These are for use for data with discharges that occur between July 1, 2023 and June 30, 2024. The associated Specific Report (HSR) is anticipated to be released in Spring 2025.This logic guides the user to extract the FIRST resulted HWR-specific core clinical data elements for all Medicare Fee-For-Service encounters for patients age 65 or older (Initial Population) directly admitted to the hospital or admitted to the same facility after being treated in another area such as the emergency department or location.The logic supports extraction of the FIRST set of HWR-specific core clinical data elements in two different ways depending on if the patient was a direct admission, meaning that the patient was admitted directly to an inpatient unit without first receiving care in the emergency department or other hospital outpatient locations within the same admitting facility:1. If the patient was a direct admission, the logic supports extraction of the FIRST resulted vital signs within 2 hours (120 minutes) after the start of the inpatient admission, and the FIRST resulted laboratory tests within 24 hours (1440 minutes) after the start of the inpatient admission.2. If the patient has values captured prior to admission, for example from the emergency department, pre-operative, or other outpatient area within the hospital, the logic supports extraction of the FIRST resulted vital signs and laboratory tests within 24 hours (1440 minutes) PRIOR to the start of the inpatient admission. All clinical systems used in inpatient and outpatient locations within the hospital facility should be queried when looking for core clinical values related to a patient who is subsequently admitted. for the laboratory tests represent the LOINC codes currently available for these tests. If the institution is using local codes to capture and store relevant laboratory test data, those sites should map that information to the LOINC code for reporting of the core clinical data elements.NOTE: Do not report ALL values on an encounter during their entire admission. Only report the FIRST resulted value for EACH core clinical data element collected in the appropriate timeframe, if available.For each core clinical data element, please report values using one of the appropriate units of measurement listed below, which represent valid UCUM codes:Core Clinical Data Element UCUM UnitBicarbonate----------------------------------meq/L mmol/LCreatinine------------------------------------mg/dL umol/LGlucose--------------------------------------mg/dL mmol/LHeart rate------------------------------------{Beats}/minHematocrit -----------------------------------%Oxygen saturation (by pulse oximetry)----------%{Oxygen}Potassium------------------------------------meq/L mmol/LRespiratory rate------------------------------{Breaths}/minSodium--------------------------------------meq/L mmol/L Systolic blood pressure-----------------------mm[Hg]Temperature---------------------------------Cel [degF]Weight---------------------------------------kg [lb_av] g White blood cell count ------------------------{Cells}/uL 10*3/uL 10*9/L /mm3 For each encounter please also submit the following Linking Variables:CMS Certification Number,Health Insurance Claim Number (HICN) or Medicare Beneficiary Identifier (MBI),Date of Birth,Sex,Inpatient Admission Date, andDischarge Date.The initial population includes patients with inpatient hospitalizations and patients from Acute Hospital Care at Home programs, who are treated and billed as inpatients but receive care in their home.This version of the specifications uses (QDM) version 5.6. Please refer to the for more information on the QDM., It is designed to extract the first resulted set of vital signs and basic laboratory results obtained from encounters for adult Medicare Fee-For-Service and Medicare Advantage patients admitted to acute care short stay hospitals. This logic is intended to extract electronic clinical data., Hybrid measures contain claim-based specifications and electronic specifications. Hybrid measures differ from the claims-only measures as they merge electronic health record (EHR) data elements with claims data to calculate the risk-standardized readmission and mortality rates..