{
  "description": "An example FHIR-based publishable measure",
  "_filename": "example/Measure-measure-publishable-exm.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "date": "2019-02-17",
  "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"
      }
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm" ]
  },
  "publisher": "Example Measure Publisher",
  "approvalDate": "2019-02-17",
  "disclaimer": "Example disclaimer",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "purpose": "The purpose of this measure is to...",
  "name": "PublishableMeasureEXM",
  "_definition": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm",
      "extension": [ {
        "url": "term",
        "valueString": "Term"
      }, {
        "url": "definition",
        "valueMarkdown": "A term used in the measure that bears clearly definition to communicate the measure intent"
      } ]
    } ]
  } ],
  "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",
  "guidance": "Additional guidance provided to help communicate the intent of the measure",
  "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 Publishable Measure",
  "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-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-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-sex",
    "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/EXMPublishableLibrary" ],
  "package_version": "2.0.0",
  "author": [ {
    "name": "Example Measure Content Developer"
  } ],
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "Encounter"
  } ],
  "usage": "Users of this measure should be aware of...",
  "rationale": "Rationale for this measure is...",
  "status": "active",
  "id": "f1d0deba-c497-40c2-9394-dccdf7c978a9",
  "kind": null,
  "url": "http://example.org/fhir/measures/publishable-measure-exm",
  "identifier": [ {
    "value": "EXM",
    "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
  } ],
  "lastReviewDate": "2019-02-17",
  "riskAdjustment": "Risk adjustment for this measure is performed by...",
  "scoring": {
    "coding": [ {
      "code": "proportion",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Proportion"
    } ]
  },
  "version": "2.0.0",
  "relatedArtifact": [ {
    "type": "documentation",
    "citation": "Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. \"Antibiotic treatment       of children with sore throat.\" JAMA 294(18):2315-2322.",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
      "valueBoolean": true
    } ]
  }, {
    "type": "documentation",
    "citation": "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
      "valueBoolean": true
    } ]
  }, {
    "type": "documentation",
    "citation": "Roberts, R.R., B. Hota, I. Ahmad, et al. \"Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.\" Clin Infect Dis. Oct 2009; 49(8):1175-84.",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
      "valueBoolean": true
    } ]
  }, {
    "type": "composed-of",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus",
      "valueCode": "draft"
    } ]
  }, {
    "type": "composed-of",
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate",
      "valueDate": "2019-01-01"
    } ]
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://www.example.org/",
      "system": "url"
    } ]
  } ],
  "improvementNotation": {
    "coding": [ {
      "code": "increase",
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "display": "Increased score indicates improvement"
    } ]
  },
  "rateAggregation": "Rate aggregation for this measure is performed by...",
  "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"
      }
    } ]
  },
  "clinicalRecommendationStatement": "The clinical recommendation statement for this measure is..."
}