{
  "calculate_sdes": null,
  "calculation_method": "PATIENT",
  "cms_id": "CMS760v0",
  "component": false,
  "component_hqmf_set_ids": [

  ],
  "composite": false,
  "composite_hqmf_set_id": null,
  "cql_libraries": [
    {
      "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<DateTime>\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",
      "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": "{urn:hl7-org:elm-types:r1}Integer",
                      "value": "31",
                      "type": "Literal"
                    }
                  }
                }
              },
              {
                "localId": "58",
                "locator": "45:1-46:49",
                "name": "Initial Population",
                "context": "Patient",
                "accessLevel": "Public",
                "annotation": [
                  {
                    "type": "Annotation",
                    "s": {
                      "r": "58",
                      "s": [
                        {
                          "value": [
                            "define ",
                            "\"Initial Population\"",
                            ":\n\t"
                          ]
                        },
                        {
                          "r": "57",
                          "s": [
                            {
                              "r": "41",
                              "s": [
                                {
                                  "r": "40",
                                  "s": [
                                    {
                                      "value": [
                                        "Patient"
                                      ]
                                    }
                                  ]
                                },
                                {
                                  "value": [
                                    "."
                                  ]
                                },
                                {
                                  "r": "41",
                                  "s": [
                                    {
                                      "value": [
                                        "birthDatetime"
                                      ]
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "value": [
                                " in "
                              ]
                            },
                            {
                              "r": "56",
                              "s": [
                                {
                                  "value": [
                                    "\"IntervalWithTZOffsets\""
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  }
                ],
                "expression": {
                  "localId": "57",
                  "locator": "46:2-46:49",
                  "type": "In",
                  "operand": [
                    {
                      "localId": "41",
                      "locator": "46:2-46:22",
                      "path": "birthDatetime",
                      "type": "Property",
                      "source": {
                        "localId": "40",
                        "locator": "46:2-46:8",
                        "name": "Patient",
                        "type": "ExpressionRef"
                      }
                    },
                    {
                      "localId": "56",
                      "locator": "46:27-46:49",
                      "name": "IntervalWithTZOffsets",
                      "type": "ExpressionRef"
                    }
                  ]
                }
              },
              {
                "localId": "60",
                "locator": "39:1-40:21",
                "name": "Denominator",
                "context": "Patient",
                "accessLevel": "Public",
                "annotation": [
                  {
                    "type": "Annotation",
                    "s": {
                      "r": "60",
                      "s": [
                        {
                          "value": [
                            "define ",
                            "\"Denominator\"",
                            ":\n\t"
                          ]
                        },
                        {
                          "r": "59",
                          "s": [
                            {
                              "value": [
                                "\"Initial Population\""
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  }
                ],
                "expression": {
                  "localId": "59",
                  "locator": "40:2-40:21",
                  "name": "Initial Population",
                  "type": "ExpressionRef"
                }
              },
              {
                "localId": "63",
                "locator": "42:1-43:22",
                "name": "Numerator",
                "context": "Patient",
                "accessLevel": "Public",
                "annotation": [
                  {
                    "type": "Annotation",
                    "s": {
                      "r": "63",
                      "s": [
                        {
                          "value": [
                            "define ",
                            "\"Numerator\"",
                            ":\n\t"
                          ]
                        },
                        {
                          "r": "62",
                          "s": [
                            {
                              "value": [
                                "exists "
                              ]
                            },
                            {
                              "r": "61",
                              "s": [
                                {
                                  "value": [
                                    "\"Medicare Fee\""
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  }
                ],
                "expression": {
                  "localId": "62",
                  "locator": "43:2-43:22",
                  "type": "Exists",
                  "operand": {
                    "localId": "61",
                    "locator": "43:9-43:22",
                    "name": "Medicare Fee",
                    "type": "ExpressionRef"
                  }
                }
              }
            ]
          }
        }
      },
      "elm_annotations": {
        "statements": [
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"SDE Ethnicity\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "[\"Patient Characteristic Ethnicity\": "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "\"Ethnicity\""
                              }
                            ]
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "text": "]"
                          }
                        ]
                      }
                    ],
                    "node_type": "Retrieve",
                    "ref_id": "11"
                  }
                ],
                "ref_id": "12"
              }
            ],
            "define_name": "SDE Ethnicity"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"SDE Payer\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "[\"Patient Characteristic Payer\": "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "\"Payer\""
                              }
                            ]
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "text": "]"
                          }
                        ]
                      }
                    ],
                    "node_type": "Retrieve",
                    "ref_id": "13"
                  }
                ],
                "ref_id": "14"
              }
            ],
            "define_name": "SDE Payer"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"SDE Race\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "[\"Patient Characteristic Race\": "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "\"Race\""
                              }
                            ]
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "text": "]"
                          }
                        ]
                      }
                    ],
                    "node_type": "Retrieve",
                    "ref_id": "15"
                  }
                ],
                "ref_id": "16"
              }
            ],
            "define_name": "SDE Race"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"SDE Sex\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "[\"Patient Characteristic Sex\": "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "\"ONC Administrative Sex\""
                              }
                            ]
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "text": "]"
                          }
                        ]
                      }
                    ],
                    "node_type": "Retrieve",
                    "ref_id": "17"
                  }
                ],
                "ref_id": "18"
              }
            ],
            "define_name": "SDE Sex"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"Interesting Encounter\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "[\"Encounter, Performed\": "
                                          }
                                        ]
                                      },
                                      {
                                        "children": [
                                          {
                                            "children": [
                                              {
                                                "text": "\"Inpatient Encounter\""
                                              }
                                            ]
                                          }
                                        ]
                                      },
                                      {
                                        "children": [
                                          {
                                            "text": "]"
                                          }
                                        ]
                                      }
                                    ],
                                    "node_type": "Retrieve",
                                    "ref_id": "19"
                                  }
                                ],
                                "node_type": "Retrieve",
                                "ref_id": "19"
                              },
                              {
                                "children": [
                                  {
                                    "text": " Enc"
                                  }
                                ]
                              }
                            ],
                            "ref_id": "20"
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "text": "\n    "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "where "
                              }
                            ]
                          },
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "text": "start of "
                                      }
                                    ]
                                  },
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "children": [
                                              {
                                                "text": "Enc"
                                              }
                                            ]
                                          }
                                        ],
                                        "ref_id": "21"
                                      },
                                      {
                                        "children": [
                                          {
                                            "text": "."
                                          }
                                        ]
                                      },
                                      {
                                        "children": [
                                          {
                                            "children": [
                                              {
                                                "text": "relevantPeriod"
                                              }
                                            ]
                                          }
                                        ],
                                        "node_type": "Property",
                                        "ref_id": "22"
                                      }
                                    ],
                                    "node_type": "Property",
                                    "ref_id": "22"
                                  }
                                ],
                                "node_type": "Start",
                                "ref_id": "23"
                              },
                              {
                                "children": [
                                  {
                                    "text": " during "
                                  }
                                ]
                              },
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "text": "\"Measurement Period\""
                                      }
                                    ]
                                  }
                                ],
                                "node_type": "ParameterRef",
                                "ref_id": "24"
                              }
                            ],
                            "ref_id": "25"
                          }
                        ],
                        "ref_id": "25"
                      }
                    ],
                    "node_type": "Query",
                    "ref_id": "26"
                  }
                ],
                "ref_id": "27"
              }
            ],
            "define_name": "Interesting Encounter"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"Medicare Fee\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "\"Interesting Encounter\""
                                          }
                                        ]
                                      }
                                    ]
                                  }
                                ],
                                "node_type": "ExpressionRef",
                                "ref_id": "28"
                              },
                              {
                                "children": [
                                  {
                                    "text": " Enc"
                                  }
                                ]
                              }
                            ],
                            "ref_id": "29"
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "text": "\n    "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "with "
                              }
                            ]
                          },
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "[\"Patient Characteristic Payer\": "
                                          }
                                        ]
                                      },
                                      {
                                        "children": [
                                          {
                                            "children": [
                                              {
                                                "text": "\"Medicare Fee For Service\""
                                              }
                                            ]
                                          }
                                        ]
                                      },
                                      {
                                        "children": [
                                          {
                                            "text": "]"
                                          }
                                        ]
                                      }
                                    ],
                                    "node_type": "Retrieve",
                                    "ref_id": "30"
                                  }
                                ],
                                "node_type": "Retrieve",
                                "ref_id": "30"
                              },
                              {
                                "children": [
                                  {
                                    "text": " Fee"
                                  }
                                ]
                              }
                            ],
                            "ref_id": "31"
                          },
                          {
                            "children": [
                              {
                                "text": "\n      such that "
                              }
                            ]
                          },
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "Fee"
                                          }
                                        ]
                                      }
                                    ],
                                    "ref_id": "32"
                                  },
                                  {
                                    "children": [
                                      {
                                        "text": "."
                                      }
                                    ]
                                  },
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "relevantPeriod"
                                          }
                                        ]
                                      }
                                    ],
                                    "node_type": "Property",
                                    "ref_id": "33"
                                  }
                                ],
                                "node_type": "Property",
                                "ref_id": "33"
                              },
                              {
                                "children": [
                                  {
                                    "text": " overlaps "
                                  }
                                ]
                              },
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "Enc"
                                          }
                                        ]
                                      }
                                    ],
                                    "ref_id": "34"
                                  },
                                  {
                                    "children": [
                                      {
                                        "text": "."
                                      }
                                    ]
                                  },
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "relevantPeriod"
                                          }
                                        ]
                                      }
                                    ],
                                    "node_type": "Property",
                                    "ref_id": "35"
                                  }
                                ],
                                "node_type": "Property",
                                "ref_id": "35"
                              }
                            ],
                            "node_type": "Overlaps",
                            "ref_id": "36"
                          }
                        ],
                        "ref_id": "37"
                      }
                    ],
                    "node_type": "Query",
                    "ref_id": "38"
                  }
                ],
                "ref_id": "39"
              }
            ],
            "define_name": "Medicare Fee"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"IntervalWithTZOffsets\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "Interval["
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "DateTime("
                              }
                            ]
                          },
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "text": "year from "
                                  }
                                ]
                              },
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "text": "start of "
                                      }
                                    ]
                                  },
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "\"Measurement Period\""
                                          }
                                        ]
                                      }
                                    ],
                                    "node_type": "ParameterRef",
                                    "ref_id": "42"
                                  }
                                ],
                                "node_type": "Start",
                                "ref_id": "43"
                              }
                            ],
                            "ref_id": "44"
                          },
                          {
                            "children": [
                              {
                                "text": ", 8, 1)"
                              }
                            ]
                          }
                        ],
                        "ref_id": "47"
                      },
                      {
                        "children": [
                          {
                            "text": ", "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "DateTime("
                              }
                            ]
                          },
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "text": "year from "
                                  }
                                ]
                              },
                              {
                                "children": [
                                  {
                                    "children": [
                                      {
                                        "text": "start of "
                                      }
                                    ]
                                  },
                                  {
                                    "children": [
                                      {
                                        "children": [
                                          {
                                            "text": "\"Measurement Period\""
                                          }
                                        ]
                                      }
                                    ],
                                    "node_type": "ParameterRef",
                                    "ref_id": "48"
                                  }
                                ],
                                "node_type": "Start",
                                "ref_id": "49"
                              }
                            ],
                            "ref_id": "50"
                          },
                          {
                            "children": [
                              {
                                "text": ", 12, 31)"
                              }
                            ]
                          }
                        ],
                        "ref_id": "53"
                      },
                      {
                        "children": [
                          {
                            "text": "]"
                          }
                        ]
                      }
                    ],
                    "node_type": "Interval",
                    "ref_id": "54"
                  }
                ],
                "ref_id": "55"
              }
            ],
            "define_name": "IntervalWithTZOffsets"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"Initial Population\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "text": "Patient"
                                  }
                                ]
                              }
                            ],
                            "ref_id": "40"
                          },
                          {
                            "children": [
                              {
                                "text": "."
                              }
                            ]
                          },
                          {
                            "children": [
                              {
                                "children": [
                                  {
                                    "text": "birthDatetime"
                                  }
                                ]
                              }
                            ],
                            "node_type": "Property",
                            "ref_id": "41"
                          }
                        ],
                        "node_type": "Property",
                        "ref_id": "41"
                      },
                      {
                        "children": [
                          {
                            "text": " in "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "\"IntervalWithTZOffsets\""
                              }
                            ]
                          }
                        ],
                        "node_type": "ExpressionRef",
                        "ref_id": "56"
                      }
                    ],
                    "node_type": "In",
                    "ref_id": "57"
                  }
                ],
                "ref_id": "58"
              }
            ],
            "define_name": "Initial Population"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"Denominator\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "\"Initial Population\""
                          }
                        ]
                      }
                    ],
                    "node_type": "ExpressionRef",
                    "ref_id": "59"
                  }
                ],
                "ref_id": "60"
              }
            ],
            "define_name": "Denominator"
          },
          {
            "children": [
              {
                "children": [
                  {
                    "children": [
                      {
                        "text": "define \"Numerator\":\n  "
                      }
                    ]
                  },
                  {
                    "children": [
                      {
                        "children": [
                          {
                            "text": "exists "
                          }
                        ]
                      },
                      {
                        "children": [
                          {
                            "children": [
                              {
                                "text": "\"Medicare Fee\""
                              }
                            ]
                          }
                        ],
                        "node_type": "ExpressionRef",
                        "ref_id": "61"
                      }
                    ],
                    "node_type": "Exists",
                    "ref_id": "62"
                  }
                ],
                "ref_id": "63"
              }
            ],
            "define_name": "Numerator"
          }
        ],
        "identifier": {
          "id": "PD0329",
          "version": "0.0.004"
        }
      },
      "is_main_library": true,
      "is_top_level": true,
      "library_name": "PD0329",
      "library_version": "0.0.004",
      "statement_dependencies": [
        {
          "statement_name": "Patient"
        },
        {
          "statement_name": "SDE Ethnicity"
        },
        {
          "statement_name": "SDE Payer"
        },
        {
          "statement_name": "SDE Race"
        },
        {
          "statement_name": "SDE Sex"
        },
        {
          "statement_name": "Interesting Encounter"
        },
        {
          "statement_name": "Medicare Fee",
          "statement_references": [
            {
              "hqmf_id": null,
              "library_name": "PD0329",
              "statement_name": "Interesting Encounter"
            }
          ]
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