{ "_id": "5abd39bf08fa1885ee1896f5", "bundle_id": "5346d238908563511c000001", "category": "Miscellaneous", "cms_id": "CMS760v0", "complexity": { "variables": [ { "name": "Patient", "complexity": 1 }, { "name": "SDE Ethnicity", "complexity": 1 }, { "name": "SDE Payer", "complexity": 1 }, { "name": "SDE Race", "complexity": 1 }, { "name": "SDE Sex", "complexity": 1 }, { "name": "Interesting Encounter", "complexity": 1 }, { "name": "Medicare Fee", "complexity": 1 }, { "name": "IntervalWithTZOffsets", "complexity": 1 }, { "name": "Initial Population", "complexity": 1 }, { "name": "Denominator", "complexity": 1 }, { "name": "Numerator", "complexity": 1 } ] }, "continuous_variable": false, "cql": [ "library PD0329 version '0.0.004'\r\n\r\nusing QDM version '5.3'\r\n\r\nvalueset \"ONC Administrative Sex\": 'urn:oid:2.16.840.1.113762.1.4.1'\r\nvalueset \"Race\": 'urn:oid:2.16.840.1.114222.4.11.836'\r\nvalueset \"Ethnicity\": 'urn:oid:2.16.840.1.114222.4.11.837'\r\nvalueset \"Payer\": 'urn:oid:2.16.840.1.114222.4.11.3591'\r\nvalueset \"Medicare Fee For Service\": 'urn:oid:2.16.840.1.113883.3.1240.15.2.4008'\r\nvalueset \"Inpatient Encounter\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1060'\r\n\r\nparameter \"Measurement Period\" Interval\r\n\r\ncontext Patient\r\n\r\ndefine \"SDE Ethnicity\":\r\n\t[\"Patient Characteristic Ethnicity\": \"Ethnicity\"]\r\n\r\ndefine \"SDE Payer\":\r\n\t[\"Patient Characteristic Payer\": \"Payer\"]\r\n\r\ndefine \"SDE Race\":\r\n\t[\"Patient Characteristic Race\": \"Race\"]\r\n\r\ndefine \"SDE Sex\":\r\n\t[\"Patient Characteristic Sex\": \"ONC Administrative Sex\"]\r\n\r\ndefine \"Interesting Encounter\":\r\n\t[\"Encounter, Performed\": \"Inpatient Encounter\"] Enc\r\n\t\twhere start of Enc.relevantPeriod during \"Measurement Period\"\r\n\r\ndefine \"Medicare Fee\":\r\n\t\"Interesting Encounter\" Enc\r\n\t\twith [\"Patient Characteristic Payer\": \"Medicare Fee For Service\"] Fee\r\n\t\t\tsuch that Fee.relevantPeriod overlaps Enc.relevantPeriod\r\n\r\ndefine \"Denominator\":\r\n\t\"Initial Population\"\r\n\r\ndefine \"Numerator\":\r\n\texists \"Medicare Fee\"\r\n\r\ndefine \"Initial Population\":\r\n\tPatient.birthDatetime in \"IntervalWithTZOffsets\"\r\n\r\ndefine \"IntervalWithTZOffsets\":\r\n\tInterval[DateTime(year from start of \"Measurement Period\", 8, 1), DateTime(year from start of \"Measurement Period\", 12, 31)]\r\n" ], "cql_statement_dependencies": { "PD0329": { "Patient": [ ], "SDE Ethnicity": [ ], "SDE Payer": [ ], "SDE Race": [ ], "SDE Sex": [ ], "Interesting Encounter": [ ], "Medicare Fee": [ { "library_name": "PD0329", "statement_name": "Interesting Encounter" } ], "IntervalWithTZOffsets": [ ], "Initial Population": [ { "library_name": "PD0329", "statement_name": "IntervalWithTZOffsets" } ], "Denominator": [ { "library_name": "PD0329", "statement_name": "Initial Population" } ], "Numerator": [ { "library_name": "PD0329", "statement_name": "Medicare Fee" } ] } }, "created_at": "2018-03-29T19:08:47.910Z", "data_criteria": { "Payer_PatientCharacteristicPayer_55bd20d0_a8e2_47be_b152_224cf8670f8b": { "title": "Payer", "description": "Patient Characteristic Payer: Payer", "code_list_id": "2.16.840.1.114222.4.11.3591", "property": "payer", "type": "characteristic", "definition": "patient_characteristic_payer", "hard_status": false, "negation": false, "source_data_criteria": "Payer_PatientCharacteristicPayer_55bd20d0_a8e2_47be_b152_224cf8670f8b_source", "variable": false, "inline_code_list": { "Source of Payment Typology": [ "1", "11", "111", "112", "113", "119", "12", "121", "122", "123", "129", "13", "14", "19", "191", "2", "21", "211", "212", "213", "219", "22", "23", "24", "25", "26", "29", "291", "299", "3", "31", "311", "3111", "3112", "3113", "3114", "3115", "3116", "3119", "312", "3121", "3122", "3123", "313", "32", "321", "3211", "3212", "32121", "32122", "32123", "32124", "32125", "32126", "32127", "32128", "322", "3221", "3222", "3223", "3229", "33", "331", "332", "333", "334", "34", "341", "342", "343", "349", "35", "36", "361", "362", "369", "37", "371", "3711", "3712", "3713", "372", "379", "38", "381", "3811", "3812", "3813", "3819", "382", "389", "39", "391", "4", "41", "42", "43", "44", "5", "51", "511", "512", "513", "514", "515", "516", "517", "519", "52", "521", "522", "523", "524", "529", "53", "54", "55", "56", "561", "562", "59", "6", "61", "611", "612", "613", "614", "619", "62", "621", "622", "623", "629", "7", "71", "72", "73", "79", "8", "81", "82", "821", "822", "823", "83", "84", "85", "89", "9", "91", "92", "93", "94", "95", "951", "953", "954", "959", "96", "97", "98", "99", "9999" ] } }, "Ethnicity_PatientCharacteristicEthnicity_2ef44665_83f8_4fc1_a700_9bcdac3105c3": { "title": "Ethnicity", "description": "Patient Characteristic Ethnicity: Ethnicity", "code_list_id": "2.16.840.1.114222.4.11.837", "property": "ethnicity", "type": "characteristic", "definition": "patient_characteristic_ethnicity", "hard_status": false, "negation": false, "source_data_criteria": "Ethnicity_PatientCharacteristicEthnicity_2ef44665_83f8_4fc1_a700_9bcdac3105c3_source", "variable": false, "inline_code_list": { "CDC Race": [ "2135-2", "2186-5" ] } }, "ONCAdministrativeSex_PatientCharacteristicSex_177aac29_c4e6_465c_91b5_d503721bd653": { "title": "ONCAdministrativeSex", "description": "Patient Characteristic Sex: ONCAdministrativeSex", "code_list_id": "2.16.840.1.113762.1.4.1", "property": "gender", "type": "characteristic", "definition": "patient_characteristic_gender", "hard_status": false, "negation": false, "source_data_criteria": "ONCAdministrativeSex_PatientCharacteristicSex_177aac29_c4e6_465c_91b5_d503721bd653_source", "variable": false, "value": { "type": "CD", "system": "Administrative Sex", "code": "F" } }, "MedicareFeeForService_PatientCharacteristicPayer_fd63ab29_79e4_44c1_80df_e02bd05a5667": { "title": "MedicareFeeForService", "description": "Patient Characteristic Payer: MedicareFeeForService", "code_list_id": "2.16.840.1.113883.3.1240.15.2.4008", "property": "payer", "type": "characteristic", "definition": "patient_characteristic_payer", "hard_status": false, "negation": false, "source_data_criteria": "MedicareFeeForService_PatientCharacteristicPayer_fd63ab29_79e4_44c1_80df_e02bd05a5667_source", "variable": false, "inline_code_list": { "Source of Payment Typology": [ "121" ] } }, "Race_PatientCharacteristicRace_5efcf512_a57b_420a_ab97_e6982677145c": { "title": "Race", "description": "Patient Characteristic Race: Race", "code_list_id": "2.16.840.1.114222.4.11.836", "property": "race", "type": "characteristic", "definition": "patient_characteristic_race", "hard_status": false, "negation": false, "source_data_criteria": "Race_PatientCharacteristicRace_5efcf512_a57b_420a_ab97_e6982677145c_source", "variable": false, "inline_code_list": { "CDC Race": [ "1002-5", "2028-9", "2054-5", "2076-8", "2106-3", "2131-1" ] } }, "InpatientEncounter_EncounterPerformed_a6c66e3c_da7d_4104_836a_c6c427fecb16": { "title": "InpatientEncounter", "description": "Encounter, Performed: InpatientEncounter", "code_list_id": "2.16.840.1.113883.3.464.1003.101.12.1060", "type": "encounters", "definition": "encounter", "status": "performed", "hard_status": false, "negation": false, "source_data_criteria": "InpatientEncounter_EncounterPerformed_a6c66e3c_da7d_4104_836a_c6c427fecb16_source", "variable": false } }, "description": "testing bonnie", "elm": [ { "library": { "identifier": { "id": "PD0329", "version": "0.0.004" }, "schemaIdentifier": { "id": "urn:hl7-org:elm", "version": "r1" }, "usings": { "def": [ { "localIdentifier": "System", "uri": "urn:hl7-org:elm-types:r1" }, { "localId": "1", "locator": "3:1-3:23", "localIdentifier": "QDM", "uri": "urn:healthit-gov:qdm:v5_3", "version": "5.3" } ] }, "parameters": { "def": [ { "localId": "10", "locator": "14:1-14:49", "name": "Measurement Period", "accessLevel": "Public", "parameterTypeSpecifier": { "localId": "9", "locator": "14:32-14:49", "type": "IntervalTypeSpecifier", "pointType": { "localId": "8", "locator": "14:41-14:48", "name": "{urn:hl7-org:elm-types:r1}DateTime", "type": "NamedTypeSpecifier" } } } ] }, "valueSets": { "def": [ { "localId": "2", "locator": "6:1-6:68", "name": "ONC Administrative Sex", "id": "2.16.840.1.113762.1.4.1", "accessLevel": "Public" }, { "localId": "3", "locator": "7:1-7:53", "name": "Race", "id": "2.16.840.1.114222.4.11.836", "accessLevel": "Public" }, { "localId": "4", "locator": "8:1-8:58", "name": "Ethnicity", "id": "2.16.840.1.114222.4.11.837", "accessLevel": "Public" }, { "localId": "5", "locator": "9:1-9:55", "name": "Payer", "id": "2.16.840.1.114222.4.11.3591", "accessLevel": "Public" }, { "localId": "6", "locator": "10:1-10:81", "name": "Medicare Fee For Service", "id": "2.16.840.1.113883.3.1240.15.2.4008", "accessLevel": "Public" }, { "localId": "7", "locator": "11:1-11:82", "name": "Inpatient Encounter", "id": "2.16.840.1.113883.3.464.1003.101.12.1060", "accessLevel": "Public" } ] }, "statements": { "def": [ { "locator": "16:1-16:15", "name": "Patient", "context": "Patient", "expression": { "type": "SingletonFrom", "operand": { "locator": "16:1-16:15", "dataType": "{urn:healthit-gov:qdm:v5_3}Patient", "templateId": "Patient", "type": "Retrieve" } } }, { "localId": "12", "locator": "18:1-19:50", "name": "SDE Ethnicity", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "12", "s": [ { "value": [ "define ", "\"SDE Ethnicity\"", ":\n\t" ] }, { "r": "11", "s": [ { "value": [ "[", "\"Patient Characteristic Ethnicity\"", ": " ] }, { "s": [ { "value": [ "\"Ethnicity\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "11", "locator": "19:2-19:50", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicEthnicity", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Ethnicity", "type": "ValueSetRef" } } }, { "localId": "14", "locator": "21:1-22:42", "name": "SDE Payer", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "14", "s": [ { "value": [ "define ", "\"SDE Payer\"", ":\n\t" ] }, { "r": "13", "s": [ { "value": [ "[", "\"Patient Characteristic Payer\"", ": " ] }, { "s": [ { "value": [ "\"Payer\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "13", "locator": "22:2-22:42", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicPayer", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Payer", "type": "ValueSetRef" } } }, { "localId": "16", "locator": "24:1-25:40", "name": "SDE Race", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "16", "s": [ { "value": [ "define ", "\"SDE Race\"", ":\n\t" ] }, { "r": "15", "s": [ { "value": [ "[", "\"Patient Characteristic Race\"", ": " ] }, { "s": [ { "value": [ "\"Race\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "15", "locator": "25:2-25:40", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicRace", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Race", "type": "ValueSetRef" } } }, { "localId": "18", "locator": "27:1-28:57", "name": "SDE Sex", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "18", "s": [ { "value": [ "define ", "\"SDE Sex\"", ":\n\t" ] }, { "r": "17", "s": [ { "value": [ "[", "\"Patient Characteristic Sex\"", ": " ] }, { "s": [ { "value": [ "\"ONC Administrative Sex\"" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "17", "locator": "28:2-28:57", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicSex", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "ONC Administrative Sex", "type": "ValueSetRef" } } }, { "localId": "27", "locator": "30:1-32:63", "name": "Interesting Encounter", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "27", "s": [ { "value": [ "define ", "\"Interesting Encounter\"", ":\n\t" ] }, { "r": "26", "s": [ { "s": [ { "r": "20", "s": [ { "r": "19", "s": [ { "r": "19", "s": [ { "value": [ "[", "\"Encounter, Performed\"", ": " ] }, { "s": [ { "value": [ "\"Inpatient Encounter\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "Enc" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "25", "s": [ { "value": [ "where " ] }, { "r": "25", "s": [ { "r": "23", "s": [ { "value": [ "start of " ] }, { "r": "22", "s": [ { "r": "21", "s": [ { "value": [ "Enc" ] } ] }, { "value": [ "." ] }, { "r": "22", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] }, { "value": [ " ", "during", " " ] }, { "r": "24", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "26", "locator": "31:2-32:63", "type": "Query", "source": [ { "localId": "20", "locator": "31:2-31:52", "alias": "Enc", "expression": { "localId": "19", "locator": "31:2-31:48", "dataType": "{urn:healthit-gov:qdm:v5_3}PositiveEncounterPerformed", "templateId": "PositiveEncounterPerformed", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Inpatient Encounter", "type": "ValueSetRef" } } } ], "relationship": [ ], "where": { "localId": "25", "locator": "32:3-32:63", "type": "In", "operand": [ { "localId": "23", "locator": "32:9-32:35", "type": "Start", "operand": { "localId": "22", "locator": "32:18-32:35", "path": "relevantPeriod", "scope": "Enc", "type": "Property" } }, { "localId": "24", "locator": "32:44-32:63", "name": "Measurement Period", "type": "ParameterRef" } ] } } }, { "localId": "39", "locator": "34:1-37:59", "name": "Medicare Fee", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "39", "s": [ { "value": [ "define ", "\"Medicare Fee\"", ":\n\t" ] }, { "r": "38", "s": [ { "s": [ { "r": "29", "s": [ { "r": "28", "s": [ { "s": [ { "value": [ "\"Interesting Encounter\"" ] } ] } ] }, { "value": [ " ", "Enc" ] } ] } ] }, { "value": [ "\n\t\t" ] }, { "r": "37", "s": [ { "value": [ "with " ] }, { "r": "31", "s": [ { "r": "30", "s": [ { "r": "30", "s": [ { "value": [ "[", "\"Patient Characteristic Payer\"", ": " ] }, { "s": [ { "value": [ "\"Medicare Fee For Service\"" ] } ] }, { "value": [ "]" ] } ] } ] }, { "value": [ " ", "Fee" ] } ] }, { "value": [ "\n\t\t\tsuch that " ] }, { "r": "36", "s": [ { "r": "33", "s": [ { "r": "32", "s": [ { "value": [ "Fee" ] } ] }, { "value": [ "." ] }, { "r": "33", "s": [ { "value": [ "relevantPeriod" ] } ] } ] }, { "value": [ " ", "overlaps", " " ] }, { "r": "35", "s": [ { "r": "34", "s": [ { "value": [ "Enc" ] } ] }, { "value": [ "." ] }, { "r": "35", "s": [ { "value": [ "relevantPeriod" ] } ] } ] } ] } ] } ] } ] } } ], "expression": { "localId": "38", "locator": "35:2-37:59", "type": "Query", "source": [ { "localId": "29", "locator": "35:2-35:28", "alias": "Enc", "expression": { "localId": "28", "locator": "35:2-35:24", "name": "Interesting Encounter", "type": "ExpressionRef" } } ], "relationship": [ { "localId": "37", "locator": "36:3-37:59", "alias": "Fee", "type": "With", "expression": { "localId": "30", "locator": "36:8-36:67", "dataType": "{urn:healthit-gov:qdm:v5_3}PatientCharacteristicPayer", "codeProperty": "code", "type": "Retrieve", "codes": { "name": "Medicare Fee For Service", "type": "ValueSetRef" } }, "suchThat": { "localId": "36", "locator": "37:14-37:59", "type": "Overlaps", "operand": [ { "localId": "33", "locator": "37:14-37:31", "path": "relevantPeriod", "scope": "Fee", "type": "Property" }, { "localId": "35", "locator": "37:42-37:59", "path": "relevantPeriod", "scope": "Enc", "type": "Property" } ] } } ] } }, { "localId": "55", "locator": "48:1-49:125", "name": "IntervalWithTZOffsets", "context": "Patient", "accessLevel": "Public", "annotation": [ { "type": "Annotation", "s": { "r": "55", "s": [ { "value": [ "define ", "\"IntervalWithTZOffsets\"", ":\n\t" ] }, { "r": "54", "s": [ { "value": [ "Interval[" ] }, { "r": "47", "s": [ { "value": [ "DateTime", "(" ] }, { "r": "44", "s": [ { "value": [ "year from " ] }, { "r": "43", "s": [ { "value": [ "start of " ] }, { "r": "42", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] }, { "value": [ ", ", "8", ", ", "1", ")" ] } ] }, { "value": [ ", " ] }, { "r": "53", "s": [ { "value": [ "DateTime", "(" ] }, { "r": "50", "s": [ { "value": [ "year from " ] }, { "r": "49", "s": [ { "value": [ "start of " ] }, { "r": "48", "s": [ { "value": [ "\"Measurement Period\"" ] } ] } ] } ] }, { "value": [ ", ", "12", ", ", "31", ")" ] } ] }, { "value": [ "]" ] } ] } ] } } ], "expression": { "localId": "54", "locator": "49:2-49:125", "lowClosed": true, "highClosed": true, "type": "Interval", "low": { "localId": "47", "locator": "49:11-49:65", "type": "DateTime", "year": { "localId": "44", "locator": "49:20-49:58", "precision": "Year", "type": "DateTimeComponentFrom", "operand": { "localId": "43", "locator": "49:30-49:58", "type": "Start", "operand": { "localId": "42", "locator": "49:39-49:58", "name": "Measurement Period", "type": "ParameterRef" } } }, "month": { "localId": "45", "locator": "49:61", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "8", "type": "Literal" }, "day": { "localId": "46", "locator": "49:64", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "1", "type": "Literal" } }, "high": { "localId": "53", "locator": "49:68-49:124", "type": "DateTime", "year": { "localId": "50", "locator": "49:77-49:115", "precision": "Year", "type": "DateTimeComponentFrom", "operand": { "localId": "49", "locator": "49:87-49:115", "type": "Start", "operand": { "localId": "48", "locator": "49:96-49:115", "name": "Measurement Period", "type": "ParameterRef" } } }, "month": { "localId": "51", "locator": "49:118-49:119", "valueType": "{urn:hl7-org:elm-types:r1}Integer", "value": "12", "type": "Literal" }, "day": { "localId": "52", "locator": "49:122-49:123", "valueType": 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