstimatedGestationalAge ( )\n where CGA in Interval[20, 36]\n or ( CGA is null\n and ( EGA >= 20 weeks\n and EGA <= 36 weeks\n )\n )\n )\n union ( PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge ( ),\n EGA: DeliveryEncounter.lastEstimatedGestationalAge ( )\n where CGA is null\n and EGA is null\n and DeliveryEncounter.pOAIsYesOrExempt ( ) in "Preterm Birth"\n )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"supplementaldataelements-sde-payer\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Payer":\n [Coverage: type in "Payer Type"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-payer\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Payer":\n SDE."SDE Payer"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-placental-abruption\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Placental Abruption":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Placental Abruption"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-covid-and-respiratory-condition-or-procedure\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with COVID and Respiratory Condition or Procedure":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where exists ( ( TwentyWeeksPlusEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in "COVID 19 Confirmed"\n )\n and ( exists ( ( TwentyWeeksPlusEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in "Respiratory Conditions Related to COVID 19"\n )\n or exists ( ["Procedure": "Respiratory Support Procedures Related to COVID 19"] COVIDRespiratoryProcedure\n where COVIDRespiratoryProcedure.status = 'completed'\n and COVIDRespiratoryProcedure.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )\n )\n )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-denominator-exclusion\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Denominator Exclusion":\n "Delivery Encounters with COVID and Respiratory Condition or Procedure"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-morbid-obesity\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Morbid Obesity":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Morbid or Severe Obesity"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-preexisting-diabetes\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Preexisting Diabetes":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Preexisting Diabetes"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-bariatric-surgery\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Bariatric Surgery":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Bariatric Surgery"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"supplementaldataelements-sde-race\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Race":\n Patient.race R\n return Tuple {\n codes: R.ombCategory union R.detailed,\n display: R.text\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-race\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Race":\n SDE."SDE Race"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-placenta-previa\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Placenta Previa":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Placenta Previa"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"supplementaldataelements-sde-sex\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Sex":\n case\n when Patient.gender = 'male' then "M"\n when Patient.gender = 'female' then "F"\n else null\n end</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-sex\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Sex":\n SDE."SDE Sex"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-bleeding-disorder\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Bleeding Disorder":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Bleeding Disorder"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-first-white-blood-cell-count-lab-test\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//First resulted value 24 hours prior to start of encounter and before time of delivery\n //Report white blood cell count as 10*3/uL\n\n\n\ndefine "Risk Variable First White Blood Cell Count Lab Test":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n let FirstWBC: First(["USCoreLaboratoryResultObservationProfile": "White blood cells count lab test"] WBC\n where WBC.issued during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and WBC.status in { 'final', 'amended', 'corrected' }\n and WBC.value is not null\n sort by issued.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstWBCResult: FirstWBC.value as Quantity,\n Timing: FirstWBC.issued\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-first-hematocrit-lab-test\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//First resulted value 24 hours prior to start of encounter and before time of delivery\n //Report hematocrit as %\n\n\n\ndefine "Risk Variable First Hematocrit Lab Test":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n let FirstHematocrit: First(["USCoreLaboratoryResultObservationProfile": "Hematocrit lab test"] Hematocrit\n where Hematocrit.issued during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and Hematocrit.status in { 'final', 'amended', 'corrected' }\n and Hematocrit.value is not null\n sort by issued.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstHematocritResult: FirstHematocrit.value as Quantity,\n Timing: FirstHematocrit.issued\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-severe-preeclampsia\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Severe Preeclampsia":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Severe Preeclampsia"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-anemia\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Anemia":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Anemia"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-cardiac-disease\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Cardiac Disease":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Cardiac Disease"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-long-term-anticoagulant-use\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Long Term Anticoagulant Use":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Long Term Anticoagulant Use"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-systolic-blood-pressure\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//First resulted value 24 hours prior to start of encounter and before time of delivery\n//Report systolic blood pressure as mm[Hg]\n//Systolic blood pressure value cannot be null per QICore profile requirement.\n\n\n\n\ndefine "Risk Variable Systolic Blood Pressure":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n let FirstSystolicBP: First(["observation-bp"] BP\n where BP.effective.earliest() during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and BP.status in { 'final', 'amended', 'corrected' }\n and BP.component.value is not null\n sort by effective.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstSBPResult: FirstSystolicBP.component C\n where C.code ~ "Systolic blood pressure"\n return C.value as Quantity,\n Timing: FirstSystolicBP.effective.earliest ( )\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-soc-diagnoses-detail\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE SOC Diagnoses Detail":\n "SDE Delivery Encounters with Severe Obstetric Complication Diagnosis" Encounter\n let complication: Encounter.pOAIsNoOrUTD ( )\n return {\n id: Encounter.id,\n\t // code: Encounter.type,\n \n complications: complication C\n where C in "Severe Maternal Morbidity Diagnoses"\n return {\n code: C,\n SOCDxCategory: C.sOCDxCategory ( )\n }\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-substance-abuse\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Substance Abuse":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Substance Abuse"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-renal-disease\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Renal Disease":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Renal Disease"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-variable-calculated-gestational-age\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Variable Calculated Gestational Age":\n // This definition establishes a variable of CGA (Calculated Gestational Age). CGA is a supplemental data element to store the calculated gestational age result from the "CalculatedGestationalAge" function. The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition\n "Delivery Encounter with Age Range" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge()\n // return { QualifyingEncounter, CGA }\n return {\n EncounterID: DeliveryEncounter.id,\n CalculatedCGA: CGA\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-variable-calculated-gestational-age\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Variable Calculated Gestational Age":\n //This definition establishes a variable of CGA (Calculated Gestational Age). CGA is a supplemental data element to store the calculated gestational age result from the "CalculatedGestationalAge" function. The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition. \n \n PCMaternal."Variable Calculated Gestational Age"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-gastrointestinal-disease\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Gastrointestinal Disease":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Gastrointestinal Disease"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-severe-obstetric-complications-excluding-blood-transfusions\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions":\n "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion"\n union "Delivery Encounters with Expiration"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-delivery-encounters-with-severe-obstetric-complications-excluding-blood-transfusions-only\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only":\n "Delivery Encounters with Severe Obstetric Complications"\n intersect "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-pulmonary-hypertension\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Pulmonary Hypertension":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Pulmonary Hypertension"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-thyrotoxicosis\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Thyrotoxicosis":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Thyrotoxicosis"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-other-preeclampsia\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Other Preeclampsia":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Mild or Moderate Preeclampsia"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-initial-population\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Initial Population":\n PCMaternal."Delivery Encounter with Age Range"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-economic-housing-instability\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Economic Housing Instability":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Economic Housing Instability"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-hiv\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable HIV":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "HIV in Pregnancy Childbirth and Puerperium"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-delivery-encounters-with-severe-obstetric-complication-procedures\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Delivery Encounters with Severe Obstetric Complication Procedures":\n ( "Delivery Encounters with Severe Obstetric Complications"\n except "SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC" ) Encounter\n where exists ( ["Procedure": "Severe Maternal Morbidity Procedures"]\n union ["Procedure": "Blood Transfusion"] ) SMMProcedures\n where SMMProcedures.status = 'completed'\n and SMMProcedures.performed.toInterval ( ) starts during day of Encounter.hospitalizationWithEDOBTriageObservation ( )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-soc-excluding-blood-transfusions-only-with-hysterectomy-or-blood-transfusion-with-placenta-increta-or-placenta-percreta-without-additional-soc\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC":\n ( "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only" SOCExcludingTransfusion\n where exists ( ( SOCExcludingTransfusion.encounterDiagnosis ( ) ) EncounterDiagnoses\n where EncounterDiagnoses.code in "Placenta Increta or Percreta"\n )\n and ( exists "Delivery Encounters with Blood Transfusion"\n or exists "Delivery Encounters with Hysterectomy"\n )\n )\n\t\n\t//The following logic keeps encounter in the numerator if there is an additional SOC besides Blood Transfusion or Hysterectomy\n \n except ( ( "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only" SOCExcludingTransfusion\n where SOCExcludingTransfusion.pOAIsNoOrUTD ( ) in "Severe Maternal Morbidity Diagnoses"\n )\n union "Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures"\n union "Delivery Encounters with Expiration"\n )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-heart-rate\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//First resulted value 24 hours prior to start of encounter and before time of delivery\n //Report heart rate as beats/min\n //Heart rate value cannot be null per QICore profile requirement.\n\n\n\n\ndefine "Risk Variable Heart Rate":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n let FirstHeartRate: First(["observation-heartrate"] HeartRate\n where HeartRate.effective.earliest() during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and HeartRate.status in { 'final', 'amended', 'corrected' }\n sort by effective.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstHRResult: FirstHeartRate.value as Quantity,\n Timing: FirstHeartRate.effective.earliest ( )\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-maternal-age\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Maternal Age":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n let MaternalAge: AgeInYearsAt(date from start of TwentyWeeksPlusEncounter.period)\n return { TwentyWeeksPlusEncounter, MaternalAge }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-mental-health-disorder\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Mental Health Disorder":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Mental Health Disorder"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-obstetrical-vte\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Obstetrical VTE":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Venous Thromboembolism in Pregnancy"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-autoimmune-disease\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Autoimmune Disease":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Autoimmune Disease"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-previous-cesarean\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Previous Cesarean":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Previous Cesarean"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-gestational-diabetes\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Gestational Diabetes":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Gestational Diabetes"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-soc-procedure-detail\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE SOC Procedure Detail":\n "SDE Delivery Encounters with Severe Obstetric Complication Procedures" Encounter\n let procedure: Encounter.sOCProcedures ( )\n return {\n id: Encounter.id,\n // code: Encounter.code,\n \n procedures: procedure P\n return {\n code: P,\n SOCProcedureCategory: P.sOCProcedureCategory ( )\n }\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-numerator\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Numerator":\n "Delivery Encounters with Severe Obstetric Complications"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-risk-variable-multiple-pregnancy\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Risk Variable Multiple Pregnancy":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in "Multiple Pregnancy"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-denominator\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Denominator":\n "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"supplementaldataelements-sde-ethnicity\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SupplementalDataElements</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Ethnicity":\n Patient.ethnicity E\n return Tuple {\n codes: { E.ombCategory } union E.detailed,\n display: E.text\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-sde-ethnicity\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "SDE Ethnicity":\n SDE."SDE Ethnicity"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-hospitalizationwithedobtriageobservation\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*define function "HospitalizationWithEDOBTriageObservation"(Encounter Encounter ):\n HospitalizationWithEDOBTriageObservation returns the total interval from the start of any immediately prior emergency department visit or OB Triage visit through the observation visit to the discharge of the given encounter\n Encounter Visit\n let ObsVisit: Last(["Encounter": "Observation Services"] LastObs\n where LastObs.period ends 1 hour or less on or before start of Visit.period\n and LastObs.status = 'finished'\n sort by \n end of period\n ),\n VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n EDOBTriageVisit: Last(["Encounter": "ED Visit and OB Triage"] LastEDOBTriage\n where LastEDOBTriage.period ends 1 hour or less on or before VisitStart\n and LastEDOBTriage.status = 'finished'\n sort by \n end of period\n )\n return Interval[Coalesce(start of EDOBTriageVisit.period, VisitStart), \n end of Visit.period]*/\n \n \ndefine fluent function hospitalizationWithEDOBTriageObservation (TheEncounter Encounter ):\n /*hospitalizationWithEDOBTriageObservation returns the total interval from the start of any immediately prior emergency department visit or OB Triage visit through the observation visit to the discharge of the given encounter*/\n TheEncounter Visit\n let ObsVisit: Last(["Encounter": "Observation Services"] LastObs\n where LastObs.period ends 1 hour or less on or before start of Visit.period\n and LastObs.status = 'finished'\n sort by \n end of period\n ),\n VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n EDOBTriageVisit: Last(["Encounter": "ED Visit and OB Triage"] LastEDOBTriage\n where LastEDOBTriage.period ends 1 hour or less on or before VisitStart\n and LastEDOBTriage.status = 'finished'\n sort by \n end of period\n )\n return Interval[Coalesce(start of EDOBTriageVisit.period, VisitStart), \n end of Visit.period]</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-calculatedgestationalage\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function calculatedGestationalAge (TheEncounter Encounter ):\n //Gestational Age = (280-(Estimated Delivery Date minus Reference Date/Delivery Date))/7\n ( 280 - ( difference in days between TheEncounter.lastTimeOfDelivery () and TheEncounter.lastEstimatedDeliveryDate( )) ) div 7</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-lasttimeofdelivery\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function lastTimeOfDelivery (TheEncounter Encounter ):\n Last(["Observation": "Date and time of obstetric delivery"] TimeOfDelivery\n where TimeOfDelivery.value as DateTime is not null\n and TimeOfDelivery.status in { 'final', 'amended', 'corrected' }\n and TimeOfDelivery.effective.earliest () during TheEncounter.hospitalizationWithEDOBTriageObservation ()\n and TimeOfDelivery.value as DateTime during TheEncounter.hospitalizationWithEDOBTriageObservation()\n sort by effective.earliest()\n ).value as DateTime</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"qicorecommon-earliest\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n*/\ndefine fluent function earliest(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):\n (choice.toInterval()) period\n return\n if (period."hasStart"()) then start of period\n else end of period</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-lastestimateddeliverydate\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*===============================================================*/\n /* 03/14/2022 from MATGlobalCommonFunctionsv7.000 - latest QDM */\n /* even though this PCMaternalFHIR was derived from */\n /* PCMaternal=2.1.000 cql, to make next update easier. */\n /* Will need to re-insert "Global". in front of these */\n /* function names later (whereever they are directly used.*/\n\ndefine fluent function lastEstimatedDeliveryDate (TheEncounter Encounter ):\n /*This function identifies the last time the EDD was assessed 42 weeks or less prior to or on delivery and stores the result of that assessment.*/\n Last(["Observation": "Delivery date Estimated"] EstimatedDateOfDelivery\n where EstimatedDateOfDelivery.value as DateTime is not null\n and EstimatedDateOfDelivery.status in { 'final', 'amended', 'corrected' }\n and EstimatedDateOfDelivery.effective.earliest ( ) 42 weeks or less before or on TheEncounter.lastTimeOfDelivery ()\n sort by effective.earliest ( )\n ).value as DateTime</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"pcmaternal-lastestimatedgestationalage\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> PCMaternal</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*define fluent function lastEstimatedGestationalAge (TheEncounter Encounter ):\n Last(["Observation": "Estimated Gestational Age at Delivery"] EstimatedGestationalAge\n where EstimatedGestationalAge.value is not null\n and EstimatedGestationalAge.status in { 'final', 'amended', 'corrected' }\n and EstimatedGestationalAge.effective.earliest() 24 hours or less before or on TheEncounter.lastTimeOfDelivery ()\n sort by effective.earliest ()\n ).value as Quantity*/\n \n define fluent function lastEstimatedGestationalAge (TheEncounter Encounter ):\n Last(["Observation": "Estimated Gestational Age at Delivery"] EstimatedGestationalAge\n let EGATiming: EstimatedGestationalAge.effective.earliest() where \n (EGATiming 24 hours or less before or on TheEncounter.lastTimeOfDelivery () \n and EstimatedGestationalAge.value is not null \n and EstimatedGestationalAge.status in { 'final', 'amended', 'corrected' }) or \n (EGATiming same day as TheEncounter.lastTimeOfDelivery () \n and EGATiming during TheEncounter.hospitalizationWithEDOBTriageObservation() \n and EstimatedGestationalAge.value is not null)\n sort by effective.earliest ())\n .value as Quantity</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"cqmcommon-encounterdiagnosis\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> CQMCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns the Condition resources referenced by the diagnosis element of the Encounter\n*/\ndefine fluent function encounterDiagnosis(Encounter Encounter ):\n Encounter.diagnosis D\n return singleton from ([Condition] C where C.id = D.condition.reference.getId())</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"qicorecommon-getid\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> QICoreCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).\n@comment: This function can be used to determine the logical id of a given resource. It can be used in\na single-server environment to trace references. However, this function does not attempt to resolve\nor distinguish the base of the given url, and so cannot be used safely in multi-server environments.\n*/\ndefine fluent function getId(uri String):\n Last(Split(uri, '/'))</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-poaisyesorexempt\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function pOAIsYesOrExempt(TheEncounter Encounter):\n TheEncounter.diagnosis EncounterDiagnoses\n where EncounterDiagnoses.diagnosisPresentOnAdmission in "Present On Admission is Yes or Exempt"\n return EncounterDiagnoses.condition.getCondition ( ).code</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"fhirhelpers-tostring\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value uri): value.value</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"cqmcommon-getcondition\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> CQMCommon</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Returns the Condition resource for the given reference\n*/\ndefine fluent function getCondition(reference Reference):\n singleton from ([Condition] C where C.id = reference.reference.getId())</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-poaisnoorutd\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function pOAIsNoOrUTD(TheEncounter Encounter):\n TheEncounter.diagnosis EncounterDiagnoses\n where EncounterDiagnoses.diagnosisPresentOnAdmission in "Present on Admission is No or Unable To Determine"\n return EncounterDiagnoses.condition.getCondition ( ).code</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"fhirhelpers-tocode\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-socdxcategory\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function sOCDxCategory(Dx Concept):\n case\n when Dx in "Acute Heart Failure" then 'Acute Heart Failure'\n when Dx in "Acute Myocardial Infarction" then 'Acute Myocardial Infarction'\n when Dx in "Acute Renal Failure" then 'Acute Renal Failure'\n when Dx in "Acute Respiratory Distress Syndrome" then 'Acute Respiratory Distress Syndrome'\n when Dx in "Air and Thrombotic Embolism" then 'Air and Thrombotic Embolism'\n when Dx in "Amniotic Fluid Embolism" then 'Amniotic Fluid Embolism'\n when Dx in "Aortic Aneurysm" then 'Aortic Aneurysm'\n when Dx in "Cardiac Arrest Ventricular Fibrillation" then 'Cardiac Arrest Ventricular Fibrillation'\n when Dx in "Disseminated Intravascular Coagulation" then 'Disseminated Intravascular Coagulation'\n when Dx in "Eclampsia" then 'Eclampsia'\n when Dx in "Heart Failure Cardiac Arrest Related to Procedure or Surgery" then 'Heart Failure Cardiac Arrest Related to Procedure or Surgery'\n when Dx in "Puerperal Cerebrovascular Disorder" then 'Puerperal Cerebrovascular Disorder'\n when Dx in "Pulmonary Edema" then 'Pulmonary Edema'\n when Dx in "Sepsis" then 'Sepsis'\n when Dx in "Severe Anesthesia Complications" then 'Severe Anesthesia Complications'\n when Dx in "Shock" then 'Shock'\n when Dx in "Sickle Cell Disease with Crisis" then 'Sickle Cell Disease with Crisis' \n else null end</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-socprocedures\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function sOCProcedures(TheEncounter Encounter):\n ( ["Procedure": "Severe Maternal Morbidity Procedures"]\n union ["Procedure": "Blood Transfusion"] ) SMMProcedures\n where SMMProcedures.status = 'completed'\n and SMMProcedures.performed.toInterval ( ) starts during day of TheEncounter.hospitalizationWithEDOBTriageObservation ( )</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"severeobstetriccomplicationsfhir-socprocedurecategory\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> SevereObstetricComplicationsFHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define fluent function sOCProcedureCategory(TheProcedure Procedure):\n case\n when TheProcedure.code in "Blood Transfusion" then 'Blood Transfusion'\n when TheProcedure.code in "Conversion of Cardiac Rhythm" then 'Conversion of cardiac rhythm'\n when TheProcedure.code in "Hysterectomy" then 'Hysterectomy'\n when TheProcedure.code in "Tracheostomy" then 'Tracheostomy'\n when TheProcedure.code in "Ventilation" then 'Ventilation' \n else null end</code></pre>\n </td>\n\n</tr>\n\n \n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n </tbody>\n </table>\n</div>"
},
"contained" : [
{
"resourceType" : "Library",
"id" : "effective-data-requirements",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "93857-1",
"display" : "Date and time of obstetric delivery"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "11778-8",
"display" : "Delivery date Estimated"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "M",
"display" : "Male"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "F",
"display" : "Female"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic BP"
}
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "CQMCommon"
},
{
"url" : "name",
"valueString" : "Inpatient Encounter"
},
{
"url" : "statement",
"valueString" : "define \"Inpatient Encounter\":\n [Encounter: \"Encounter Inpatient\"] EncounterInpatient\n\t\twhere EncounterInpatient.status = 'finished'\n\t\tand EncounterInpatient.period ends during day of \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 0
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "Encounter with Age Range"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Age Range\":\n CQMCommon.\"Inpatient Encounter\" InpatientEncounter\n where AgeInYearsAt(date from start of InpatientEncounter.period) in Interval[ 8, 65 )"
},
{
"url" : "displaySequence",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "Delivery Encounter with Age Range"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounter with Age Range\":\n \"Encounter with Age Range\" EncounterWithAge\n with [\"Procedure\": \"Delivery Procedures\"] DeliveryProcedure\n such that DeliveryProcedure.status = 'completed'\n and DeliveryProcedure.performed.toInterval ( ) starts during EncounterWithAge.hospitalizationWithEDOBTriageObservation ()"
},
{
"url" : "displaySequence",
"valueInteger" : 2
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks\":\n PCMaternal.\"Delivery Encounter with Age Range\" DeliveryEncounter\n where DeliveryEncounter.calculatedGestationalAge ( ) >= 20"
},
{
"url" : "displaySequence",
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}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks\":\n PCMaternal.\"Delivery Encounter with Age Range\" DeliveryEncounter\n where DeliveryEncounter.calculatedGestationalAge ( ) is null\n and ( DeliveryEncounter.lastEstimatedGestationalAge ( ) >= 20 weeks )"
},
{
"url" : "displaySequence",
"valueInteger" : 4
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding\":\n PCMaternal.\"Delivery Encounter with Age Range\" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge ( ),\n EGA: DeliveryEncounter.lastEstimatedGestationalAge ( )\n where CGA is null\n and EGA is null\n and exists ( ( DeliveryEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in \"20 to 42 Plus Weeks Gestation\"\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 5
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters At Greater than or Equal to 20 Weeks Gestation"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\":\n \"Delivery Encounters with Calculated Gestational Age Greater than or Equal to 20 Weeks\"\n union \"Delivery Encounters with Estimated Gestational Age Assessment Greater than or Equal to 20 Weeks\"\n union \"Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding\""
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Asthma"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Asthma\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Acute or Persistent Asthma\""
},
{
"url" : "displaySequence",
"valueInteger" : 7
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsNoOrUTD ( ) in \"Severe Maternal Morbidity Diagnoses\"\n or exists ( [\"Procedure\": \"Severe Maternal Morbidity Procedures\"] SMMProcedures\n where SMMProcedures.status = 'completed'\n and SMMProcedures.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Expiration"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Expiration\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.hospitalization.dischargeDisposition in \"Patient Expired\""
},
{
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],
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{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Blood Transfusion"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Blood Transfusion\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n with [\"Procedure\": \"Blood Transfusion\"] BloodTransfusion\n such that BloodTransfusion.status = 'completed'\n and BloodTransfusion.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )"
},
{
"url" : "displaySequence",
"valueInteger" : 10
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Severe Obstetric Complications"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Severe Obstetric Complications\":\n \"Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion\"\n union \"Delivery Encounters with Expiration\"\n union \"Delivery Encounters with Blood Transfusion\""
},
{
"url" : "displaySequence",
"valueInteger" : 11
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Hysterectomy"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Hysterectomy\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n with [\"Procedure\": \"Hysterectomy\"] Hysterectomy\n such that Hysterectomy.status = 'completed'\n and Hysterectomy.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )"
},
{
"url" : "displaySequence",
"valueInteger" : 12
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Cardiac Conversion, Tracheostomy or Ventilation Procedures"
},
{
"url" : "statement",
"valueString" : "define \"Cardiac Conversion, Tracheostomy or Ventilation Procedures\":\n [\"Procedure\": \"Conversion of Cardiac Rhythm\"]\n union [\"Procedure\": \"Tracheostomy\"]\n union [\"Procedure\": \"Ventilation\"]"
},
{
"url" : "displaySequence",
"valueInteger" : 13
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n with \"Cardiac Conversion, Tracheostomy or Ventilation Procedures\" ConvTrachVentProcedures\n such that ConvTrachVentProcedures.status = 'completed'\n and ConvTrachVentProcedures.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )"
},
{
"url" : "displaySequence",
"valueInteger" : 14
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC"
},
{
"url" : "statement",
"valueString" : "define \"SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC\":\n ( \"Delivery Encounters with Severe Obstetric Complications\" SOCEncounter\n where exists ( ( SOCEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in \"Placenta Increta or Percreta\"\n )\n and ( exists \"Delivery Encounters with Blood Transfusion\"\n or exists \"Delivery Encounters with Hysterectomy\"\n )\n )\n\t//The following logic keeps encounter in the numerator if there is an additional SOC besides Blood Transfusion or Hysterectomy\n \n except ( ( \"Delivery Encounters with Severe Obstetric Complications\" SOCEncounter\n where ( SOCEncounter.pOAIsNoOrUTD ( ) in \"Severe Maternal Morbidity Diagnoses\" )\n )\n union \"Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures\"\n union \"Delivery Encounters with Expiration\"\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Delivery Encounters with Severe Obstetric Complication Diagnosis"
},
{
"url" : "statement",
"valueString" : "define \"SDE Delivery Encounters with Severe Obstetric Complication Diagnosis\":\n ( \"Delivery Encounters with Severe Obstetric Complications\"\n except \"SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC\" ) Encounter\n where Encounter.pOAIsNoOrUTD ( ) in \"Severe Maternal Morbidity Diagnoses\""
},
{
"url" : "displaySequence",
"valueInteger" : 16
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Placental Accreta Spectrum"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Placental Accreta Spectrum\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Placenta Accreta\"\n or TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Placenta Increta or Percreta\""
},
{
"url" : "displaySequence",
"valueInteger" : 17
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Neuromuscular"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Neuromuscular\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Neuromuscular Disease\""
},
{
"url" : "displaySequence",
"valueInteger" : 18
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Hypertension"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Hypertension\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Hypertension\""
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Preterm Birth"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Preterm Birth\":\n/* CGA = Calculated Gestational Age. EGA = Estimated Gestational Age. */\n \n ( PCMaternal.\"Delivery Encounter with Age Range\" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge ( ),\n EGA: DeliveryEncounter.lastEstimatedGestationalAge ( )\n where CGA in Interval[20, 36]\n or ( CGA is null\n and ( EGA >= 20 weeks\n and EGA <= 36 weeks\n )\n )\n )\n union ( PCMaternal.\"Delivery Encounter with Age Range\" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge ( ),\n EGA: DeliveryEncounter.lastEstimatedGestationalAge ( )\n where CGA is null\n and EGA is null\n and DeliveryEncounter.pOAIsYesOrExempt ( ) in \"Preterm Birth\"\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Payer"
},
{
"url" : "statement",
"valueString" : "define \"SDE Payer\":\n [Coverage: type in \"Payer Type\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Payer"
},
{
"url" : "statement",
"valueString" : "define \"SDE Payer\":\n SDE.\"SDE Payer\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Placental Abruption"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Placental Abruption\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Placental Abruption\""
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with COVID and Respiratory Condition or Procedure"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with COVID and Respiratory Condition or Procedure\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where exists ( ( TwentyWeeksPlusEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in \"COVID 19 Confirmed\"\n )\n and ( exists ( ( TwentyWeeksPlusEncounter.encounterDiagnosis ( ) ) EncounterDiagnosis\n where EncounterDiagnosis.code in \"Respiratory Conditions Related to COVID 19\"\n )\n or exists ( [\"Procedure\": \"Respiratory Support Procedures Related to COVID 19\"] COVIDRespiratoryProcedure\n where COVIDRespiratoryProcedure.status = 'completed'\n and COVIDRespiratoryProcedure.performed.toInterval ( ) starts during day of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation ( )\n )\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Denominator Exclusion"
},
{
"url" : "statement",
"valueString" : "define \"Denominator Exclusion\":\n \"Delivery Encounters with COVID and Respiratory Condition or Procedure\""
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Morbid Obesity"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Morbid Obesity\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Morbid or Severe Obesity\""
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Preexisting Diabetes"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Preexisting Diabetes\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Preexisting Diabetes\""
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Bariatric Surgery"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Bariatric Surgery\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Bariatric Surgery\""
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Race"
},
{
"url" : "statement",
"valueString" : "define \"SDE Race\":\n Patient.race R\n return Tuple {\n codes: R.ombCategory union R.detailed,\n display: R.text\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 29
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Race"
},
{
"url" : "statement",
"valueString" : "define \"SDE Race\":\n SDE.\"SDE Race\""
},
{
"url" : "displaySequence",
"valueInteger" : 30
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Placenta Previa"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Placenta Previa\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Placenta Previa\""
},
{
"url" : "displaySequence",
"valueInteger" : 31
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Sex"
},
{
"url" : "statement",
"valueString" : "define \"SDE Sex\":\n case\n when Patient.gender = 'male' then \"M\"\n when Patient.gender = 'female' then \"F\"\n else null\n end"
},
{
"url" : "displaySequence",
"valueInteger" : 32
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Sex"
},
{
"url" : "statement",
"valueString" : "define \"SDE Sex\":\n SDE.\"SDE Sex\""
},
{
"url" : "displaySequence",
"valueInteger" : 33
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Bleeding Disorder"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Bleeding Disorder\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Bleeding Disorder\""
},
{
"url" : "displaySequence",
"valueInteger" : 34
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable First White Blood Cell Count Lab Test"
},
{
"url" : "statement",
"valueString" : "//First resulted value 24 hours prior to start of encounter and before time of delivery\n //Report white blood cell count as 10*3/uL\n\n\n\ndefine \"Risk Variable First White Blood Cell Count Lab Test\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n let FirstWBC: First([\"USCoreLaboratoryResultObservationProfile\": \"White blood cells count lab test\"] WBC\n where WBC.issued during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and WBC.status in { 'final', 'amended', 'corrected' }\n and WBC.value is not null\n sort by issued.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstWBCResult: FirstWBC.value as Quantity,\n Timing: FirstWBC.issued\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 35
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable First Hematocrit Lab Test"
},
{
"url" : "statement",
"valueString" : "//First resulted value 24 hours prior to start of encounter and before time of delivery\n //Report hematocrit as %\n\n\n\ndefine \"Risk Variable First Hematocrit Lab Test\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n let FirstHematocrit: First([\"USCoreLaboratoryResultObservationProfile\": \"Hematocrit lab test\"] Hematocrit\n where Hematocrit.issued during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and Hematocrit.status in { 'final', 'amended', 'corrected' }\n and Hematocrit.value is not null\n sort by issued.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstHematocritResult: FirstHematocrit.value as Quantity,\n Timing: FirstHematocrit.issued\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 36
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Severe Preeclampsia"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Severe Preeclampsia\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Severe Preeclampsia\""
},
{
"url" : "displaySequence",
"valueInteger" : 37
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Anemia"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Anemia\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Anemia\""
},
{
"url" : "displaySequence",
"valueInteger" : 38
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Cardiac Disease"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Cardiac Disease\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Cardiac Disease\""
},
{
"url" : "displaySequence",
"valueInteger" : 39
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Long Term Anticoagulant Use"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Long Term Anticoagulant Use\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Long Term Anticoagulant Use\""
},
{
"url" : "displaySequence",
"valueInteger" : 40
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Systolic Blood Pressure"
},
{
"url" : "statement",
"valueString" : "//First resulted value 24 hours prior to start of encounter and before time of delivery\n//Report systolic blood pressure as mm[Hg]\n//Systolic blood pressure value cannot be null per QICore profile requirement.\n\n\n\n\ndefine \"Risk Variable Systolic Blood Pressure\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n let FirstSystolicBP: First([\"observation-bp\"] BP\n where BP.effective.earliest() during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and BP.status in { 'final', 'amended', 'corrected' }\n and BP.component.value is not null\n sort by effective.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstSBPResult: FirstSystolicBP.component C\n where C.code ~ \"Systolic blood pressure\"\n return C.value as Quantity,\n Timing: FirstSystolicBP.effective.earliest ( )\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 41
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE SOC Diagnoses Detail"
},
{
"url" : "statement",
"valueString" : "define \"SDE SOC Diagnoses Detail\":\n \"SDE Delivery Encounters with Severe Obstetric Complication Diagnosis\" Encounter\n let complication: Encounter.pOAIsNoOrUTD ( )\n return {\n id: Encounter.id,\n\t // code: Encounter.type,\n \n complications: complication C\n where C in \"Severe Maternal Morbidity Diagnoses\"\n return {\n code: C,\n SOCDxCategory: C.sOCDxCategory ( )\n }\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 42
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Substance Abuse"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Substance Abuse\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Substance Abuse\""
},
{
"url" : "displaySequence",
"valueInteger" : 43
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Renal Disease"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Renal Disease\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Renal Disease\""
},
{
"url" : "displaySequence",
"valueInteger" : 44
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "Variable Calculated Gestational Age"
},
{
"url" : "statement",
"valueString" : "define \"Variable Calculated Gestational Age\":\n // This definition establishes a variable of CGA (Calculated Gestational Age). CGA is a supplemental data element to store the calculated gestational age result from the \"CalculatedGestationalAge\" function. The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition\n \"Delivery Encounter with Age Range\" DeliveryEncounter\n let CGA: DeliveryEncounter.calculatedGestationalAge()\n // return { QualifyingEncounter, CGA }\n return {\n EncounterID: DeliveryEncounter.id,\n CalculatedCGA: CGA\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 45
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Variable Calculated Gestational Age"
},
{
"url" : "statement",
"valueString" : "define \"SDE Variable Calculated Gestational Age\":\n //This definition establishes a variable of CGA (Calculated Gestational Age). CGA is a supplemental data element to store the calculated gestational age result from the \"CalculatedGestationalAge\" function. The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition. \n \n PCMaternal.\"Variable Calculated Gestational Age\""
},
{
"url" : "displaySequence",
"valueInteger" : 46
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Gastrointestinal Disease"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Gastrointestinal Disease\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Gastrointestinal Disease\""
},
{
"url" : "displaySequence",
"valueInteger" : 47
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions\":\n \"Delivery Encounters with Severe Obstetric Complications Diagnosis or Procedure Excluding Blood Transfusion\"\n union \"Delivery Encounters with Expiration\""
},
{
"url" : "displaySequence",
"valueInteger" : 48
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only"
},
{
"url" : "statement",
"valueString" : "define \"Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only\":\n \"Delivery Encounters with Severe Obstetric Complications\"\n intersect \"Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions\""
},
{
"url" : "displaySequence",
"valueInteger" : 49
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Pulmonary Hypertension"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Pulmonary Hypertension\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Pulmonary Hypertension\""
},
{
"url" : "displaySequence",
"valueInteger" : 50
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Thyrotoxicosis"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Thyrotoxicosis\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Thyrotoxicosis\""
},
{
"url" : "displaySequence",
"valueInteger" : 51
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Other Preeclampsia"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Other Preeclampsia\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Mild or Moderate Preeclampsia\""
},
{
"url" : "displaySequence",
"valueInteger" : 52
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Initial Population"
},
{
"url" : "statement",
"valueString" : "define \"Initial Population\":\n PCMaternal.\"Delivery Encounter with Age Range\""
},
{
"url" : "displaySequence",
"valueInteger" : 53
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Economic Housing Instability"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Economic Housing Instability\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Economic Housing Instability\""
},
{
"url" : "displaySequence",
"valueInteger" : 54
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable HIV"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable HIV\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"HIV in Pregnancy Childbirth and Puerperium\""
},
{
"url" : "displaySequence",
"valueInteger" : 55
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Delivery Encounters with Severe Obstetric Complication Procedures"
},
{
"url" : "statement",
"valueString" : "define \"SDE Delivery Encounters with Severe Obstetric Complication Procedures\":\n ( \"Delivery Encounters with Severe Obstetric Complications\"\n except \"SOC with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC\" ) Encounter\n where exists ( [\"Procedure\": \"Severe Maternal Morbidity Procedures\"]\n union [\"Procedure\": \"Blood Transfusion\"] ) SMMProcedures\n where SMMProcedures.status = 'completed'\n and SMMProcedures.performed.toInterval ( ) starts during day of Encounter.hospitalizationWithEDOBTriageObservation ( )"
},
{
"url" : "displaySequence",
"valueInteger" : 56
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC"
},
{
"url" : "statement",
"valueString" : "define \"SOC Excluding Blood Transfusions Only with Hysterectomy or Blood Transfusion with Placenta Increta or Placenta Percreta Without Additional SOC\":\n ( \"Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only\" SOCExcludingTransfusion\n where exists ( ( SOCExcludingTransfusion.encounterDiagnosis ( ) ) EncounterDiagnoses\n where EncounterDiagnoses.code in \"Placenta Increta or Percreta\"\n )\n and ( exists \"Delivery Encounters with Blood Transfusion\"\n or exists \"Delivery Encounters with Hysterectomy\"\n )\n )\n\t\n\t//The following logic keeps encounter in the numerator if there is an additional SOC besides Blood Transfusion or Hysterectomy\n \n except ( ( \"Delivery Encounters with Severe Obstetric Complications Excluding Blood Transfusions Only\" SOCExcludingTransfusion\n where SOCExcludingTransfusion.pOAIsNoOrUTD ( ) in \"Severe Maternal Morbidity Diagnoses\"\n )\n union \"Delivery Encounters with Cardiac Conversion, Tracheostomy or Ventilation Procedures\"\n union \"Delivery Encounters with Expiration\"\n )"
},
{
"url" : "displaySequence",
"valueInteger" : 57
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Heart Rate"
},
{
"url" : "statement",
"valueString" : "//First resulted value 24 hours prior to start of encounter and before time of delivery\n //Report heart rate as beats/min\n //Heart rate value cannot be null per QICore profile requirement.\n\n\n\n\ndefine \"Risk Variable Heart Rate\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n let FirstHeartRate: First([\"observation-heartrate\"] HeartRate\n where HeartRate.effective.earliest() during Interval[start of TwentyWeeksPlusEncounter.hospitalizationWithEDOBTriageObservation() - 1440 minutes, TwentyWeeksPlusEncounter.lastTimeOfDelivery()]\n and HeartRate.status in { 'final', 'amended', 'corrected' }\n sort by effective.earliest()\n )\n return {\n EncounterId: TwentyWeeksPlusEncounter.id,\n FirstHRResult: FirstHeartRate.value as Quantity,\n Timing: FirstHeartRate.effective.earliest ( )\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 58
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Maternal Age"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Maternal Age\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n let MaternalAge: AgeInYearsAt(date from start of TwentyWeeksPlusEncounter.period)\n return { TwentyWeeksPlusEncounter, MaternalAge }"
},
{
"url" : "displaySequence",
"valueInteger" : 59
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Mental Health Disorder"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Mental Health Disorder\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Mental Health Disorder\""
},
{
"url" : "displaySequence",
"valueInteger" : 60
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Obstetrical VTE"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Obstetrical VTE\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Venous Thromboembolism in Pregnancy\""
},
{
"url" : "displaySequence",
"valueInteger" : 61
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Autoimmune Disease"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Autoimmune Disease\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Autoimmune Disease\""
},
{
"url" : "displaySequence",
"valueInteger" : 62
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Previous Cesarean"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Previous Cesarean\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Previous Cesarean\""
},
{
"url" : "displaySequence",
"valueInteger" : 63
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Gestational Diabetes"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Gestational Diabetes\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Gestational Diabetes\""
},
{
"url" : "displaySequence",
"valueInteger" : 64
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE SOC Procedure Detail"
},
{
"url" : "statement",
"valueString" : "define \"SDE SOC Procedure Detail\":\n \"SDE Delivery Encounters with Severe Obstetric Complication Procedures\" Encounter\n let procedure: Encounter.sOCProcedures ( )\n return {\n id: Encounter.id,\n // code: Encounter.code,\n \n procedures: procedure P\n return {\n code: P,\n SOCProcedureCategory: P.sOCProcedureCategory ( )\n }\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 65
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Numerator"
},
{
"url" : "statement",
"valueString" : "define \"Numerator\":\n \"Delivery Encounters with Severe Obstetric Complications\""
},
{
"url" : "displaySequence",
"valueInteger" : 66
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Risk Variable Multiple Pregnancy"
},
{
"url" : "statement",
"valueString" : "define \"Risk Variable Multiple Pregnancy\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\" TwentyWeeksPlusEncounter\n where TwentyWeeksPlusEncounter.pOAIsYesOrExempt ( ) in \"Multiple Pregnancy\""
},
{
"url" : "displaySequence",
"valueInteger" : 67
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "Denominator"
},
{
"url" : "statement",
"valueString" : "define \"Denominator\":\n \"Delivery Encounters At Greater than or Equal to 20 Weeks Gestation\""
},
{
"url" : "displaySequence",
"valueInteger" : 68
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Ethnicity"
},
{
"url" : "statement",
"valueString" : "define \"SDE Ethnicity\":\n Patient.ethnicity E\n return Tuple {\n codes: { E.ombCategory } union E.detailed,\n display: E.text\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 69
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "SDE Ethnicity"
},
{
"url" : "statement",
"valueString" : "define \"SDE Ethnicity\":\n SDE.\"SDE Ethnicity\""
},
{
"url" : "displaySequence",
"valueInteger" : 70
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "hospitalizationWithEDOBTriageObservation"
},
{
"url" : "statement",
"valueString" : "/*define function \"HospitalizationWithEDOBTriageObservation\"(Encounter Encounter ):\n HospitalizationWithEDOBTriageObservation returns the total interval from the start of any immediately prior emergency department visit or OB Triage visit through the observation visit to the discharge of the given encounter\n Encounter Visit\n let ObsVisit: Last([\"Encounter\": \"Observation Services\"] LastObs\n where LastObs.period ends 1 hour or less on or before start of Visit.period\n and LastObs.status = 'finished'\n sort by \n end of period\n ),\n VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n EDOBTriageVisit: Last([\"Encounter\": \"ED Visit and OB Triage\"] LastEDOBTriage\n where LastEDOBTriage.period ends 1 hour or less on or before VisitStart\n and LastEDOBTriage.status = 'finished'\n sort by \n end of period\n )\n return Interval[Coalesce(start of EDOBTriageVisit.period, VisitStart), \n end of Visit.period]*/\n \n \ndefine fluent function hospitalizationWithEDOBTriageObservation (TheEncounter Encounter ):\n /*hospitalizationWithEDOBTriageObservation returns the total interval from the start of any immediately prior emergency department visit or OB Triage visit through the observation visit to the discharge of the given encounter*/\n TheEncounter Visit\n let ObsVisit: Last([\"Encounter\": \"Observation Services\"] LastObs\n where LastObs.period ends 1 hour or less on or before start of Visit.period\n and LastObs.status = 'finished'\n sort by \n end of period\n ),\n VisitStart: Coalesce(start of ObsVisit.period, start of Visit.period),\n EDOBTriageVisit: Last([\"Encounter\": \"ED Visit and OB Triage\"] LastEDOBTriage\n where LastEDOBTriage.period ends 1 hour or less on or before VisitStart\n and LastEDOBTriage.status = 'finished'\n sort by \n end of period\n )\n return Interval[Coalesce(start of EDOBTriageVisit.period, VisitStart), \n end of Visit.period]"
},
{
"url" : "displaySequence",
"valueInteger" : 71
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "calculatedGestationalAge"
},
{
"url" : "statement",
"valueString" : "define fluent function calculatedGestationalAge (TheEncounter Encounter ):\n //Gestational Age = (280-(Estimated Delivery Date minus Reference Date/Delivery Date))/7\n ( 280 - ( difference in days between TheEncounter.lastTimeOfDelivery () and TheEncounter.lastEstimatedDeliveryDate( )) ) div 7"
},
{
"url" : "displaySequence",
"valueInteger" : 72
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "lastTimeOfDelivery"
},
{
"url" : "statement",
"valueString" : "define fluent function lastTimeOfDelivery (TheEncounter Encounter ):\n Last([\"Observation\": \"Date and time of obstetric delivery\"] TimeOfDelivery\n where TimeOfDelivery.value as DateTime is not null\n and TimeOfDelivery.status in { 'final', 'amended', 'corrected' }\n and TimeOfDelivery.effective.earliest () during TheEncounter.hospitalizationWithEDOBTriageObservation ()\n and TimeOfDelivery.value as DateTime during TheEncounter.hospitalizationWithEDOBTriageObservation()\n sort by effective.earliest()\n ).value as DateTime"
},
{
"url" : "displaySequence",
"valueInteger" : 73
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "QICoreCommon"
},
{
"url" : "name",
"valueString" : "earliest"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Given an interval, return the starting point if the interval has a starting boundary specified,\notherwise, return the ending point\n*/\ndefine fluent function earliest(choice Choice<DateTime, Quantity, Interval<DateTime>, Interval<Quantity>> ):\n (choice.toInterval()) period\n return\n if (period.\"hasStart\"()) then start of period\n else end of period"
},
{
"url" : "displaySequence",
"valueInteger" : 74
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "lastEstimatedDeliveryDate"
},
{
"url" : "statement",
"valueString" : "/*===============================================================*/\n /* 03/14/2022 from MATGlobalCommonFunctionsv7.000 - latest QDM */\n /* even though this PCMaternalFHIR was derived from */\n /* PCMaternal=2.1.000 cql, to make next update easier. */\n /* Will need to re-insert \"Global\". in front of these */\n /* function names later (whereever they are directly used.*/\n\ndefine fluent function lastEstimatedDeliveryDate (TheEncounter Encounter ):\n /*This function identifies the last time the EDD was assessed 42 weeks or less prior to or on delivery and stores the result of that assessment.*/\n Last([\"Observation\": \"Delivery date Estimated\"] EstimatedDateOfDelivery\n where EstimatedDateOfDelivery.value as DateTime is not null\n and EstimatedDateOfDelivery.status in { 'final', 'amended', 'corrected' }\n and EstimatedDateOfDelivery.effective.earliest ( ) 42 weeks or less before or on TheEncounter.lastTimeOfDelivery ()\n sort by effective.earliest ( )\n ).value as DateTime"
},
{
"url" : "displaySequence",
"valueInteger" : 75
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "PCMaternal"
},
{
"url" : "name",
"valueString" : "lastEstimatedGestationalAge"
},
{
"url" : "statement",
"valueString" : "/*define fluent function lastEstimatedGestationalAge (TheEncounter Encounter ):\n Last([\"Observation\": \"Estimated Gestational Age at Delivery\"] EstimatedGestationalAge\n where EstimatedGestationalAge.value is not null\n and EstimatedGestationalAge.status in { 'final', 'amended', 'corrected' }\n and EstimatedGestationalAge.effective.earliest() 24 hours or less before or on TheEncounter.lastTimeOfDelivery ()\n sort by effective.earliest ()\n ).value as Quantity*/\n \n define fluent function lastEstimatedGestationalAge (TheEncounter Encounter ):\n Last([\"Observation\": \"Estimated Gestational Age at Delivery\"] EstimatedGestationalAge\n let EGATiming: EstimatedGestationalAge.effective.earliest() where \n (EGATiming 24 hours or less before or on TheEncounter.lastTimeOfDelivery () \n and EstimatedGestationalAge.value is not null \n and EstimatedGestationalAge.status in { 'final', 'amended', 'corrected' }) or \n (EGATiming same day as TheEncounter.lastTimeOfDelivery () \n and EGATiming during TheEncounter.hospitalizationWithEDOBTriageObservation() \n and EstimatedGestationalAge.value is not null)\n sort by effective.earliest ())\n .value as Quantity"
},
{
"url" : "displaySequence",
"valueInteger" : 76
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "CQMCommon"
},
{
"url" : "name",
"valueString" : "encounterDiagnosis"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns the Condition resources referenced by the diagnosis element of the Encounter\n*/\ndefine fluent function encounterDiagnosis(Encounter Encounter ):\n Encounter.diagnosis D\n return singleton from ([Condition] C where C.id = D.condition.reference.getId())"
},
{
"url" : "displaySequence",
"valueInteger" : 77
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "QICoreCommon"
},
{
"url" : "name",
"valueString" : "getId"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).\n@comment: This function can be used to determine the logical id of a given resource. It can be used in\na single-server environment to trace references. However, this function does not attempt to resolve\nor distinguish the base of the given url, and so cannot be used safely in multi-server environments.\n*/\ndefine fluent function getId(uri String):\n Last(Split(uri, '/'))"
},
{
"url" : "displaySequence",
"valueInteger" : 78
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "pOAIsYesOrExempt"
},
{
"url" : "statement",
"valueString" : "define fluent function pOAIsYesOrExempt(TheEncounter Encounter):\n TheEncounter.diagnosis EncounterDiagnoses\n where EncounterDiagnoses.diagnosisPresentOnAdmission in \"Present On Admission is Yes or Exempt\"\n return EncounterDiagnoses.condition.getCondition ( ).code"
},
{
"url" : "displaySequence",
"valueInteger" : 79
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToString"
},
{
"url" : "statement",
"valueString" : "define function ToString(value uri): value.value"
},
{
"url" : "displaySequence",
"valueInteger" : 80
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "CQMCommon"
},
{
"url" : "name",
"valueString" : "getCondition"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Returns the Condition resource for the given reference\n*/\ndefine fluent function getCondition(reference Reference):\n singleton from ([Condition] C where C.id = reference.reference.getId())"
},
{
"url" : "displaySequence",
"valueInteger" : 81
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "pOAIsNoOrUTD"
},
{
"url" : "statement",
"valueString" : "define fluent function pOAIsNoOrUTD(TheEncounter Encounter):\n TheEncounter.diagnosis EncounterDiagnoses\n where EncounterDiagnoses.diagnosisPresentOnAdmission in \"Present on Admission is No or Unable To Determine\"\n return EncounterDiagnoses.condition.getCondition ( ).code"
},
{
"url" : "displaySequence",
"valueInteger" : 82
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "FHIRHelpers"
},
{
"url" : "name",
"valueString" : "ToCode"
},
{
"url" : "statement",
"valueString" : "/*\n@description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.\n*/\ndefine function ToCode(coding FHIR.Coding):\n if coding is null then\n null\n else\n System.Code {\n code: coding.code.value,\n system: coding.system.value,\n version: coding.version.value,\n display: coding.display.value\n }"
},
{
"url" : "displaySequence",
"valueInteger" : 83
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "sOCDxCategory"
},
{
"url" : "statement",
"valueString" : "define fluent function sOCDxCategory(Dx Concept):\n case\n when Dx in \"Acute Heart Failure\" then 'Acute Heart Failure'\n when Dx in \"Acute Myocardial Infarction\" then 'Acute Myocardial Infarction'\n when Dx in \"Acute Renal Failure\" then 'Acute Renal Failure'\n when Dx in \"Acute Respiratory Distress Syndrome\" then 'Acute Respiratory Distress Syndrome'\n when Dx in \"Air and Thrombotic Embolism\" then 'Air and Thrombotic Embolism'\n when Dx in \"Amniotic Fluid Embolism\" then 'Amniotic Fluid Embolism'\n when Dx in \"Aortic Aneurysm\" then 'Aortic Aneurysm'\n when Dx in \"Cardiac Arrest Ventricular Fibrillation\" then 'Cardiac Arrest Ventricular Fibrillation'\n when Dx in \"Disseminated Intravascular Coagulation\" then 'Disseminated Intravascular Coagulation'\n when Dx in \"Eclampsia\" then 'Eclampsia'\n when Dx in \"Heart Failure Cardiac Arrest Related to Procedure or Surgery\" then 'Heart Failure Cardiac Arrest Related to Procedure or Surgery'\n when Dx in \"Puerperal Cerebrovascular Disorder\" then 'Puerperal Cerebrovascular Disorder'\n when Dx in \"Pulmonary Edema\" then 'Pulmonary Edema'\n when Dx in \"Sepsis\" then 'Sepsis'\n when Dx in \"Severe Anesthesia Complications\" then 'Severe Anesthesia Complications'\n when Dx in \"Shock\" then 'Shock'\n when Dx in \"Sickle Cell Disease with Crisis\" then 'Sickle Cell Disease with Crisis' \n else null end"
},
{
"url" : "displaySequence",
"valueInteger" : 84
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "sOCProcedures"
},
{
"url" : "statement",
"valueString" : "define fluent function sOCProcedures(TheEncounter Encounter):\n ( [\"Procedure\": \"Severe Maternal Morbidity Procedures\"]\n union [\"Procedure\": \"Blood Transfusion\"] ) SMMProcedures\n where SMMProcedures.status = 'completed'\n and SMMProcedures.performed.toInterval ( ) starts during day of TheEncounter.hospitalizationWithEDOBTriageObservation ( )"
},
{
"url" : "displaySequence",
"valueInteger" : 85
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SevereObstetricComplicationsFHIR"
},
{
"url" : "name",
"valueString" : "sOCProcedureCategory"
},
{
"url" : "statement",
"valueString" : "define fluent function sOCProcedureCategory(TheProcedure Procedure):\n case\n when TheProcedure.code in \"Blood Transfusion\" then 'Blood Transfusion'\n when TheProcedure.code in \"Conversion of Cardiac Rhythm\" then 'Conversion of cardiac rhythm'\n when TheProcedure.code in \"Hysterectomy\" then 'Hysterectomy'\n when TheProcedure.code in \"Tracheostomy\" then 'Tracheostomy'\n when TheProcedure.code in \"Ventilation\" then 'Ventilation' \n else null end"
},
{
"url" : "displaySequence",
"valueInteger" : 86
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library PCMaternal",
"resource" : "Library/PCMaternal|5.19.000"
},
{
"type" : "depends-on",
"display" : "Library CQMCommon",
"resource" : "Library/CQMCommon|2.2.000"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "Library/FHIRHelpers|4.4.000"
},
{
"type" : "depends-on",
"display" : "Library QICoreCommon",
"resource" : "Library/QICoreCommon|2.1.000"
},
{
"type" : "depends-on",
"display" : "Library SDE",
"resource" : "Library/SupplementalDataElements|3.5.000"
},
{
"type" : "depends-on",
"display" : "Code system LOINC",
"resource" : "http://loinc.org"
},
{
"type" : "depends-on",
"display" : "Code system AdministrativeGender",
"resource" : "http://hl7.org/fhir/administrative-gender"
},
{
"type" : "depends-on",
"display" : "Value set Encounter Inpatient",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
},
{
"type" : "depends-on",
"display" : "Value set Delivery Procedures",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.59"
},
{
"type" : "depends-on",
"display" : "Value set Observation Services",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143"
},
{
"type" : "depends-on",
"display" : "Value set ED Visit and OB Triage",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.369"
},
{
"type" : "depends-on",
"display" : "Value set Estimated Gestational Age at Delivery",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.26"
},
{
"type" : "depends-on",
"display" : "Value set 20 to 42 Plus Weeks Gestation",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.67"
},
{
"type" : "depends-on",
"display" : "Value set Present On Admission is Yes or Exempt",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.63"
},
{
"type" : "depends-on",
"display" : "Value set Acute or Persistent Asthma",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.271"
},
{
"type" : "depends-on",
"display" : "Value set Present on Admission is No or Unable To Determine",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.370"
},
{
"type" : "depends-on",
"display" : "Value set Severe Maternal Morbidity Diagnoses",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.255"
},
{
"type" : "depends-on",
"display" : "Value set Severe Maternal Morbidity Procedures",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.256"
},
{
"type" : "depends-on",
"display" : "Value set Patient Expired",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.309"
},
{
"type" : "depends-on",
"display" : "Value set Blood Transfusion",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.213"
},
{
"type" : "depends-on",
"display" : "Value set Placenta Increta or Percreta",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.388"
},
{
"type" : "depends-on",
"display" : "Value set Hysterectomy",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.358"
},
{
"type" : "depends-on",
"display" : "Value set Conversion of Cardiac Rhythm",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.357"
},
{
"type" : "depends-on",
"display" : "Value set Tracheostomy",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.359"
},
{
"type" : "depends-on",
"display" : "Value set Ventilation",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.360"
},
{
"type" : "depends-on",
"display" : "Value set Placenta Accreta",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.302"
},
{
"type" : "depends-on",
"display" : "Value set Neuromuscular Disease",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.308"
},
{
"type" : "depends-on",
"display" : "Value set Hypertension",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.332"
},
{
"type" : "depends-on",
"display" : "Value set Preterm Birth",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.299"
},
{
"type" : "depends-on",
"display" : "Value set Payer Type",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
},
{
"type" : "depends-on",
"display" : "Value set Placental Abruption",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.305"
},
{
"type" : "depends-on",
"display" : "Value set COVID 19 Confirmed",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.373"
},
{
"type" : "depends-on",
"display" : "Value set Respiratory Conditions Related to COVID 19",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.376"
},
{
"type" : "depends-on",
"display" : "Value set Respiratory Support Procedures Related to COVID 19",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.379"
},
{
"type" : "depends-on",
"display" : "Value set Morbid or Severe Obesity",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.290"
},
{
"type" : "depends-on",
"display" : "Value set Preexisting Diabetes",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.275"
},
{
"type" : "depends-on",
"display" : "Value set Bariatric Surgery",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.317"
},
{
"type" : "depends-on",
"display" : "Value set Placenta Previa",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.78"
},
{
"type" : "depends-on",
"display" : "Value set Bleeding Disorder",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.287"
},
{
"type" : "depends-on",
"display" : "Value set White blood cells count lab test",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.129"
},
{
"type" : "depends-on",
"display" : "Value set Hematocrit lab test",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.114"
},
{
"type" : "depends-on",
"display" : "Value set Severe Preeclampsia",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.327"
},
{
"type" : "depends-on",
"display" : "Value set Anemia",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.323"
},
{
"type" : "depends-on",
"display" : "Value set Cardiac Disease",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.341"
},
{