{
  "description": "An example FHIR-based publishable measure",
  "_filename": "example/Measure-EXMRatio-FHIR.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "date": "2022-02-22",
  "group": [ {
    "id": "group-1",
    "population": [ {
      "id": "initial-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"
      }
    }, {
      "id": "numerator",
      "code": {
        "coding": [ {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Numerator"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Numerator"
      }
    }, {
      "id": "denominator",
      "code": {
        "coding": [ {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Denominator"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Denominator"
      }
    }, {
      "id": "denominator-observation",
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Measure Observation"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Measure Denominator Observation"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
        "valueString": "denominator"
      }, {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "sum"
      } ]
    }, {
      "id": "numerator-observation",
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Measure Observation"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Measure Numerator Observation"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
        "valueString": "numerator"
      }, {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "sum"
      } ]
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
  },
  "publisher": "Clinical Quality Information WG",
  "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": "EXMRatioMeasure",
  "useContext": [ {
    "code": {
      "code": "program",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "text": "eligible-provider",
      "coding": [ {
        "code": "ep-ec",
        "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"
      } ]
    }
  } ],
  "copyright": "Example Copyright Statement",
  "type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
  "experimental": "true",
  "topic": [ {
    "text": "Health Quality Measure Document",
    "coding": [ {
      "code": "57024-2",
      "system": "http://loinc.org"
    } ]
  } ],
  "resourceType": "Measure",
  "title": "EXM Ratio Measure",
  "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXMRatio-FHIR" ],
  "package_version": "4.0.0",
  "author": [ {
    "name": "Example Measure Content Developer"
  } ],
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "Encounter"
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit",
    "valueCodeableConcept": {
      "coding": [ {
        "code": "/1000.d",
        "system": "http://unitsofmeasure.org"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
    "valueReference": {
      "reference": "Device/software-system-example"
    }
  }, {
    "id": "effective-data-requirements",
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
    "valueReference": {
      "reference": "#effective-data-requirements"
    }
  } ],
  "contained": [ {
    "date": "2022-02-22T10:37:04-07:00",
    "dataRequirement": [ {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://example.org/fhir/ValueSet/inpatient"
      } ],
      "mustSupport": [ "type" ]
    } ],
    "name": "EffectiveDataRequirements",
    "type": {
      "coding": [ {
        "code": "module-definition",
        "system": "http://terminology.hl7.org/CodeSystem/library-type"
      } ]
    },
    "resourceType": "Library",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "EXMRatio-FHIR"
      }, {
        "url": "name",
        "valueString": "Qualifying Encounters"
      }, {
        "url": "statement",
        "valueString": "define \"Qualifying Encounters\":   [\"Encounter\": \"Inpatient\"]"
      }, {
        "url": "displaySequence",
        "valueInteger": 0
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "EXMRatio-FHIR"
      }, {
        "url": "name",
        "valueString": "Initial Population"
      }, {
        "url": "statement",
        "valueString": "define \"Initial Population\":   \"Qualifying Encounters\""
      }, {
        "url": "displaySequence",
        "valueInteger": 1
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "EXMRatio-FHIR"
      }, {
        "url": "name",
        "valueString": "Numerator"
      }, {
        "url": "statement",
        "valueString": "define \"Numerator\":   \"Initial Population\""
      }, {
        "url": "displaySequence",
        "valueInteger": 2
      } ]
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "EXMRatio-FHIR"
      }, {
        "url": "name",
        "valueString": "Denominator"
      }, {
        "url": "statement",
        "valueString": "define \"Denominator\":   \"Initial Population\""
      }, {
        "url": "displaySequence",
        "valueInteger": 3
      } ]
    } ],
    "status": "active",
    "id": "effective-data-requirements",
    "relatedArtifact": [ {
      "type": "depends-on",
      "display": "Value set Inpatient",
      "resource": "http://example.org/fhir/ValueSet/inpatient"
    } ],
    "parameter": [ {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "Numerator",
      "type": "Encounter"
    }, {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "Denominator",
      "type": "Encounter"
    }, {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "Initial Population",
      "type": "Encounter"
    } ]
  } ],
  "usage": "Users of this measure should be aware of...",
  "status": "active",
  "id": "45513441-5282-41f1-817c-4a22ef829753",
  "kind": null,
  "url": "http://example.org/fhir/measures/measure-ratio-exm",
  "identifier": [ {
    "value": "EXMRatio-FHIR",
    "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
  } ],
  "lastReviewDate": "2019-02-17",
  "scoring": {
    "coding": [ {
      "code": "ratio",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Ratio"
    } ]
  },
  "version": "2.0.0",
  "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",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor",
      "valueDateTime": "2018-01-01"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration",
      "valueDuration": {
        "code": "a",
        "value": 1,
        "system": "http://unitsofmeasure.org"
      }
    } ]
  }
}