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        BCSTest version '0.0.001'\n\nusing QDM version '5.0'\n\ncodesystem \"LOINC:2.46\":
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        \"SNOMEDCT:2016-03\": 'urn:oid:2.16.840.1.113883.6.96' version 'urn:hl7:version:2016-03'\n\ncodesystem
        \"CPT:2016\": 'urn:oid:2.16.840.1.113883.6.12' version 'urn:hl7:version:2016'\n\ncodesystem
        \"AdministrativeGender:HL7V3.0_2015-07\": 'urn:oid:2.16.840.1.113883.5.1'
        version 'urn:hl7:version:HL7V3.0_2015-07'\n\ncodesystem \"SNOMEDCT:2016-09\":
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        \"LOINC:2.56\": 'urn:oid:2.16.840.1.113883.6.1' version 'urn:hl7:version:2.56'\n\ncodesystem
        \"HCPCS:2016\": 'urn:oid:2.16.840.1.113883.6.285' version 'urn:hl7:version:2016'\n\ncodesystem
        \"CDCREC:1.0\": 'urn:oid:2.16.840.1.113883.6.238' version 'urn:hl7:version:1.0'\n\ncodesystem
        \"SOP:6.0\": 'urn:oid:2.16.840.1.113883.3.221.5' version 'urn:hl7:version:6.0'\n\nvalueset
        \"ONC Administrative Sex\": 'urn:oid:2.16.840.1.113762.1.4.1' codesystems
        {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nvalueset \"Race\": 'urn:oid:2.16.840.1.114222.4.11.836'
        codesystems {\"CDCREC:1.0\"}\n\nvalueset \"Ethnicity\": 'urn:oid:2.16.840.1.114222.4.11.837'
        codesystems {\"CDCREC:1.0\"}\n\nvalueset \"Payer\": 'urn:oid:2.16.840.1.114222.4.11.3591'
        codesystems {\"SOP:6.0\"}\n\nvalueset \"Mammogram\": 'urn:oid:2.16.840.1.113883.3.464.1003.108.12.1018'
        codesystems {\"LOINC:2.56\", \"HCPCS:2016\"}\n\nvalueset \"Face-to-Face Interaction\":
        'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1048' codesystems {\"SNOMEDCT:2016-09\"}\n\nvalueset
        \"Home Healthcare Services\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1016'
        codesystems {\"CPT:2016\"}\n\nvalueset \"Office Visit\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1001'
        codesystems {\"CPT:2016\"}\n\nvalueset \"Bilateral Mastectomy\": 'urn:oid:2.16.840.1.113883.3.464.1003.198.12.1005'
        codesystems {\"SNOMEDCT:2016-09\"}\n\nvalueset \"Unilateral Mastectomy\":
        'urn:oid:2.16.840.1.113883.3.464.1003.198.12.1020' codesystems {\"SNOMEDCT:2016-09\",
        \"CPT:2016\"}\n\nvalueset \"Female\": 'urn:oid:2.16.840.1.113883.3.560.100.2'
        codesystems {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nparameter \"Measurement
        Period\" Interval<DateTime>\n\ncontext Patient\n\ndefine \"SDE Ethnicity\":
        [\"Patient Characteristic Ethnicity\": \"Ethnicity\"]\n\ndefine \"SDE Payer\":
        [\"Patient Characteristic Payer\": \"Payer\"]\n\ndefine \"SDE Race\": [\"Patient
        Characteristic Race\": \"Race\"]\n\ndefine \"SDE Sex\": [\"Patient Characteristic
        Sex\": \"ONC Administrative Sex\"]\n\ndefine \"Initial Pop\": ([\"Encounter,
        Performed\": \"Office Visit\"]\nunion [\"Encounter, Performed\": \"Face-to-Face
        Interaction\"]\nunion [\"Encounter, Performed\": \"Home Healthcare Services\"])Enc\nwhere
        Enc.relevantPeriod during \"Measurement Period\"\nand AgeInYearsAt(start of
        \"Measurement Period\")>=65\n\ndefine \"Num\": [\"Diagnostic Study, Performed\":
        \"Mammogram\"]Mam\nwhere Mam.relevantPeriod 26 months or less before end of
        \"Measurement Period\"\n\ndefine \"Double Unilateral Mastectomy\": Count([\"Procedure,
        Performed\": \"Unilateral Mastectomy\"]P\nwhere P.relevantPeriod before end
        of \"Measurement Period\")=2\n\ndefine \"Denom\": exists(\"Initial Pop\")
        and\nAgeInYearsAt(start of \"Measurement Period\")<74\nand exists([\"Patient
        Characteristic Sex\": \"Female\"])\n\ndefine \"Denom Excl\": exists([\"Procedure,
        Performed\": \"Bilateral Mastectomy\"]BIM\nwhere BIM.relevantPeriod before
        end of \"Measurement Period\") or \"Double Unilateral Mastectomy\"\n\r\n--646210--\r\n"
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      string: "--Boundary_301_382515094_1504886314908\r\nContent-Type: application/elm+json\r\nContent-Disposition:
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        \           } ]\n         }, {\n            \"localId\" : \"14\",\n            \"name\"
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        \           } ]\n         }, {\n            \"localId\" : \"18\",\n            \"name\"
        : \"Payer\",\n            \"id\" : \"urn:oid:2.16.840.1.114222.4.11.3591\",\n
        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"17\",\n               \"name\" : \"SOP:6.0\"\n
        \           } ]\n         }, {\n            \"localId\" : \"21\",\n            \"name\"
        : \"Mammogram\",\n            \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.108.12.1018\",\n
        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"19\",\n               \"name\" : \"LOINC:2.56\"\n
        \           }, {\n               \"localId\" : \"20\",\n               \"name\"
        : \"HCPCS:2016\"\n            } ]\n         }, {\n            \"localId\"
        : \"23\",\n            \"name\" : \"Face-to-Face Interaction\",\n            \"id\"
        : \"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1048\",\n            \"accessLevel\"
        : \"Public\",\n            \"codeSystem\" : [ {\n               \"localId\"
        : \"22\",\n               \"name\" : \"SNOMEDCT:2016-09\"\n            } ]\n
        \        }, {\n            \"localId\" : \"25\",\n            \"name\" : \"Home
        Healthcare Services\",\n            \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1016\",\n
        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"24\",\n               \"name\" : \"CPT:2016\"\n
        \           } ]\n         }, {\n            \"localId\" : \"27\",\n            \"name\"
        : \"Office Visit\",\n            \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1001\",\n
        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"26\",\n               \"name\" : \"CPT:2016\"\n
        \           } ]\n         }, {\n            \"localId\" : \"29\",\n            \"name\"
        : \"Bilateral Mastectomy\",\n            \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.198.12.1005\",\n
        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"28\",\n               \"name\" : \"SNOMEDCT:2016-09\"\n
        \           } ]\n         }, {\n            \"localId\" : \"32\",\n            \"name\"
        : \"Unilateral Mastectomy\",\n            \"id\" : \"urn:oid:2.16.840.1.113883.3.464.1003.198.12.1020\",\n
        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"30\",\n               \"name\" : \"SNOMEDCT:2016-09\"\n
        \           }, {\n               \"localId\" : \"31\",\n               \"name\"
        : \"CPT:2016\"\n            } ]\n         }, {\n            \"localId\" :
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        \           \"accessLevel\" : \"Public\",\n            \"codeSystem\" : [
        {\n               \"localId\" : \"33\",\n               \"name\" : \"AdministrativeGender:HL7V3.0_2015-07\"\n
        \           } ]\n         } ]\n      },\n      \"statements\" : {\n         \"def\"
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        \           \"expression\" : {\n               \"type\" : \"SingletonFrom\",\n
        \              \"operand\" : {\n                  \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}Patient\",\n
        \                 \"templateId\" : \"Patient\",\n                  \"type\"
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        : \"39\",\n            \"name\" : \"SDE Ethnicity\",\n            \"context\"
        : \"Patient\",\n            \"accessLevel\" : \"Public\",\n            \"annotation\"
        : [ {\n               \"type\" : \"Annotation\",\n               \"s\" : {\n
        \                 \"r\" : \"39\",\n                  \"s\" : [ {\n                     \"value\"
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        {\n                        \"s\" : [ {\n                           \"value\"
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        \                 } ]\n               }\n            } ],\n            \"expression\"
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        \              \"type\" : \"Retrieve\",\n               \"codes\" : {\n                  \"name\"
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        \           }\n         }, {\n            \"localId\" : \"41\",\n            \"name\"
        : \"SDE Payer\",\n            \"context\" : \"Patient\",\n            \"accessLevel\"
        : \"Public\",\n            \"annotation\" : [ {\n               \"type\" :
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        \                 \"s\" : [ {\n                     \"value\" : [ \"define
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        : \"40\",\n                     \"s\" : [ {\n                        \"value\"
        : [ \"[\",\"\\\"Patient Characteristic Payer\\\"\",\": \" ]\n                     },
        {\n                        \"s\" : [ {\n                           \"value\"
        : [ \"\\\"Payer\\\"\" ]\n                        } ]\n                     },
        {\n                        \"value\" : [ \"]\" ]\n                     } ]\n
        \                 } ]\n               }\n            } ],\n            \"expression\"
        : {\n               \"localId\" : \"40\",\n               \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicPayer\",\n
        \              \"type\" : \"Retrieve\",\n               \"codes\" : {\n                  \"name\"
        : \"Payer\",\n                  \"type\" : \"ValueSetRef\"\n               }\n
        \           }\n         }, {\n            \"localId\" : \"43\",\n            \"name\"
        : \"SDE Race\",\n            \"context\" : \"Patient\",\n            \"accessLevel\"
        : \"Public\",\n            \"annotation\" : [ {\n               \"type\" :
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        \                 \"s\" : [ {\n                     \"value\" : [ \"define
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        : \"42\",\n                     \"s\" : [ {\n                        \"value\"
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        {\n                        \"s\" : [ {\n                           \"value\"
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        {\n                        \"value\" : [ \"]\" ]\n                     } ]\n
        \                 } ]\n               }\n            } ],\n            \"expression\"
        : {\n               \"localId\" : \"42\",\n               \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicRace\",\n
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        \           }\n         }, {\n            \"localId\" : \"45\",\n            \"name\"
        : \"SDE Sex\",\n            \"context\" : \"Patient\",\n            \"accessLevel\"
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        \                 \"s\" : [ {\n                     \"value\" : [ \"define
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        {\n                        \"s\" : [ {\n                           \"value\"
        : [ \"\\\"ONC Administrative Sex\\\"\" ]\n                        } ]\n                     },
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        \                 } ]\n               }\n            } ],\n            \"expression\"
        : {\n               \"localId\" : \"44\",\n               \"dataType\" : \"{urn:healthit-gov:qdm:v5_0_draft}PatientCharacteristicSex\",\n
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        \              }\n            }\n         }, {\n            \"localId\" :
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        : \"101\",\n                           \"path\" : \"relevantPeriod\",\n                           \"scope\"
        : \"BIM\",\n                           \"type\" : \"Property\"\n                        },
        {\n                           \"localId\" : \"103\",\n                           \"type\"
        : \"End\",\n                           \"operand\" : {\n                              \"localId\"
        : \"102\",\n                              \"name\" : \"Measurement Period\",\n
        \                             \"type\" : \"ParameterRef\"\n                           }\n
        \                       } ]\n                     }\n                  }\n
        \              }, {\n                  \"localId\" : \"107\",\n                  \"name\"
        : \"Double Unilateral Mastectomy\",\n                  \"type\" : \"ExpressionRef\"\n
        \              } ]\n            }\n         } ]\n      }\n   }\n}\r\n--Boundary_301_382515094_1504886314908--\r\n"
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        BCSTest version '0.0.001'\n\nusing QDM version '5.0'\n\ncodesystem \"LOINC:2.46\":
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        \"ONC Administrative Sex\": 'urn:oid:2.16.840.1.113762.1.4.1' codesystems
        {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nvalueset \"Race\": 'urn:oid:2.16.840.1.114222.4.11.836'
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        codesystems {\"CDCREC:1.0\"}\n\nvalueset \"Payer\": 'urn:oid:2.16.840.1.114222.4.11.3591'
        codesystems {\"SOP:6.0\"}\n\nvalueset \"Mammogram\": 'urn:oid:2.16.840.1.113883.3.464.1003.108.12.1018'
        codesystems {\"LOINC:2.56\", \"HCPCS:2016\"}\n\nvalueset \"Face-to-Face Interaction\":
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        \"Home Healthcare Services\": 'urn:oid:2.16.840.1.113883.3.464.1003.101.12.1016'
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        \"CPT:2016\"}\n\nvalueset \"Female\": 'urn:oid:2.16.840.1.113883.3.560.100.2'
        codesystems {\"AdministrativeGender:HL7V3.0_2015-07\"}\n\nparameter \"Measurement
        Period\" Interval<DateTime>\n\ncontext Patient\n\ndefine \"SDE Ethnicity\":
        [\"Patient Characteristic Ethnicity\": \"Ethnicity\"]\n\ndefine \"SDE Payer\":
        [\"Patient Characteristic Payer\": \"Payer\"]\n\ndefine \"SDE Race\": [\"Patient
        Characteristic Race\": \"Race\"]\n\ndefine \"SDE Sex\": [\"Patient Characteristic
        Sex\": \"ONC Administrative Sex\"]\n\ndefine \"Initial Pop\": ([\"Encounter,
        Performed\": \"Office Visit\"]\nunion [\"Encounter, Performed\": \"Face-to-Face
        Interaction\"]\nunion [\"Encounter, Performed\": \"Home Healthcare Services\"])Enc\nwhere
        Enc.relevantPeriod during \"Measurement Period\"\nand AgeInYearsAt(start of
        \"Measurement Period\")>=65\n\ndefine \"Num\": [\"Diagnostic Study, Performed\":
        \"Mammogram\"]Mam\nwhere Mam.relevantPeriod 26 months or less before end of
        \"Measurement Period\"\n\ndefine \"Double Unilateral Mastectomy\": Count([\"Procedure,
        Performed\": \"Unilateral Mastectomy\"]P\nwhere P.relevantPeriod before end
        of \"Measurement Period\")=2\n\ndefine \"Denom\": exists(\"Initial Pop\")
        and\nAgeInYearsAt(start of \"Measurement Period\")<74\nand exists([\"Patient
        Characteristic Sex\": \"Female\"])\n\ndefine \"Denom Excl\": exists([\"Procedure,
        Performed\": \"Bilateral Mastectomy\"]BIM\nwhere BIM.relevantPeriod before
        end of \"Measurement Period\") or \"Double Unilateral Mastectomy\"\n\r\n--953383--\r\n"
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        localId=\"11\" name=\"AdministrativeGender:HL7V3.0_2015-07\"/>\n      </def>\n
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        accessLevel=\"Public\">\n         <codeSystem localId=\"13\" name=\"CDCREC:1.0\"/>\n
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        accessLevel=\"Public\">\n         <codeSystem localId=\"15\" name=\"CDCREC:1.0\"/>\n
        \     </def>\n      <def localId=\"18\" name=\"Payer\" id=\"urn:oid:2.16.840.1.114222.4.11.3591\"
        accessLevel=\"Public\">\n         <codeSystem localId=\"17\" name=\"SOP:6.0\"/>\n
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        accessLevel=\"Public\">\n         <codeSystem localId=\"22\" name=\"SNOMEDCT:2016-09\"/>\n
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        id=\"urn:oid:2.16.840.1.113883.3.464.1003.101.12.1016\" accessLevel=\"Public\">\n
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        localId=\"34\" name=\"Female\" id=\"urn:oid:2.16.840.1.113883.3.560.100.2\"
        accessLevel=\"Public\">\n         <codeSystem localId=\"33\" name=\"AdministrativeGender:HL7V3.0_2015-07\"/>\n
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        localId=\"39\" name=\"SDE Ethnicity\" context=\"Patient\" accessLevel=\"Public\">\n
        \        <annotation xsi:type=\"a:Annotation\">\n            <a:s r=\"39\">\n
        \              <a:s>define &quot;SDE Ethnicity&quot;: </a:s>\n               <a:s
        r=\"38\">\n                  <a:s>[&quot;Patient Characteristic Ethnicity&quot;:
        </a:s>\n                  <a:s>\n                     <a:s>&quot;Ethnicity&quot;</a:s>\n
        \                 </a:s>\n                  <a:s>]</a:s>\n               </a:s>\n
        \           </a:s>\n         </annotation>\n         <expression localId=\"38\"
        xmlns:ns1=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns1:PatientCharacteristicEthnicity\"
        xsi:type=\"Retrieve\">\n            <codes name=\"Ethnicity\" xsi:type=\"ValueSetRef\"/>\n
        \        </expression>\n      </def>\n      <def localId=\"41\" name=\"SDE
        Payer\" context=\"Patient\" accessLevel=\"Public\">\n         <annotation
        xsi:type=\"a:Annotation\">\n            <a:s r=\"41\">\n               <a:s>define
        &quot;SDE Payer&quot;: </a:s>\n               <a:s r=\"40\">\n                  <a:s>[&quot;Patient
        Characteristic Payer&quot;: </a:s>\n                  <a:s>\n                     <a:s>&quot;Payer&quot;</a:s>\n
        \                 </a:s>\n                  <a:s>]</a:s>\n               </a:s>\n
        \           </a:s>\n         </annotation>\n         <expression localId=\"40\"
        xmlns:ns2=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns2:PatientCharacteristicPayer\"
        xsi:type=\"Retrieve\">\n            <codes name=\"Payer\" xsi:type=\"ValueSetRef\"/>\n
        \        </expression>\n      </def>\n      <def localId=\"43\" name=\"SDE
        Race\" context=\"Patient\" accessLevel=\"Public\">\n         <annotation xsi:type=\"a:Annotation\">\n
        \           <a:s r=\"43\">\n               <a:s>define &quot;SDE Race&quot;:
        </a:s>\n               <a:s r=\"42\">\n                  <a:s>[&quot;Patient
        Characteristic Race&quot;: </a:s>\n                  <a:s>\n                     <a:s>&quot;Race&quot;</a:s>\n
        \                 </a:s>\n                  <a:s>]</a:s>\n               </a:s>\n
        \           </a:s>\n         </annotation>\n         <expression localId=\"42\"
        xmlns:ns3=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns3:PatientCharacteristicRace\"
        xsi:type=\"Retrieve\">\n            <codes name=\"Race\" xsi:type=\"ValueSetRef\"/>\n
        \        </expression>\n      </def>\n      <def localId=\"45\" name=\"SDE
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        \           <a:s r=\"45\">\n               <a:s>define &quot;SDE Sex&quot;:
        </a:s>\n               <a:s r=\"44\">\n                  <a:s>[&quot;Patient
        Characteristic Sex&quot;: </a:s>\n                  <a:s>\n                     <a:s>&quot;ONC
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        xsi:type=\"ValueSetRef\"/>\n         </expression>\n      </def>\n      <def
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        \        <annotation xsi:type=\"a:Annotation\">\n            <a:s r=\"63\">\n
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        \                       <a:s r=\"50\">\n                           <a:s>(</a:s>\n
        \                          <a:s r=\"50\">\n                              <a:s
        r=\"48\">\n                                 <a:s r=\"46\">\n                                    <a:s>[&quot;Encounter,
        Performed&quot;: </a:s>\n                                    <a:s>\n                                       <a:s>&quot;Office
        Visit&quot;</a:s>\n                                    </a:s>\n                                    <a:s>]</a:s>\n
        \                                </a:s>\n                                 <a:s>\nunion
        </a:s>\n                                 <a:s r=\"47\">\n                                    <a:s>[&quot;Encounter,
        Performed&quot;: </a:s>\n                                    <a:s>\n                                       <a:s>&quot;Face-to-Face
        Interaction&quot;</a:s>\n                                    </a:s>\n                                    <a:s>]</a:s>\n
        \                                </a:s>\n                              </a:s>\n
        \                             <a:s>\nunion </a:s>\n                              <a:s
        r=\"49\">\n                                 <a:s>[&quot;Encounter, Performed&quot;:
        </a:s>\n                                 <a:s>\n                                    <a:s>&quot;Home
        Healthcare Services&quot;</a:s>\n                                 </a:s>\n
        \                                <a:s>]</a:s>\n                              </a:s>\n
        \                          </a:s>\n                           <a:s>)</a:s>\n
        \                       </a:s>\n                        <a:s>Enc</a:s>\n                     </a:s>\n
        \                 </a:s>\n                  <a:s>\n</a:s>\n                  <a:s
        r=\"61\">\n                     <a:s>where </a:s>\n                     <a:s
        r=\"61\">\n                        <a:s r=\"55\">\n                           <a:s
        r=\"53\">\n                              <a:s r=\"52\">\n                                 <a:s>Enc</a:s>\n
        \                             </a:s>\n                              <a:s>.</a:s>\n
        \                             <a:s r=\"53\">\n                                 <a:s>relevantPeriod</a:s>\n
        \                             </a:s>\n                           </a:s>\n
        \                          <a:s> during </a:s>\n                           <a:s
        r=\"54\">\n                              <a:s>&quot;Measurement Period&quot;</a:s>\n
        \                          </a:s>\n                        </a:s>\n                        <a:s>\nand
        </a:s>\n                        <a:s r=\"60\">\n                           <a:s
        r=\"58\">\n                              <a:s>AgeInYearsAt(</a:s>\n                              <a:s
        r=\"57\">\n                                 <a:s>start of </a:s>\n                                 <a:s
        r=\"56\">\n                                    <a:s>&quot;Measurement Period&quot;</a:s>\n
        \                                </a:s>\n                              </a:s>\n
        \                             <a:s>)</a:s>\n                           </a:s>\n
        \                          <a:s>>=65</a:s>\n                        </a:s>\n
        \                    </a:s>\n                  </a:s>\n               </a:s>\n
        \           </a:s>\n         </annotation>\n         <expression localId=\"62\"
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        \                    <operand localId=\"47\" xmlns:ns6=\"urn:healthit-gov:qdm:v5_0_draft\"
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        name=\"Face-to-Face Interaction\" xsi:type=\"ValueSetRef\"/>\n                     </operand>\n
        \                 </operand>\n                  <operand localId=\"49\" xmlns:ns7=\"urn:healthit-gov:qdm:v5_0_draft\"
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        name=\"Home Healthcare Services\" xsi:type=\"ValueSetRef\"/>\n                  </operand>\n
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        path=\"birthDatetime\" xsi:type=\"Property\">\n                        <source
        name=\"Patient\" xsi:type=\"ExpressionRef\"/>\n                     </operand>\n
        \                    <operand localId=\"57\" xsi:type=\"Start\">\n                        <operand
        localId=\"56\" name=\"Measurement Period\" xsi:type=\"ParameterRef\"/>\n                     </operand>\n
        \                 </operand>\n                  <operand localId=\"59\" valueType=\"t:Integer\"
        value=\"65\" xsi:type=\"Literal\"/>\n               </operand>\n            </where>\n
        \        </expression>\n      </def>\n      <def localId=\"73\" name=\"Num\"
        context=\"Patient\" accessLevel=\"Public\">\n         <annotation xsi:type=\"a:Annotation\">\n
        \           <a:s r=\"73\">\n               <a:s>define &quot;Num&quot;: </a:s>\n
        \              <a:s r=\"72\">\n                  <a:s>\n                     <a:s
        r=\"65\">\n                        <a:s r=\"64\">\n                           <a:s
        r=\"64\">\n                              <a:s>[&quot;Diagnostic Study, Performed&quot;:
        </a:s>\n                              <a:s>\n                                 <a:s>&quot;Mammogram&quot;</a:s>\n
        \                             </a:s>\n                              <a:s>]</a:s>\n
        \                          </a:s>\n                        </a:s>\n                        <a:s>Mam</a:s>\n
        \                    </a:s>\n                  </a:s>\n                  <a:s>\n</a:s>\n
        \                 <a:s r=\"71\">\n                     <a:s>where </a:s>\n
        \                    <a:s r=\"71\">\n                        <a:s r=\"67\">\n
        \                          <a:s r=\"66\">\n                              <a:s>Mam</a:s>\n
        \                          </a:s>\n                           <a:s>.</a:s>\n
        \                          <a:s r=\"67\">\n                              <a:s>relevantPeriod</a:s>\n
        \                          </a:s>\n                        </a:s>\n                        <a:s>
        </a:s>\n                        <a:s r=\"71\">\n                           <a:s
        r=\"70\">\n                              <a:s>26 months</a:s>\n                           </a:s>\n
        \                          <a:s> or less before</a:s>\n                        </a:s>\n
        \                       <a:s> </a:s>\n                        <a:s r=\"69\">\n
        \                          <a:s>end of </a:s>\n                           <a:s
        r=\"68\">\n                              <a:s>&quot;Measurement Period&quot;</a:s>\n
        \                          </a:s>\n                        </a:s>\n                     </a:s>\n
        \                 </a:s>\n               </a:s>\n            </a:s>\n         </annotation>\n
        \        <expression localId=\"72\" xsi:type=\"Query\">\n            <source
        localId=\"65\" alias=\"Mam\">\n               <expression localId=\"64\" xmlns:ns8=\"urn:healthit-gov:qdm:v5_0_draft\"
        dataType=\"ns8:PositiveDiagnosticStudyPerformed\" templateId=\"PositiveDiagnosticStudyPerformed\"
        codeProperty=\"code\" xsi:type=\"Retrieve\">\n                  <codes name=\"Mammogram\"
        xsi:type=\"ValueSetRef\"/>\n               </expression>\n            </source>\n
        \           <where localId=\"71\" xsi:type=\"In\">\n               <operand
        xsi:type=\"End\">\n                  <operand localId=\"67\" path=\"relevantPeriod\"
        scope=\"Mam\" xsi:type=\"Property\"/>\n               </operand>\n               <operand
        lowClosed=\"true\" highClosed=\"false\" xsi:type=\"Interval\">\n                  <low
        xsi:type=\"Subtract\">\n                     <operand localId=\"69\" xsi:type=\"End\">\n
        \                       <operand localId=\"68\" name=\"Measurement Period\"
        xsi:type=\"ParameterRef\"/>\n                     </operand>\n                     <operand
        localId=\"70\" value=\"26\" unit=\"months\" xsi:type=\"Quantity\"/>\n                  </low>\n
        \                 <high localId=\"69\" xsi:type=\"End\">\n                     <operand
        localId=\"68\" name=\"Measurement Period\" xsi:type=\"ParameterRef\"/>\n                  </high>\n
        \              </operand>\n            </where>\n         </expression>\n
        \     </def>\n      <def localId=\"85\" name=\"Double Unilateral Mastectomy\"
        context=\"Patient\" accessLevel=\"Public\">\n         <annotation xsi:type=\"a:Annotation\">\n
        \           <a:s r=\"85\">\n               <a:s>define &quot;Double Unilateral
        Mastectomy&quot;: </a:s>\n               <a:s r=\"84\">\n                  <a:s
        r=\"82\">\n                     <a:s>Count(</a:s>\n                     <a:s
        r=\"81\">\n                        <a:s>\n                           <a:s
        r=\"75\">\n                              <a:s r=\"74\">\n                                 <a:s
        r=\"74\">\n                                    <a:s>[&quot;Procedure, Performed&quot;:
        </a:s>\n                                    <a:s>\n                                       <a:s>&quot;Unilateral
        Mastectomy&quot;</a:s>\n                                    </a:s>\n                                    <a:s>]</a:s>\n
        \                                </a:s>\n                              </a:s>\n
        \                             <a:s>P</a:s>\n                           </a:s>\n
        \                       </a:s>\n                        <a:s>\n</a:s>\n                        <a:s
        r=\"80\">\n                           <a:s>where </a:s>\n                           <a:s
        r=\"80\">\n                              <a:s r=\"77\">\n                                 <a:s
        r=\"76\">\n                                    <a:s>P</a:s>\n                                 </a:s>\n
        \                                <a:s>.</a:s>\n                                 <a:s
        r=\"77\">\n                                    <a:s>relevantPeriod</a:s>\n
        \                                </a:s>\n                              </a:s>\n
        \                             <a:s> before </a:s>\n                              <a:s
        r=\"79\">\n                                 <a:s>end of </a:s>\n                                 <a:s
        r=\"78\">\n                                    <a:s>&quot;Measurement Period&quot;</a:s>\n
        \                                </a:s>\n                              </a:s>\n
        \                          </a:s>\n                        </a:s>\n                     </a:s>\n
        \                    <a:s>)</a:s>\n                  </a:s>\n                  <a:s>=2</a:s>\n
        \              </a:s>\n            </a:s>\n         </annotation>\n         <expression
        localId=\"84\" xsi:type=\"Equal\">\n            <operand localId=\"82\" xsi:type=\"Count\">\n
        \              <source localId=\"81\" xsi:type=\"Query\">\n                  <source
        localId=\"75\" alias=\"P\">\n                     <expression localId=\"74\"
        xmlns:ns9=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns9:PositiveProcedurePerformed\"
        templateId=\"PositiveProcedurePerformed\" codeProperty=\"code\" xsi:type=\"Retrieve\">\n
        \                       <codes name=\"Unilateral Mastectomy\" xsi:type=\"ValueSetRef\"/>\n
        \                    </expression>\n                  </source>\n                  <where
        localId=\"80\" xsi:type=\"Before\">\n                     <operand localId=\"77\"
        path=\"relevantPeriod\" scope=\"P\" xsi:type=\"Property\"/>\n                     <operand
        localId=\"79\" xsi:type=\"End\">\n                        <operand localId=\"78\"
        name=\"Measurement Period\" xsi:type=\"ParameterRef\"/>\n                     </operand>\n
        \                 </where>\n               </source>\n            </operand>\n
        \           <operand localId=\"83\" valueType=\"t:Integer\" value=\"2\" xsi:type=\"Literal\"/>\n
        \        </expression>\n      </def>\n      <def localId=\"97\" name=\"Denom\"
        context=\"Patient\" accessLevel=\"Public\">\n         <annotation xsi:type=\"a:Annotation\">\n
        \           <a:s r=\"97\">\n               <a:s>define &quot;Denom&quot;:
        </a:s>\n               <a:s r=\"96\">\n                  <a:s r=\"93\">\n
        \                    <a:s r=\"87\">\n                        <a:s>exists</a:s>\n
        \                       <a:s r=\"86\">\n                           <a:s>(</a:s>\n
        \                          <a:s r=\"86\">\n                              <a:s>&quot;Initial
        Pop&quot;</a:s>\n                           </a:s>\n                           <a:s>)</a:s>\n
        \                       </a:s>\n                     </a:s>\n                     <a:s>
        and\n</a:s>\n                     <a:s r=\"92\">\n                        <a:s
        r=\"90\">\n                           <a:s>AgeInYearsAt(</a:s>\n                           <a:s
        r=\"89\">\n                              <a:s>start of </a:s>\n                              <a:s
        r=\"88\">\n                                 <a:s>&quot;Measurement Period&quot;</a:s>\n
        \                             </a:s>\n                           </a:s>\n
        \                          <a:s>)</a:s>\n                        </a:s>\n
        \                       <a:s>&lt;74</a:s>\n                     </a:s>\n                  </a:s>\n
        \                 <a:s>\nand </a:s>\n                  <a:s r=\"95\">\n                     <a:s>exists</a:s>\n
        \                    <a:s r=\"94\">\n                        <a:s>(</a:s>\n
        \                       <a:s r=\"94\">\n                           <a:s>[&quot;Patient
        Characteristic Sex&quot;: </a:s>\n                           <a:s>\n                              <a:s>&quot;Female&quot;</a:s>\n
        \                          </a:s>\n                           <a:s>]</a:s>\n
        \                       </a:s>\n                        <a:s>)</a:s>\n                     </a:s>\n
        \                 </a:s>\n               </a:s>\n            </a:s>\n         </annotation>\n
        \        <expression localId=\"96\" xsi:type=\"And\">\n            <operand
        localId=\"93\" xsi:type=\"And\">\n               <operand localId=\"87\" xsi:type=\"Exists\">\n
        \                 <operand localId=\"86\" name=\"Initial Pop\" xsi:type=\"ExpressionRef\"/>\n
        \              </operand>\n               <operand localId=\"92\" xsi:type=\"Less\">\n
        \                 <operand localId=\"90\" precision=\"Year\" xsi:type=\"CalculateAgeAt\">\n
        \                    <operand path=\"birthDatetime\" xsi:type=\"Property\">\n
        \                       <source name=\"Patient\" xsi:type=\"ExpressionRef\"/>\n
        \                    </operand>\n                     <operand localId=\"89\"
        xsi:type=\"Start\">\n                        <operand localId=\"88\" name=\"Measurement
        Period\" xsi:type=\"ParameterRef\"/>\n                     </operand>\n                  </operand>\n
        \                 <operand localId=\"91\" valueType=\"t:Integer\" value=\"74\"
        xsi:type=\"Literal\"/>\n               </operand>\n            </operand>\n
        \           <operand localId=\"95\" xsi:type=\"Exists\">\n               <operand
        localId=\"94\" xmlns:ns10=\"urn:healthit-gov:qdm:v5_0_draft\" dataType=\"ns10:PatientCharacteristicSex\"
        xsi:type=\"Retrieve\">\n                  <codes name=\"Female\" xsi:type=\"ValueSetRef\"/>\n
        \              </operand>\n            </operand>\n         </expression>\n
        \     </def>\n      <def localId=\"109\" name=\"Denom Excl\" context=\"Patient\"
        accessLevel=\"Public\">\n         <annotation xsi:type=\"a:Annotation\">\n
        \           <a:s r=\"109\">\n               <a:s>define &quot;Denom Excl&quot;:
        </a:s>\n               <a:s r=\"108\">\n                  <a:s r=\"106\">\n
        \                    <a:s>exists</a:s>\n                     <a:s r=\"105\">\n
        \                       <a:s>(</a:s>\n                        <a:s r=\"105\">\n
        \                          <a:s>\n                              <a:s r=\"99\">\n
        \                                <a:s r=\"98\">\n                                    <a:s
        r=\"98\">\n                                       <a:s>[&quot;Procedure, Performed&quot;:
        </a:s>\n                                       <a:s>\n                                          <a:s>&quot;Bilateral
        Mastectomy&quot;</a:s>\n                                       </a:s>\n                                       <a:s>]</a:s>\n
        \                                   </a:s>\n                                 </a:s>\n
        \                                <a:s>BIM</a:s>\n                              </a:s>\n
        \                          </a:s>\n                           <a:s>\n</a:s>\n
        \                          <a:s r=\"104\">\n                              <a:s>where
        </a:s>\n                              <a:s r=\"104\">\n                                 <a:s
        r=\"101\">\n                                    <a:s r=\"100\">\n                                       <a:s>BIM</a:s>\n
        \                                   </a:s>\n                                    <a:s>.</a:s>\n
        \                                   <a:s r=\"101\">\n                                       <a:s>relevantPeriod</a:s>\n
        \                                   </a:s>\n                                 </a:s>\n
        \                                <a:s> before </a:s>\n                                 <a:s
        r=\"103\">\n                                    <a:s>end of </a:s>\n                                    <a:s
        r=\"102\">\n                                       <a:s>&quot;Measurement
        Period&quot;</a:s>\n                                    </a:s>\n                                 </a:s>\n
        \                             </a:s>\n                           </a:s>\n
        \                       </a:s>\n                        <a:s>)</a:s>\n                     </a:s>\n
        \                 </a:s>\n                  <a:s> or </a:s>\n                  <a:s
        r=\"107\">\n                     <a:s>&quot;Double Unilateral Mastectomy&quot;</a:s>\n
        \                 </a:s>\n               </a:s>\n            </a:s>\n         </annotation>\n
        \        <expression localId=\"108\" xsi:type=\"Or\">\n            <operand
        localId=\"106\" xsi:type=\"Exists\">\n               <operand localId=\"105\"
        xsi:type=\"Query\">\n                  <source localId=\"99\" alias=\"BIM\">\n
        \                    <expression localId=\"98\" xmlns:ns11=\"urn:healthit-gov:qdm:v5_0_draft\"
        dataType=\"ns11:PositiveProcedurePerformed\" templateId=\"PositiveProcedurePerformed\"
        codeProperty=\"code\" xsi:type=\"Retrieve\">\n                        <codes
        name=\"Bilateral Mastectomy\" xsi:type=\"ValueSetRef\"/>\n                     </expression>\n
        \                 </source>\n                  <where localId=\"104\" xsi:type=\"Before\">\n
        \                    <operand localId=\"101\" path=\"relevantPeriod\" scope=\"BIM\"
        xsi:type=\"Property\"/>\n                     <operand localId=\"103\" xsi:type=\"End\">\n
        \                       <operand localId=\"102\" name=\"Measurement Period\"
        xsi:type=\"ParameterRef\"/>\n                     </operand>\n                  </where>\n
        \              </operand>\n            </operand>\n            <operand localId=\"107\"
        name=\"Double Unilateral Mastectomy\" xsi:type=\"ExpressionRef\"/>\n         </expression>\n
        \     </def>\n   </statements>\n</library>\n\r\n--Boundary_302_1150925484_1504886315003--\r\n"
    http_version: 
  recorded_at: Fri, 08 Sep 2017 15:58:35 GMT
recorded_with: VCR 3.0.3