{
  "description": "This example illustrates the use of risk adjustment data within a measure represented as a FHIR eCQM",
  "_filename": "Measure-measure-risk-adjustment-FHIR2.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "date": "2019-02-21",
  "group": [ {
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Initial Population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Initial Population"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Numerator"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Numerator"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Denominator"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Denominator"
      }
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm" ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "approvalDate": "2019-03-08",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "RiskAdjustment_FHIR2",
  "type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
  "experimental": "true",
  "topic": [ {
    "coding": [ {
      "code": "57024-2",
      "system": "http://loinc.org",
      "display": "Health Quality Measure Document"
    } ]
  } ],
  "resourceType": "Measure",
  "title": "Risk Adjustment FHIR DSTU2",
  "supplementalData": [ {
    "id": "sde-ethnicity",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "SDE Ethnicity"
    }
  }, {
    "id": "sde-payer",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "SDE Payer"
    }
  }, {
    "id": "sde-race",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "SDE Race"
    }
  }, {
    "id": "sde-sex",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "SDE Sex"
    }
  }, {
    "id": "hepatic-failure",
    "usage": [ {
      "coding": [ {
        "code": "risk-adjustment-factor",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "Hepatic Failure"
    }
  }, {
    "id": "cirrhosis-dx",
    "usage": [ {
      "coding": [ {
        "code": "risk-adjustment-factor",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "Cirrhosis Dx"
    }
  }, {
    "id": "bilirubin-test",
    "usage": [ {
      "coding": [ {
        "code": "risk-adjustment-factor",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "Bilirubin Test"
    }
  }, {
    "id": "serum-albumin-test",
    "usage": [ {
      "coding": [ {
        "code": "risk-adjustment-factor",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql-identifier",
      "expression": "Serum Albumin Test"
    }
  } ],
  "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/risk-adjustment-FHIR2" ],
  "package_version": "5.0.0-ballot2",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "boolean"
  } ],
  "status": "active",
  "id": "33169061-de66-46a7-8c34-0f1d313c359b",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-risk-adjustment-FHIR2",
  "identifier": [ {
    "use": "official",
    "value": "RiskAdjustment_FHIR2",
    "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
  } ],
  "lastReviewDate": "2019-03-08",
  "scoring": {
    "coding": [ {
      "code": "proportion",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Proportion"
    } ]
  },
  "version": "0.0.001",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi",
      "system": "url"
    } ]
  } ],
  "improvementNotation": {
    "coding": [ {
      "code": "decrease",
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "display": "Decreased score indicates improvement"
    } ]
  },
  "effectivePeriod": {
    "end": "2018-12-31",
    "start": "2018-01-01"
  }
}