{
  "eMeasureId": "CMS160v5",
  "measureId": "371",
  "version": 1,
  "denominatorRules": [
    {
      "query": {
        "demographics": {
          "containsElement": {
            "dob": {
              "lessThanOrEquals": {
                "dateWithOffset": {
                  "from": {
                    "replaceWithValue": "params.reportingPeriod.start"
                  },
                  "direction": "past",
                  "amount": 18,
                  "unit": "years"
                }
              }
            }
          }
        }
      }
    },
    {
      "rule": {
        "encounters": {
          "containsElement": {
            "and": [
              {
                "dateRange.start": {
                  "lessThanOrEquals": {
                    "dateWithOffset": {
                      "from": {
                        "replaceWithValue": "params.reportingPeriod.start"
                      },
                      "direction": "past",
                      "amount": 4,
                      "unit": "month"
                    }
                  }
                }
              },
              {
                "dateRange.start": {
                  "lessThanOrEquals": {
                    "isoDate": {
                      "replaceWithValueFrom": {
                        "select": "dateRange.end",
                        "from": "patient.problems",
                        "where": {
                          "code": {
                            "code": {
                              "in": ["problem-1", "problem-2"]
                            }
                          }
                        }
                      }
                    }
                  },
                  "greaterThanOrEquals": {
                    "isoDate": {
                      "replaceWithValueFrom": {
                        "select": "dateRange.start",
                        "from": "patient.problems",
                        "where": {
                          "code": {
                            "code": {
                              "in": ["problem-1", "problem-2"]
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                          }
                        }
                      }
                    }
                  }
                }
              }
            ],
            "code": {
              "containsElement": {
                "code": {
                  "in": [...
                  ]
                }
              }
            }
          }
        }
      }
    }
  ],
  "numeratorRules": [
    {
      "query": {}
    }
  ]
}