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FHIR IG Statistics: Measure/HRExampleProportionMeasure

Packageexample.fhir.uv.mycontentig
Resource TypeMeasure
IdHRExampleProportionMeasure
FHIR VersionR4
Sourcehttp://somewhere.org/fhir/uv/mycontentig/https://build.fhir.org/ig/cqframework/sample-content-ig/Measure-HRExampleProportionMeasure.html
URLhttp://somewhere.org/fhir/uv/mycontentig/Measure/HRExampleProportionMeasure
Version0.4.9-cibuild
Statusdraft
Date2025-08-07T19:57:13+00:00
NameHRExampleProportionMeasure
TitleHR Example Proportion (Measure Name in Details Tab of MADiE UI)
Realmuv
Authorityhl7
DescriptionDescription Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM equivalent: Description.
PurposePurpose Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Conditional field, will not display if not populated.
CopyrightCopyright Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Copyright. Displays “UNKNOWN” if not populated.

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Narrative

Note: links and images are rebased to the (stated) source

Metadata
Title HR Example Proportion (Measure Name in Details Tab of MADiE UI)
Version 0.4.9-cibuild
Short Name HRExProp(eCQM Abbreviated Title)
GUID (Version Independent) urn:uuid:14c5a2d8-66af-4602-8d9d-0458fda207b9
GUID (Version Specific) urn:uuid:5b3b8c0e-c178-4fdd-b936-92564cac768e
CMS Consensus Based Entity Identifier 1EndorsementNumber
Effective Period 2026-01-01 through 2026-12-31
Status Draft
Experimental true
Use Context Venue = EC
Jurisdiction Global (Whole world)
Steward (Publisher) HL7 International - [Some] Work Group
Developer ICF
Description

Description Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM equivalent: Description.
Purpose

Purpose Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Conditional field, will not display if not populated.
Copyright

Copyright Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Copyright. Displays “UNKNOWN” if not populated.
Disclaimer

Disclaimer Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Displays “UNKNOWN” if not populated.
Rationale

Rationale Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Rational. Conditional field, will not display if not populated.
Clinical Recommendation Statement

Clinical Recommendation Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Clinical Recommendation Statement. Conditional field, will not display if not populated.
Citation

References Section of Details Tab in MADiE UI "Type" selected from drop down (Citation or Justification) "Reference" free text after selection. Character limit not determined. QDM Equivalent: Reference. Conditional field, will not display if not populated.
Definition Definition Section of Details Tab in MADiE UI "Term" free text. Character limit not determined. QDM Equivalent: ?.: Definition Section of Details Tab in MADiE UI "Definition" free text. Character limit not determined QDM Equivalent: ?. Conditional field, will not display if not populated.
Guidance (Usage) Guidance (Usage) Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Guidance. Conditional field, will not display if not populated.
Measure Group (Rate) (ID: Group_1)
Summary Population Criteria 1 Description on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Measure type selectable from drop down, multi select; for this example selected all options. Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error. Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). Note to self, changing scoring deletes all population information. Scoring Unit free text entry. Scoring Precision selectable integers. small edit to support export
Basis boolean
Scoring Proportion
Scoring Unit Scoring Unit Field
Scoring Precision 1
Type Intermediate Outcome
Type Outcome
Type Patient Reported Outcome
Type Process
Type Structure
Rate Aggregation Rate Aggregation Field of Reporting Section on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Rate Aggregation.
Improvement Notation Increased score indicates improvement
Initial Population ID: InitialPopulation_1
Description:

Initial Population Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Initial Population. Initial Population required field selected by dropdown (Defines from CQL Editor Tab).

Logic Definition: Initial Population
Denominator ID: Denominator_1
Description:

Denominator Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator. Denominator required field selected by dropdown (Defines from CQL Editor Tab).

Logic Definition: Denominator
Denominator Exclusion ID: DenominatorExclusion_1
Description:

Denominator Exclusion Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exclusion. Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.

Logic Definition: Denominator Exclusions
Numerator ID: Numerator_1
Description:

Numerator Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not detemined. QDM Equivalent: Numerator. Numerator required field selected by dropdown (Defines from CQL Editor Tab).

Logic Definition: Numerator
Numerator Exclusion ID: NumeratorExclusion_1
Description:

Numerator Exclusion Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Numerator Exclusion. Numerator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.

Logic Definition: Numerator Exclusion
Denominator Exception ID: DenominatorException_1
Description:

Denominator Exception Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exception. Denominator Exception is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.

Logic Definition: Denominator Exception
Stratifier ID: Stratification_1_1
Description: Stratification 1 Description in Stratifications Section of Population Criteria Tab of MADiE UI Stratification 1 required field selected by dropdown (Defines from CQL Editor tab). Association 1 appears to default to all defined populations. Free Text. Character limit not determined. QDM Equivalent: Stratification. Conditional field, does not show if not populated.
Stratifier ID: Stratification_1_2
Description: Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI Stratification 2 required field selected by dropdown (Defines from CQL Editor tab). Association 2 appears to default to all defined populations. Free Text. Character limit not determined. QDM Equivalent: Stratification. Conditional field, does not show if not populated.
Measure Group (Rate) (ID: Group_2)
Summary Population Criteria 2 Description on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Measure type selectable from drop down, multi select; for this example selected all options. Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error. Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). Note to self, changing scoring deletes all population information. Scoring Unit free text entry. Scoring Precision selectable integers. small edit to support export2
Basis boolean
Scoring Proportion
Type Intermediate Outcome
Type Outcome
Type Patient Reported Outcome
Type Process
Type Structure
Improvement Notation Increased score indicates improvement
Initial Population ID: InitialPopulation_2
Description:

Initial Population Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Initial Population. Initial Population required field selected by dropdown (Defines from CQL Editor Tab).

Logic Definition: Initial Population2
Denominator ID: Denominator_2
Description:

Denominator Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator. Denominator required field selected by dropdown (Defines from CQL Editor Tab).

Logic Definition: Denominator2
Denominator Exclusion ID: DenominatorExclusion_2
Description:

Denominator Exclusion in Population Criteria 2 Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exclusion. Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.

Logic Definition: Denominator Exclusions2
Numerator ID: Numerator_2
Description:

Numerator Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not detemined. QDM Equivalent: Numerator. Numerator required field selected by dropdown (Defines from CQL Editor Tab).

Logic Definition: Numerator2
Numerator Exclusion ID: NumeratorExclusion_2
Description:

Numerator Exclusion Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Numerator Exclusion. Numerator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.

Logic Definition: Numerator Exclusion2
Denominator Exception ID: DenominatorException_2
Description:

Denominator Exception Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exception. Denominator Exception is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.

Logic Definition: Denominator Exception2
Supplemental Data Guidance Supplemental Data Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Conditional field, will not display if not populated. Definition selected from dropdown (Defines in CQL Editor). For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex. Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.
Supplemental Data Guidance Risk Adjustment Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Risk Adjustment. Conditional field, will not display if not populated. Definition selected from dropdown, multi select (Defines in CQL Editor). Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.
Supplemental Data Elements
Supplemental Data Element ID: sde-ethnicity
Usage Code: Supplemental Data
Description: SDE Ethnicity
Logic Definition: SDE Ethnicity
Supplemental Data Element ID: sde-payer
Usage Code: Supplemental Data
Description: SDE Payer
Logic Definition: SDE Payer
Supplemental Data Element ID: sde-race
Usage Code: Supplemental Data
Description: SDE Race
Logic Definition: SDE Race
Supplemental Data Element ID: sde-sex
Usage Code: Supplemental Data
Description: SDE Sex
Logic Definition: SDE Sex
Supplemental Data Element ID: rav-patient-too-young-at-start-of-measurement-period
Usage Code: Risk Adjustment Factor
Description: RAV Patient Too Young at Start of Measurement Period
Logic Definition: RAV Patient Too Young at Start of Measurement Period
Supplemental Data Element ID: rav-patient-too-old-at-start-of-measurement-period
Usage Code: Risk Adjustment Factor
Description: RAV Patient Too Old at Start of Measurement Period
Logic Definition: RAV Patient Too Old at Start of Measurement Period
Measure Logic
Primary Library HRExampleProportionMeasureCQLLibrary
Contents Population Criteria
Logic Definitions
Terminology
Dependencies
Data Requirements
Population Criteria
Measure Group (Rate) (ID: Group_1)
Initial Population 
define "Initial Population":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[18, 75]
Denominator 
define "Denominator":
  "Initial Population"
Denominator Exclusion 
define "Denominator Exclusions":
  "Initial Population"
Numerator 
define "Numerator":
  "Initial Population"
Numerator Exclusion 
define "Numerator Exclusion":
  "Initial Population"
Denominator Exception 
define "Denominator Exception":
  "Initial Population"
Stratifier 
define "Patient Age Less than 18 Years Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") < 18
Stratifier 
define "Patient Age 18 Years or Older at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") >= 18
Measure Group (Rate) (ID: Group_2)
Initial Population 
define "Initial Population2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[19, 76]
Denominator 
define "Denominator2":
  "Initial Population2"
Denominator Exclusion 
define "Denominator Exclusions2":
  "Initial Population2"
Numerator 
define "Numerator2":
  "Initial Population2"
Numerator Exclusion 
define "Numerator Exclusion2":
  "Initial Population2"
Denominator Exception 
define "Denominator Exception2":
  "Initial Population2"
Logic Definitions
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Race":
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Sex":
  case
      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
      else null
    end
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Payer":
  [Coverage: type in "Payer Type"] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Ethnicity":
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "RAV Patient Too Old at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") > 80
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "RAV Patient Too Young at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") < 5
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Initial Population":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[18, 75]
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Denominator Exception":
  "Initial Population"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Initial Population2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[19, 76]
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Denominator Exclusions2":
  "Initial Population2"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "SDE Race":
  SDE."SDE Race"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Numerator Exclusion":
  "Initial Population"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "SDE Sex":
  SDE."SDE Sex"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Numerator":
  "Initial Population"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Numerator Exclusion2":
  "Initial Population2"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Patient Age Less than 18 Years Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") < 18
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Denominator":
  "Initial Population"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "SDE Payer":
  SDE."SDE Payer"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "SDE Ethnicity":
  SDE."SDE Ethnicity"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Denominator2":
  "Initial Population2"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Denominator Exclusions":
  "Initial Population"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Patient Age 18 Years or Older at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") >= 18
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Numerator2":
  "Initial Population2"
Logic Definition Library Name: HRExampleProportionMeasureCQLLibrary 
define "Denominator Exception2":
  "Initial Population2"
Logic Definition Library Name: FHIRHelpers 
define function ToString(value uri): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }
Logic Definition Library Name: FHIRHelpers 
define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        if period."start" is null then
            Interval(period."start".value, period."end".value]
        else
            Interval[period."start".value, period."end".value]
Terminology
Value Set Description: Value set Payer Type
Resource: Payer
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Dependencies
Dependency Description: Library SDE
Resource: SupplementalDataElementsExample
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/SupplementalDataElementsExample
Dependency Description: Library FHIRHelpers
Resource: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Data Requirements
Data Requirement Type: Patient
Profile(s): QICore Patient
Must Support Elements: url, extension
Data Requirement Type: Coverage
Profile(s): QICore Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer
Generated using version 0.4.9-cibuild of the sample-content-ig Liquid templates

Source

{
  "resourceType": "Measure",
  "id": "HRExampleProportionMeasure",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Library",
      "id": "effective-data-requirements",
      "extension": [
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "RAV Patient Too Old at Start of Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"RAV Patient Too Old at Start of Measurement Period\":\n  AgeInYearsAt(date from start of \"Measurement Period\") > 80"
            },
            {
              "url": "displaySequence",
              "valueInteger": 0
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "RAV Patient Too Young at Start of Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"RAV Patient Too Young at Start of Measurement Period\":\n  AgeInYearsAt(date from start of \"Measurement Period\") < 5"
            },
            {
              "url": "displaySequence",
              "valueInteger": 1
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Initial Population"
            },
            {
              "url": "statement",
              "valueString": "define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[18, 75]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 2
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator Exception"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exception\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 3
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Initial Population2"
            },
            {
              "url": "statement",
              "valueString": "define \"Initial Population2\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[19, 76]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 4
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator Exclusions2"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exclusions2\":\n  \"Initial Population2\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 5
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElementsExample"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Race\":\n  Patient.race R\n    return Tuple {\n      codes: R.ombCategory union R.detailed,\n      display: R.text\n    }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 6
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Race\":\n  SDE.\"SDE Race\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 7
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Numerator Exclusion"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator Exclusion\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 8
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElementsExample"
            },
            {
              "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": 9
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Sex"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Sex\":\n  SDE.\"SDE Sex\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 10
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Numerator"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 11
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Numerator Exclusion2"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator Exclusion2\":\n  \"Initial Population2\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 12
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Patient Age Less than 18 Years Start of Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"Patient Age Less than 18 Years Start of Measurement Period\":\n  AgeInYearsAt(date from start of \"Measurement Period\") < 18"
            },
            {
              "url": "displaySequence",
              "valueInteger": 13
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 14
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElementsExample"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":\n  [Coverage: type in \"Payer Type\"] Payer\n    return {\n      code: Payer.type,\n      period: Payer.period\n    }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 15
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":\n  SDE.\"SDE Payer\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 16
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElementsExample"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Ethnicity\":\n  Patient.ethnicity E\n    return Tuple {\n      codes: { E.ombCategory } union E.detailed,\n      display: E.text\n    }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 17
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 18
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator2"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator2\":\n  \"Initial Population2\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 19
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator Exclusions"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exclusions\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 20
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Patient Age 18 Years or Older at Start of Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"Patient Age 18 Years or Older at Start of Measurement Period\":\n  AgeInYearsAt(date from start of \"Measurement Period\") >= 18"
            },
            {
              "url": "displaySequence",
              "valueInteger": 21
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Numerator2"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator2\":\n  \"Initial Population2\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 22
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleProportionMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator Exception2"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exception2\":\n  \"Initial Population2\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 23
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value uri): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 24
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToCode"
            },
            {
              "url": "statement",
              "valueString": "define function ToCode(coding FHIR.Coding):\n    if coding is null then\n        null\n    else\n        System.Code {\n          code: coding.code.value,\n          system: coding.system.value,\n          version: coding.version.value,\n          display: coding.display.value\n        }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 25
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToInterval"
            },
            {
              "url": "statement",
              "valueString": "define function ToInterval(period FHIR.Period):\n    if period is null then\n        null\n    else\n        if period.\"start\" is null then\n            Interval(period.\"start\".value, period.\"end\".value]\n        else\n            Interval[period.\"start\".value, period.\"end\".value]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 26
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        }
      ],
      "name": "EffectiveDataRequirements",
      "status": "active",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/library-type",
            "code": "module-definition"
          }
        ]
      },
      "relatedArtifact": [
        {
          "type": "depends-on",
          "display": "Library SDE",
          "resource": "http://somewhere.org/fhir/uv/mycontentig/Library/SupplementalDataElementsExample"
        },
        {
          "type": "depends-on",
          "display": "Library FHIRHelpers",
          "resource": "http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1"
        },
        {
          "type": "depends-on",
          "display": "Value set Payer Type",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
        }
      ],
      "parameter": [
        {
          "name": "Measurement Period",
          "use": "in",
          "min": 0,
          "max": "1",
          "type": "Period"
        },
        {
          "name": "RAV Patient Too Old at Start of Measurement Period",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "RAV Patient Too Young at Start of Measurement Period",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Denominator Exception",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Denominator Exclusions2",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "SDE Race",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Resource"
        },
        {
          "name": "Numerator Exclusion",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "SDE Sex",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Coding"
        },
        {
          "name": "Numerator",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Numerator Exclusion2",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Patient Age Less than 18 Years Start of Measurement Period",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Denominator",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "SDE Payer",
          "use": "out",
          "min": 0,
          "max": "*",
          "type": "Resource"
        },
        {
          "name": "Initial Population",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "SDE Ethnicity",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Resource"
        },
        {
          "name": "Denominator2",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Denominator Exclusions",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Patient Age 18 Years or Older at Start of Measurement Period",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Initial Population2",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Numerator2",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        },
        {
          "name": "Denominator Exception2",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "boolean"
        }
      ],
      "dataRequirement": [
        {
          "type": "Patient",
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ],
          "mustSupport": [
            "url",
            "extension"
          ]
        },
        {
          "type": "Coverage",
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
          ],
          "mustSupport": [
            "type",
            "period"
          ],
          "codeFilter": [
            {
              "path": "type",
              "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
            }
          ]
        }
      ]
    }
  ],
  "extension": [
    {
      "id": "supplementalDataGuidance",
      "extension": [
        {
          "url": "guidance",
          "valueString": "Supplemental Data Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Conditional field, will not display if not populated. Definition selected from dropdown (Defines in CQL Editor). For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex. Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type."
        },
        {
          "url": "usage",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
                "code": "supplemental-data",
                "display": "Supplemental Data"
              }
            ],
            "text": "Supplemental Data Guidance"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance"
    },
    {
      "id": "riskAdjustmentVariableGuidance",
      "extension": [
        {
          "url": "guidance",
          "valueString": "Risk Adjustment Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Risk Adjustment. Conditional field, will not display if not populated. Definition selected from dropdown, multi select (Defines in CQL Editor). Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type."
        },
        {
          "url": "usage",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
                "code": "risk-adjustment-factor",
                "display": "Risk Adjustment Factor"
              }
            ],
            "text": "Risk Adjustment Variable Guidance"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance"
    },
    {
      "extension": [
        {
          "url": "term",
          "valueString": "Definition Section of Details Tab in MADiE UI \"Term\" free text. Character limit not determined. QDM Equivalent: ?."
        },
        {
          "url": "definition",
          "valueMarkdown": "Definition Section of Details Tab in MADiE UI \"Definition\" free text. Character limit not determined QDM Equivalent: ?. Conditional field, will not display if not populated."
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm"
    },
    {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
      "valueReference": {
        "reference": "#effective-data-requirements"
      }
    },
    {
      "id": "effective-data-requirements",
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
      "valueReference": {
        "reference": "#effective-data-requirements"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
      "valueReference": {
        "reference": "Device/cqf-tooling"
      }
    }
  ],
  "url": "http://somewhere.org/fhir/uv/mycontentig/Measure/HRExampleProportionMeasure",
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "short-name",
            "display": "Short Name"
          }
        ]
      },
      "system": "https://madie.cms.gov/measure/shortName",
      "value": "HRExProp(eCQM Abbreviated Title)"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "version-independent",
            "display": "Version Independent"
          }
        ]
      },
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:14c5a2d8-66af-4602-8d9d-0458fda207b9"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "version-specific",
            "display": "Version Specific"
          }
        ]
      },
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:5b3b8c0e-c178-4fdd-b936-92564cac768e"
    },
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
            "code": "endorser",
            "display": "Endorser"
          }
        ]
      },
      "system": "https://madie.cms.gov/measure/cbeId",
      "value": "1EndorsementNumber",
      "assigner": {
        "display": "CMS Consensus Based Entity"
      }
    }
  ],
  "version": "0.4.9-cibuild",
  "name": "HRExampleProportionMeasure",
  "title": "HR Example Proportion (Measure Name in Details Tab of MADiE UI)",
  "status": "draft",
  "experimental": true,
  "date": "2025-08-07T19:57:13+00:00",
  "publisher": "HL7 International - [Some] Work Group",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/Special/committees/[something]"
        }
      ]
    }
  ],
  "description": "Description Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM equivalent: Description.",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "venue",
        "display": "Venue"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes",
            "code": "ec",
            "display": "EC"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "purpose": "Purpose Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Conditional field, will not display if not populated.",
  "usage": "Guidance (Usage) Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Guidance. Conditional field, will not display if not populated.",
  "copyright": "Copyright Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Copyright. Displays “UNKNOWN” if not populated.",
  "effectivePeriod": {
    "start": "2026-01-01",
    "end": "2026-12-31"
  },
  "author": [
    {
      "name": "ICF",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.icf.com/"
        }
      ]
    }
  ],
  "relatedArtifact": [
    {
      "type": "citation",
      "citation": "References Section of Details Tab in MADiE UI \"Type\" selected from drop down (Citation or Justification) \"Reference\" free text after selection. Character limit not determined. QDM Equivalent: Reference. Conditional field, will not display if not populated."
    }
  ],
  "library": [
    "http://somewhere.org/fhir/uv/mycontentig/Library/HRExampleProportionMeasureCQLLibrary"
  ],
  "disclaimer": "Disclaimer Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Displays “UNKNOWN” if not populated.",
  "rationale": "Rationale Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Rational. Conditional field, will not display if not populated.",
  "clinicalRecommendationStatement": "Clinical Recommendation Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM Equivalent: Clinical Recommendation Statement. Conditional field, will not display if not populated.",
  "group": [
    {
      "id": "Group_1",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code": "proportion",
                "display": "Proportion"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode": "boolean"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://unitsofmeasure.org/",
                "code": "Scoring Unit Field",
                "display": "Scoring Unit Field"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "intermediate-outcome",
                "display": "Intermediate Outcome"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "outcome",
                "display": "Outcome"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "patient-reported-outcome",
                "display": "Patient Reported Outcome"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "process",
                "display": "Process"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "structure",
                "display": "Structure"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueCode": "Rate Aggregation Field of Reporting Section on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Rate Aggregation."
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision",
          "valuePositiveInt": 1
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code": "increase",
                "display": "Increased score indicates improvement"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance",
          "valueMarkdown": "Improvement Notation Description Field of Reporting Section on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement)."
        }
      ],
      "description": "Population Criteria 1 Description on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Measure type selectable from drop down, multi select; for this example selected all options. Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error. Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). Note to self, changing scoring deletes all population information. Scoring Unit free text entry. Scoring Precision selectable integers. small edit to support export",
      "population": [
        {
          "id": "InitialPopulation_1",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "description": "Initial Population Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Initial Population. Initial Population required field selected by dropdown (Defines from CQL Editor Tab).",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Initial Population"
          }
        },
        {
          "id": "Denominator_1",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator",
                "display": "Denominator"
              }
            ]
          },
          "description": "Denominator Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator. Denominator required field selected by dropdown (Defines from CQL Editor Tab).",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator"
          }
        },
        {
          "id": "DenominatorExclusion_1",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator-exclusion",
                "display": "Denominator Exclusion"
              }
            ]
          },
          "description": "Denominator Exclusion Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exclusion. Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator Exclusions"
          }
        },
        {
          "id": "Numerator_1",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator",
                "display": "Numerator"
              }
            ]
          },
          "description": "Numerator Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not detemined. QDM Equivalent: Numerator. Numerator required field selected by dropdown (Defines from CQL Editor Tab).",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Numerator"
          }
        },
        {
          "id": "NumeratorExclusion_1",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator-exclusion",
                "display": "Numerator Exclusion"
              }
            ]
          },
          "description": "Numerator Exclusion Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Numerator Exclusion. Numerator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Numerator Exclusion"
          }
        },
        {
          "id": "DenominatorException_1",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator-exception",
                "display": "Denominator Exception"
              }
            ]
          },
          "description": "Denominator Exception Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exception. Denominator Exception is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator Exception"
          }
        }
      ],
      "stratifier": [
        {
          "id": "Stratification_1_1",
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population",
                    "display": "Initial Population"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator",
                    "display": "Denominator"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator-exclusion",
                    "display": "Denominator Exclusion"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "numerator",
                    "display": "Numerator"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "numerator-exclusion",
                    "display": "Numerator Exclusion"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator-exception",
                    "display": "Denominator Exception"
                  }
                ]
              }
            }
          ],
          "description": "Stratification 1 Description in Stratifications Section of Population Criteria Tab of MADiE UI Stratification 1 required field selected by dropdown (Defines from CQL Editor tab). Association 1 appears to default to all defined populations. Free Text. Character limit not determined. QDM Equivalent: Stratification. Conditional field, does not show if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Patient Age Less than 18 Years Start of Measurement Period"
          }
        },
        {
          "id": "Stratification_1_2",
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population",
                    "display": "Initial Population"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator",
                    "display": "Denominator"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator-exclusion",
                    "display": "Denominator Exclusion"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "numerator",
                    "display": "Numerator"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "numerator-exclusion",
                    "display": "Numerator Exclusion"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator-exception",
                    "display": "Denominator Exception"
                  }
                ]
              }
            }
          ],
          "description": "Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI Stratification 2 required field selected by dropdown (Defines from CQL Editor tab). Association 2 appears to default to all defined populations. Free Text. Character limit not determined. QDM Equivalent: Stratification. Conditional field, does not show if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Patient Age 18 Years or Older at Start of Measurement Period"
          }
        }
      ]
    },
    {
      "id": "Group_2",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code": "proportion",
                "display": "Proportion"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode": "boolean"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "intermediate-outcome",
                "display": "Intermediate Outcome"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "outcome",
                "display": "Outcome"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "patient-reported-outcome",
                "display": "Patient Reported Outcome"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "process",
                "display": "Process"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                "code": "structure",
                "display": "Structure"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code": "increase",
                "display": "Increased score indicates improvement"
              }
            ]
          }
        }
      ],
      "description": "Population Criteria 2 Description on Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: ?. Measure type selectable from drop down, multi select; for this example selected all options. Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error. Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). Note to self, changing scoring deletes all population information. Scoring Unit free text entry. Scoring Precision selectable integers. small edit to support export2",
      "population": [
        {
          "id": "InitialPopulation_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "description": "Initial Population Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Initial Population. Initial Population required field selected by dropdown (Defines from CQL Editor Tab).",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Initial Population2"
          }
        },
        {
          "id": "Denominator_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator",
                "display": "Denominator"
              }
            ]
          },
          "description": "Denominator Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator. Denominator required field selected by dropdown (Defines from CQL Editor Tab).",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator2"
          }
        },
        {
          "id": "DenominatorExclusion_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator-exclusion",
                "display": "Denominator Exclusion"
              }
            ]
          },
          "description": "Denominator Exclusion in Population Criteria 2 Description Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exclusion. Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator Exclusions2"
          }
        },
        {
          "id": "Numerator_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator",
                "display": "Numerator"
              }
            ]
          },
          "description": "Numerator Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not detemined. QDM Equivalent: Numerator. Numerator required field selected by dropdown (Defines from CQL Editor Tab).",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Numerator2"
          }
        },
        {
          "id": "NumeratorExclusion_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator-exclusion",
                "display": "Numerator Exclusion"
              }
            ]
          },
          "description": "Numerator Exclusion Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Numerator Exclusion. Numerator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Numerator Exclusion2"
          }
        },
        {
          "id": "DenominatorException_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator-exception",
                "display": "Denominator Exception"
              }
            ]
          },
          "description": "Denominator Exception Description in Population Criteria 2 Field in Population Criteria Tab of MADiE UI Free text. Character limit not determined. QDM Equivalent: Denominator Exception. Denominator Exception is not required field selected by dropdown (Defines from CQL Editor Tab). Conditional field, will not display if not populated.",
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator Exception2"
          }
        }
      ]
    }
  ],
  "supplementalData": [
    {
      "id": "sde-ethnicity",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "individual"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "subject-list"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "summary"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "data-collection"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "description": "SDE Ethnicity",
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Ethnicity"
      }
    },
    {
      "id": "sde-payer",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "individual"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "subject-list"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "summary"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "data-collection"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "description": "SDE Payer",
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Payer"
      }
    },
    {
      "id": "sde-race",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "individual"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "subject-list"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "summary"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "data-collection"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "description": "SDE Race",
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Race"
      }
    },
    {
      "id": "sde-sex",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "individual"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "subject-list"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "summary"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "data-collection"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "description": "SDE Sex",
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Sex"
      }
    },
    {
      "id": "rav-patient-too-young-at-start-of-measurement-period",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "individual"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "subject-list"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "summary"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "data-collection"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "risk-adjustment-factor"
            }
          ]
        }
      ],
      "description": "RAV Patient Too Young at Start of Measurement Period",
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "RAV Patient Too Young at Start of Measurement Period"
      }
    },
    {
      "id": "rav-patient-too-old-at-start-of-measurement-period",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "individual"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "subject-list"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "summary"
        },
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType",
          "valueCode": "data-collection"
        }
      ],
      "usage": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "risk-adjustment-factor"
            }
          ]
        }
      ],
      "description": "RAV Patient Too Old at Start of Measurement Period",
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "RAV Patient Too Old at Start of Measurement Period"
      }
    }
  ]
}