XIG: Measure/HRExampleRatioMeasure

FHIR IG Statistics: Measure/HRExampleRatioMeasure

Package	example.fhir.uv.mycontentig
Resource Type	Measure
Id	HRExampleRatioMeasure
FHIR Version	R4
Source	http://somewhere.org/fhir/uv/mycontentig/https://build.fhir.org/ig/cqframework/sample-content-ig/Measure-HRExampleRatioMeasure.html
URL	http://somewhere.org/fhir/uv/mycontentig/Measure/HRExampleRatioMeasure
Version	0.4.9-cibuild
Status	draft
Date	2025-08-07T19:57:13+00:00
Name	HRExampleRatioMeasure
Title	HR Example Ratio (Measure Name in Details Tab of MADiE UI)
Realm	uv
Authority	hl7
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.

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Narrative

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

Metadata
Title	HR Example Ratio (Measure Name in Details Tab of MADiE UI)
Version	0.4.9-cibuild
Short Name	HRExRati(eCQM Abbreviated Title)
GUID (Version Independent)	urn:uuid:740197c5-a162-4947-ba39-e8f96c0e05fb
GUID (Version Specific)	urn:uuid:dc50a2d6-cfd7-4be4-a553-9fd567a46a74
CMS Consensus Based Entity Identifier	2EndorsementNumber
Effective Period	2026-01-01 through 2026-12-31
Status	Draft
Experimental	true
Use Context	Venue = EH
Jurisdiction	Global (Whole world)
Steward (Publisher)	HL7 International - [Some] Work Group
Developer	ESAC, Inc.
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	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.
Justification	Description: JUSTIFICATION 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.
Basis	boolean
Scoring	Ratio
Scoring Unit	Scoring Unit Field
Scoring Precision	1
Type	Intermediate Outcome
Type	Outcome
Type	Patient Reported Outcome
Type	Process
Type	Structure
Improvement Notation	Increased score indicates improvement
Initial Population	ID: InitialPopulation_1_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
Initial Population	ID: InitialPopulation_1_2 Description: Initial Population 2 Description Field in Population Criteria Tab of MADiE UI Add initial population (not additional population criteria) 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_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 Input Population: InitialPopulation_1_1
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 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 Input Population: InitialPopulation_1_2
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.
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	HRExampleRatioMeasureCQLLibrary
Contents	Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: Group_1)
Initial Population
Initial Population	`define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[18, 75]`
Initial Population
Initial Population	`define "Initial Population2": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[19, 76]`
Denominator
Denominator	`define "Denominator": "Initial Population"`
Denominator Exclusion
Denominator Exclusion	`define "Denominator Exclusions": "Initial Population"`
Numerator
Numerator	`define "Numerator": "Initial Population"`
Stratifier
Stratifier	`define "Patient Age Less than 18 Years Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 18`
Stratifier
Stratifier	`define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18`
Logic Definitions
Logic Definition	Library Name: SupplementalDataElementsExample
Logic Definition	`define "SDE Race": Patient.race R return Tuple { codes: R.ombCategory union R.detailed, display: R.text }`
Logic Definition	Library Name: SupplementalDataElementsExample
Logic Definition	`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
Logic Definition	`define "SDE Payer": [Coverage: type in "Payer Type"] Payer return { code: Payer.type, period: Payer.period }`
Logic Definition	Library Name: SupplementalDataElementsExample
Logic Definition	`define "SDE Ethnicity": Patient.ethnicity E return Tuple { codes: { E.ombCategory } union E.detailed, display: E.text }`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "RAV Patient Too Old at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") > 80`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "RAV Patient Too Young at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 5`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "SDE Race": SDE."SDE Race"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "SDE Sex": SDE."SDE Sex"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[18, 75]`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Numerator": "Initial Population"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Patient Age Less than 18 Years Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 18`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Denominator": "Initial Population"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "SDE Payer": SDE."SDE Payer"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "SDE Ethnicity": SDE."SDE Ethnicity"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Denominator Exclusions": "Initial Population"`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18`
Logic Definition	Library Name: HRExampleRatioMeasureCQLLibrary
Logic Definition	`define "Initial Population2": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[19, 76]`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value uri): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`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
Logic Definition	`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": "HRExampleRatioMeasure",
  "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/ratio-measure-cqfm"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Library",
      "id": "effective-data-requirements",
      "extension": [
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "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": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "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": "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": 2
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Race\":\n  SDE.\"SDE Race\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 3
            }
          ],
          "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": 4
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Sex"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Sex\":\n  SDE.\"SDE Sex\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 5
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "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": 6
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Numerator"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 7
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "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": 8
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 9
            }
          ],
          "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": 10
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":\n  SDE.\"SDE Payer\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 11
            }
          ],
          "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": 12
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 13
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "url": "name",
              "valueString": "Denominator Exclusions"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exclusions\":\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 14
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "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": 15
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "HRExampleRatioMeasureCQLLibrary"
            },
            {
              "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": 16
            }
          ],
          "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": 17
            }
          ],
          "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": 18
            }
          ],
          "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": 19
            }
          ],
          "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": "SDE Race",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Resource"
        },
        {
          "name": "SDE Sex",
          "use": "out",
          "min": 0,
          "max": "1",
          "type": "Coding"
        },
        {
          "name": "Numerator",
          "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": "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"
        }
      ],
      "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/HRExampleRatioMeasure",
  "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": "HRExRati(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:740197c5-a162-4947-ba39-e8f96c0e05fb"
    },
    {
      "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:dc50a2d6-cfd7-4be4-a553-9fd567a46a74"
    },
    {
      "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": "2EndorsementNumber",
      "assigner": {
        "display": "CMS Consensus Based Entity"
      }
    }
  ],
  "version": "0.4.9-cibuild",
  "name": "HRExampleRatioMeasure",
  "title": "HR Example Ratio (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": "eh",
            "display": "EH"
          }
        ]
      }
    }
  ],
  "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": "ESAC, Inc.",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.icf.com/work/federal-health/it"
        }
      ]
    },
    {
      "name": "ICF",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.icf.com/"
        }
      ]
    }
  ],
  "relatedArtifact": [
    {
      "type": "citation",
      "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."
    },
    {
      "type": "justification",
      "display": "JUSTIFICATION 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/HRExampleRatioMeasureCQLLibrary"
  ],
  "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": "ratio",
                "display": "Ratio"
              }
            ]
          }
        },
        {
          "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-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.",
      "population": [
        {
          "id": "InitialPopulation_1_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": "InitialPopulation_1_2",
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "description": "Initial Population 2 Description Field in Population Criteria Tab of MADiE UI Add initial population (not additional population criteria) 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_1",
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
              "valueString": "InitialPopulation_1_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",
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
              "valueString": "InitialPopulation_1_2"
            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator",
                "display": "Numerator"
              }
            ]
          },
          "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"
          }
        }
      ],
      "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": "numerator",
                    "display": "Numerator"
                  }
                ]
              }
            }
          ],
          "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": "numerator",
                    "display": "Numerator"
                  }
                ]
              }
            }
          ],
          "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"
          }
        }
      ]
    }
  ],
  "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"
      }
    }
  ]
}