{
  "description": "This example illustrates a continuous variable measure represented as a FHIR eCQM",
  "_filename": "Measure-EXM55-FHIR.json",
  "package_name": "hl7.fhir.us.cqfmeasures.r4b",
  "date": "2022-02-22",
  "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": "measure-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Measure Population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Measure Population"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "measure-population-exclusion",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Measure Population Exclusion"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Measure Population Exclusion"
      }
    }, {
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Measure Observation"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Measure Observation"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
        "valueString": "measure-population-identifier"
      }, {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "median"
      } ]
    } ],
    "stratifier": [ {
      "code": {
        "coding": [ {
          "code": "Stratification 1",
          "system": "http://example.org/stratification",
          "display": "Stratification 1"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Stratification 1"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "initial-population",
            "system": "http://terminology.hl7.org/CodeSystem/measure-population",
            "display": "Initial Population"
          } ]
        }
      } ]
    }, {
      "code": {
        "coding": [ {
          "code": "Stratification 2",
          "system": "http://example.org/stratification",
          "display": "Stratification 2"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Stratification 2"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "initial-population",
            "system": "http://terminology.hl7.org/CodeSystem/measure-population",
            "display": "Initial Population"
          } ]
        }
      } ]
    }, {
      "code": {
        "coding": [ {
          "code": "Stratification 3",
          "system": "http://example.org/stratification",
          "display": "Stratification 3"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Stratification 3"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "initial-population",
            "system": "http://terminology.hl7.org/CodeSystem/measure-population",
            "display": "Initial Population"
          } ]
        }
      } ]
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "approvalDate": "2019-03-08",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "EXM55",
  "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": "EXM55 - Median Emergency Department Visit Duration",
  "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55-FHIR" ],
  "package_version": "5.0.0-ballot2",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "Encounter"
  }, {
    "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
    "valueReference": {
      "reference": "Device/software-system-example"
    }
  }, {
    "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
    "valueCanonical": "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm55"
  } ],
  "status": "active",
  "id": "6cccfcc0-8556-427d-b7f1-907d6092ff23",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR",
  "identifier": [ {
    "use": "official",
    "value": "55",
    "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
  } ],
  "lastReviewDate": "2019-03-08",
  "scoring": {
    "coding": [ {
      "code": "continuous-variable",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Continuous Variable"
    } ]
  },
  "version": "5.0.0",
  "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"
  }
}