{
  "description": "This example illustrates a continuous variable measure represented as a FHIR eCQM",
  "_filename": "example/Measure-measure-exm55-FHIR.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": "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": [ {
          "display": "Stratification 1"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Stratification 1"
      }
    }, {
      "code": {
        "coding": [ {
          "display": "Stratification 2"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Stratification 2"
      }
    }, {
      "code": {
        "coding": [ {
          "display": "Stratification 3"
        } ]
      },
      "criteria": {
        "language": "text/cql.identifier",
        "expression": "Stratification 3"
      }
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm" ]
  },
  "publisher": "Health Level 7 International - Clinical Quality Information Work Group",
  "approvalDate": "2019-03-08",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "name": "EXM55",
  "useContext": [ {
    "code": {
      "code": "program",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "eh-cah",
        "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs",
        "display": "EH/CAH"
      } ]
    }
  } ],
  "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": "Median ED Visit Duration",
  "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55" ],
  "package_version": "2.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "Encounter"
  }, {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
    "valueReference": {
      "reference": "Device/software-system-example"
    }
  } ],
  "status": "active",
  "id": "88ceccdd-a3ec-4363-add2-0a0da14485ff",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/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/index.cfm",
      "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"
  }
}