{
  "description": "An example FHIR-based measure",
  "_filename": "Measure-measure-exm.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "definition": [ "A term used in the measure that bears clearly defining to communicate the measure intent" ],
  "date": "2019-02-17",
  "group": [ {
    "identifier": {
      "value": "group-1"
    },
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Initial Population"
        } ]
      },
      "criteria": "Initial Population 1",
      "identifier": {
        "value": "initial-population 1"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Numerator"
        } ]
      },
      "criteria": "Numerator 1",
      "identifier": {
        "value": "numerator 1"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Denominator"
        } ]
      },
      "criteria": "Denominator 1",
      "identifier": {
        "value": "denominator 1"
      }
    } ],
    "stratifier": [ {
      "criteria": "Stratifier 1",
      "identifier": {
        "value": "stratifier 1"
      }
    }, {
      "criteria": "Stratifier 2",
      "identifier": {
        "value": "stratifier 2"
      }
    }, {
      "criteria": "Stratifier 3",
      "identifier": {
        "value": "stratifier 3"
      }
    }, {
      "criteria": "Stratifier 4",
      "identifier": {
        "value": "stratifier 4"
      }
    } ]
  }, {
    "identifier": {
      "value": "group-2"
    },
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Initial Population"
        } ]
      },
      "criteria": "Initial Population 2",
      "identifier": {
        "value": "initial-population 2"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Numerator"
        } ]
      },
      "criteria": "Numerator 2",
      "identifier": {
        "value": "numerator 2"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Denominator"
        } ]
      },
      "criteria": "Denominator 2",
      "identifier": {
        "value": "denominator 2"
      }
    } ],
    "stratifier": [ {
      "criteria": "Stratifier 1",
      "identifier": {
        "value": "stratifier 1"
      }
    }, {
      "criteria": "Stratifier 2",
      "identifier": {
        "value": "stratifier 2"
      }
    }, {
      "criteria": "Stratifier 3",
      "identifier": {
        "value": "stratifier 3"
      }
    }, {
      "criteria": "Stratifier 4",
      "identifier": {
        "value": "stratifier 4"
      }
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm" ],
    "versionId": "1",
    "lastUpdated": "2019-02-17T17:05:00.0-06:00"
  },
  "publisher": "Example Measure Publisher",
  "approvalDate": "2019-02-17",
  "disclaimer": "Example disclaimer",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "purpose": "The purpose of this measure is to...",
  "name": "MeasureEXM",
  "_definition": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm",
      "valueString": "Term"
    } ]
  } ],
  "useContext": [ {
    "code": {
      "code": "program"
    },
    "valueCodeableConcept": {
      "text": "eligible-provider"
    }
  } ],
  "copyright": "Example Copyright Statement",
  "guidance": "Additional guidance provided to help communicate the intent of the measure",
  "type": "[{:coding [{:system \\\"http://hl7.org/fhir/measure-type\\\", :code \\\"process\\\"}]}]",
  "experimental": "true",
  "topic": [ {
    "text": "Health Quality Measure Document",
    "coding": [ {
      "code": "57024-2",
      "system": "http://loinc.org"
    } ]
  } ],
  "resourceType": "Measure",
  "title": "EXM Measure",
  "supplementalData": [ {
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://hl7.org/fhir/measure-data-usage"
      } ]
    } ],
    "criteria": "SDE Ethnicity",
    "identifier": {
      "value": "sde-ethnicity"
    }
  }, {
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://hl7.org/fhir/measure-data-usage"
      } ]
    } ],
    "criteria": "SDE Race",
    "identifier": {
      "value": "sde-race"
    }
  }, {
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://hl7.org/fhir/measure-data-usage"
      } ]
    } ],
    "criteria": "SDE Payer",
    "identifier": {
      "value": "sde-payer"
    }
  }, {
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://hl7.org/fhir/measure-data-usage"
      } ]
    } ],
    "criteria": "SDE Sex",
    "identifier": {
      "value": "sde-sex"
    }
  } ],
  "library": [ {
    "reference": "Library/library-exm-logic"
  } ],
  "package_version": "0.1.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment",
    "extension": [ {
      "url": "type",
      "valueCode": "documentation"
    }, {
      "url": "text",
      "valueString": "This illustrates an example comment"
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "boolean"
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation",
    "valueMarkdown": "Additional guidance for allocation"
  } ],
  "usage": "Users of this measure should be aware of...",
  "rationale": "Rationale for this measure is...",
  "contributor": [ {
    "name": "Example Measure Content Developer",
    "type": "author"
  } ],
  "status": "active",
  "id": "2b93acd5-a337-413a-8cb0-e6fcaa05cd4f",
  "kind": null,
  "url": "http://example.org/fhir/measures/measure-exm",
  "identifier": [ {
    "value": "EXM",
    "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
  } ],
  "lastReviewDate": "2019-02-17",
  "riskAdjustment": "Risk adjustment for this measure is performed by...",
  "scoring": {
    "coding": [ {
      "code": "proportion",
      "system": "http://hl7.org/fhir/measure-scoring"
    } ]
  },
  "version": "1.0.0",
  "relatedArtifact": [ {
    "type": "documentation",
    "citation": "Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. \"Antibiotic treatment       of children with sore throat.\" JAMA 294(18):2315-2322.",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
      "valueBoolean": true
    } ]
  }, {
    "type": "documentation",
    "citation": "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
      "valueBoolean": true
    } ]
  }, {
    "type": "documentation",
    "citation": "Roberts, R.R., B. Hota, I. Ahmad, et al. \"Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.\" Clin Infect Dis. Oct 2009; 49(8):1175-84.",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
      "valueBoolean": true
    } ]
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://www.example.org/",
      "system": "url"
    } ]
  } ],
  "improvementNotation": "increase",
  "rateAggregation": "Rate aggregation for this measure is performed by...",
  "effectivePeriod": {
    "end": "2018-12-31",
    "start": "2018-01-01"
  },
  "clinicalRecommendationStatement": "The clinical recommendation statement for this measure is..."
}