{
  "description": "This is an example only.",
  "_filename": "example/Measure-PVSComponent.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "date": "2021-04-03T13:00:06-06:00",
  "group": [ {
    "population": [ {
      "id": "FB55A109-7AC0-4385-AD01-ED3814C92697",
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Initial Population"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Initial Population"
      }
    }, {
      "id": "7BFE8E56-FD1F-4E35-A79F-0E2569819358",
      "code": {
        "coding": [ {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Denominator"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Denominator"
      }
    }, {
      "id": "F74BB6AC-40CD-40BB-A9F8-06F4A4A0D2C5",
      "code": {
        "coding": [ {
          "code": "denominator-exclusion",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Denominator Exclusion"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Denominator Exclusions"
      }
    }, {
      "id": "89B1D5A5-96B6-4002-B962-9989FED8A0E9",
      "code": {
        "coding": [ {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Numerator"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Numerator"
      }
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
  },
  "publisher": "Clinical Quality Information WG",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "PVSComponent",
  "type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
  "experimental": "true",
  "resourceType": "Measure",
  "title": "Pneumococcal Vaccination Status for Older Adults",
  "supplementalData": [ {
    "id": "66567b90-12e8-4a1c-8425-2cb8106f9664",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Ethnicity"
    }
  }, {
    "id": "d431e0e9-8d05-4ca7-a0b2-6cf72313c6d6",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Payer"
    }
  }, {
    "id": "b5baeb14-bfba-4ad5-a150-8a5442d113f8",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Race"
    }
  }, {
    "id": "54129f83-97a7-4149-82c8-92ab0e8060ed",
    "usage": [ {
      "coding": [ {
        "code": "supplemental-data",
        "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
      } ]
    } ],
    "criteria": {
      "language": "text/cql.identifier",
      "expression": "SDE Sex"
    }
  } ],
  "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/PVSComponent" ],
  "package_version": "2.1.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "boolean"
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "in",
      "name": "Measurement Period",
      "type": "Period"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "SDE Sex",
      "type": "Coding"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "Numerator",
      "type": "boolean"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "Denominator",
      "type": "boolean"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "Initial Population",
      "type": "boolean"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "Patient",
      "type": "Patient"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "Qualifying Encounters",
      "type": "Encounter"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "SDE Payer",
      "type": "Any"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "SDE Ethnicity",
      "type": "Coding"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "Denominator Exclusions",
      "type": "boolean"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "1",
      "min": 0,
      "use": "out",
      "name": "Has Hospice",
      "type": "boolean"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
    "valueParameterDefinition": {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "SDE Race",
      "type": "Coding"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Immunization",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Immunization" ],
      "codeFilter": [ {
        "path": "vaccineCode",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Procedure",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Patient",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Coverage",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Patient",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "ServiceRequest",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
    "valueDataRequirement": {
      "type": "Procedure",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ],
      "codeFilter": [ {
        "path": "code",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
    "valueCoding": {
      "code": "428361000124107",
      "system": "http://snomed.info/sct",
      "display": "Discharge to home for hospice care (procedure)",
      "version": "http://snomed.info/sct/731000124108/version/201709"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
    "valueCoding": {
      "code": "428371000124100",
      "system": "http://snomed.info/sct",
      "display": "Discharge to healthcare facility for hospice care (procedure)",
      "version": "http://snomed.info/sct/731000124108/version/201709"
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "SDE Sex"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Sex\":\n  SDE.\"SDE Sex\""
    }, {
      "url": "displaySequence",
      "valueInteger": 0
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "SupplementalDataElements"
    }, {
      "url": "name",
      "valueString": "SDE Sex"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Sex\":\n  case\n      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n      else null\n    end"
    }, {
      "url": "displaySequence",
      "valueInteger": 1
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "Numerator"
    }, {
      "url": "statement",
      "valueString": "define \"Numerator\":\n  exists ( [Immunization: \"Pneumococcal Vaccine\"] PneumococcalVaccine\n        where PneumococcalVaccine.status = 'completed'\n          and PneumococcalVaccine.occurrence as dateTime on or before\n          end of \"Measurement Period\"\n    )\n      or exists ( [Procedure: \"Pneumococcal Vaccine Administered\"] PneumococcalVaccineGiven\n          where PneumococcalVaccineGiven.status = 'completed'\n            and PneumococcalVaccineGiven.performed as Period on or before\n            end of \"Measurement Period\"\n      )"
    }, {
      "url": "displaySequence",
      "valueInteger": 2
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "Denominator"
    }, {
      "url": "statement",
      "valueString": "define \"Denominator\":\n  \"Initial Population\""
    }, {
      "url": "displaySequence",
      "valueInteger": 3
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "Initial Population"
    }, {
      "url": "statement",
      "valueString": "define \"Initial Population\":\n  Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n      and exists \"Qualifying Encounters\""
    }, {
      "url": "displaySequence",
      "valueInteger": 4
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "Qualifying Encounters"
    }, {
      "url": "statement",
      "valueString": "define \"Qualifying Encounters\":\n  ( [Encounter: \"Office Visit\"]\n      union [Encounter: \"Annual Wellness Visit\"]\n      union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n      union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\n      union [Encounter: \"Home Healthcare Services\"]\n      union [Encounter: \"Discharge Services - Nursing Facility\"]\n      union [Encounter: \"Nursing Facility Visit\"]\n      union [Encounter: \"Care Services in Long-Term Residential Facility\"] ) ValidEncounter\n      where ValidEncounter.period during \"Measurement Period\"\n        and ValidEncounter.status = 'finished'"
    }, {
      "url": "displaySequence",
      "valueInteger": 5
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "SDE Payer"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Payer\":\n  SDE.\"SDE Payer\""
    }, {
      "url": "displaySequence",
      "valueInteger": 6
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "SupplementalDataElements"
    }, {
      "url": "name",
      "valueString": "SDE Payer"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Payer\":\n  [Coverage: type in \"Payer\"] Payer\n        return {\n          code: Payer.type,\n          period: Payer.period\n        }"
    }, {
      "url": "displaySequence",
      "valueInteger": 7
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "Initial Population"
    }, {
      "url": "statement",
      "valueString": "define \"Initial Population\":\n  Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65\n      and exists \"Qualifying Encounters\""
    }, {
      "url": "displaySequence",
      "valueInteger": 8
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "SDE Ethnicity"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""
    }, {
      "url": "displaySequence",
      "valueInteger": 9
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "SupplementalDataElements"
    }, {
      "url": "name",
      "valueString": "SDE Ethnicity"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Ethnicity\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding"
    }, {
      "url": "displaySequence",
      "valueInteger": 10
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "Denominator Exclusions"
    }, {
      "url": "statement",
      "valueString": "define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice\""
    }, {
      "url": "displaySequence",
      "valueInteger": 11
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "Hospice"
    }, {
      "url": "name",
      "valueString": "Has Hospice"
    }, {
      "url": "statement",
      "valueString": "define \"Has Hospice\":\n\texists (\n    [Encounter: \"Encounter Inpatient\"] DischargeHospice\n\t\t\twhere DischargeHospice.status = 'finished'\n\t\t    and (\n\t        DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n\t\t\t\t    or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n\t    \t)\n\t\t\t\tand DischargeHospice.period ends during \"Measurement Period\"\n\t)\n    or exists (\n      [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder\n        where HospiceOrder.intent = 'order'\n            and HospiceOrder.authoredOn in \"Measurement Period\"\n    )\n    or exists (\n      [Procedure: \"Hospice care ambulatory\"] HospicePerformed\n        where HospicePerformed.status = 'completed'\n          and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"\n    )"
    }, {
      "url": "displaySequence",
      "valueInteger": 12
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "PVSComponent"
    }, {
      "url": "name",
      "valueString": "SDE Race"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Race\":\n  SDE.\"SDE Race\""
    }, {
      "url": "displaySequence",
      "valueInteger": 13
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
    "extension": [ {
      "url": "libraryName",
      "valueString": "SupplementalDataElements"
    }, {
      "url": "name",
      "valueString": "SDE Race"
    }, {
      "url": "statement",
      "valueString": "define \"SDE Race\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding"
    }, {
      "url": "displaySequence",
      "valueInteger": 14
    } ]
  } ],
  "status": "draft",
  "language": "en",
  "id": "3502bc45-e0df-4d88-872c-8e22faaa006d",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/PVSComponent",
  "scoring": {
    "coding": [ {
      "code": "proportion",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Proportion"
    } ]
  },
  "version": "0.0.001",
  "relatedArtifact": [ {
    "type": "depends-on",
    "display": "Library SDE",
    "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"
  }, {
    "type": "depends-on",
    "display": "Library FHIRHelpers",
    "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
  }, {
    "type": "depends-on",
    "display": "Library Global",
    "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
  }, {
    "type": "depends-on",
    "display": "Library FHIRHelpers",
    "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
  }, {
    "type": "depends-on",
    "display": "Library Hospice",
    "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000"
  }, {
    "type": "depends-on",
    "display": "Library FHIRHelpers",
    "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
  }, {
    "type": "depends-on",
    "display": "Library Global",
    "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
  }, {
    "type": "depends-on",
    "display": "Code system SNOMEDCT:2017-09",
    "resource": "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"
  }, {
    "type": "depends-on",
    "display": "Value set Pneumococcal Vaccine",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027"
  }, {
    "type": "depends-on",
    "display": "Value set Pneumococcal Vaccine Administered",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034"
  }, {
    "type": "depends-on",
    "display": "Value set Office Visit",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
  }, {
    "type": "depends-on",
    "display": "Value set Annual Wellness Visit",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
  }, {
    "type": "depends-on",
    "display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
  }, {
    "type": "depends-on",
    "display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"
  }, {
    "type": "depends-on",
    "display": "Value set Home Healthcare Services",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
  }, {
    "type": "depends-on",
    "display": "Value set Discharge Services - Nursing Facility",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065"
  }, {
    "type": "depends-on",
    "display": "Value set Nursing Facility Visit",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012"
  }, {
    "type": "depends-on",
    "display": "Value set Care Services in Long-Term Residential Facility",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014"
  }, {
    "type": "depends-on",
    "display": "Value set Payer",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
  }, {
    "type": "depends-on",
    "display": "Value set Encounter Inpatient",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"
  }, {
    "type": "depends-on",
    "display": "Value set Hospice care ambulatory",
    "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15"
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi/index.cfm",
      "system": "url"
    } ]
  } ],
  "improvementNotation": {
    "coding": [ {
      "code": "increase",
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
    } ]
  },
  "effectivePeriod": {
    "end": "2022-12-31",
    "start": "2022-01-01"
  }
}