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Resource Measure/FHIR Server from package hl7.fhir.us.cqfmeasures#5.0.0 (297 ms)

Package hl7.fhir.us.cqfmeasures
Type Measure
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/cqfmeasures/http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-EXM55-FHIR.html
Url http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR
Version 5.0.0
Status active
Date 2022-02-22
Name EXM55
Title EXM55 - Median Emergency Department Visit Duration
Experimental True
Realm us
Authority hl7
Description This example illustrates a continuous variable measure represented as a FHIR eCQM

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Title: EXM55 - Median Emergency Department Visit Duration
Id: EXM55-FHIR
Version: 5.0.0
Url: EXM55 - Median Emergency Department Visit Duration
Official

55

Effective Period: 2018-01-01..2018-12-31
Experimental: true
Publisher: HL7 International / Clinical Quality Information
Description:

This example illustrates a continuous variable measure represented as a FHIR eCQM

Use Context:
code value
venue
Jurisdiction: US
Topic: 57024-2
Basis: Encounter
Scoring:

Continuous Variable

Type:

process

Improvement Notation:

Decreased score indicates improvement

Libraries:
EXM55 - Median Emergency Department Visit Duration Library (Example Continuous Variable Measure Library)
Terminology and Other Dependencies:
  • http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  • Diagnosis Role
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
  • http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126
  • Parameters:
    name use min max type
    Measurement Period In 0 1 Period
    Stratification 3 Out 0 * Encounter
    Stratification 2 Out 0 * Encounter
    Measure Population Exclusion Out 0 * Encounter
    Stratification 1 Out 0 * Encounter
    Initial Population Out 0 * Encounter
    Measure Population Out 0 * Encounter
    DataRequirements:
    Resource Type Resource Elements Valueset Name Valueset
    Encounter(Encounter) period hospitalization hospitalization.admitSource type status Emergency Department Visit http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
    Encounter(Encounter) period
    Condition(Condition) id
    Direct Reference Codes:
    display code system
    Billing billing http://terminology.hl7.org/CodeSystem/diagnosis-role
    Logic Definitions:
    Group Scoring Population Criteria Expression
    Measure scoring:

    Continuous Variable

    Initial Population
    define "Initial Population" :
      "Inpatient Encounter" Encounter
        with ["Encounter" : "Emergency Department Visit"] ED
         such that ED.status = 'finished'
           and ED.period ends 1 hour or less before start of Encounter.period
    Measure Population
    define "Measure Population" :
      "Initial Population"
    Measure Population Exclusion
    define "Measure Population Exclusion" :
      "Inpatient Encounter" Encounter
        with ["Encounter" : "Emergency Department Visit"] ED
          such that ED.period ends 1 hour or less before start of Encounter.period
            and ED.status = 'finished'
            and ED.hospitalization.admitSource in "Hospital Settings"
    Measure Observation
    Stratification 1
    define "Stratification 1" :
      "Inpatient Encounter" Encounter
        where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")
    Stratification 2
    define "Stratification 2" :
      "Inpatient Encounter" Encounter
        where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"
    Stratification 3
    define "Stratification 3" :
      "Inpatient Encounter" Encounter
        where PrincipalDiagnosis(Encounter) is null
    Library Name Name
    EXM55-FHIR Inpatient Encounter
    define "Inpatient Encounter" :
      ["Encounter"] Encounter
        where LengthInDays(Encounter.period) <= 120
          and Encounter.period ends during "Measurement Period"
    Library Name Name
    EXM55-FHIR Stratification 3
    define "Stratification 3" :
      "Inpatient Encounter" Encounter
        where PrincipalDiagnosis(Encounter) is null
    Library Name Name
    EXM55-FHIR Stratification 2
    define "Stratification 2" :
      "Inpatient Encounter" Encounter
        where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"
    Library Name Name
    EXM55-FHIR Measure Population Exclusion
    define "Measure Population Exclusion" :
      "Inpatient Encounter" Encounter
        with ["Encounter" : "Emergency Department Visit"] ED
          such that ED.period ends 1 hour or less before start of Encounter.period
            and ED.status = 'finished'
            and ED.hospitalization.admitSource in "Hospital Settings"
    Library Name Name
    EXM55-FHIR Stratification 1
    define "Stratification 1" :
      "Inpatient Encounter" Encounter
        where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")
    Library Name Name
    EXM55-FHIR Initial Population
    define "Initial Population" :
      "Inpatient Encounter" Encounter
        with ["Encounter" : "Emergency Department Visit"] ED
         such that ED.status = 'finished'
           and ED.period ends 1 hour or less before start of Encounter.period
    Library Name Name
    EXM55-FHIR Measure Population
    define "Measure Population" :
      "Initial Population"

    Source

    {
      "resourceType" : "Measure",
      "id" : "EXM55-FHIR",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm",
          "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm",
          "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure",
          "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">EXM55 - Median Emergency Department Visit Duration</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">EXM55-FHIR</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">5.0.0</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-EXM55-FHIR.html\">EXM55 - Median Emergency Department Visit Duration</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n Official\n \n </b>\n </th>\n\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>55</span>\n </p>\n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2018-01-01..2018-12-31</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">HL7 International / Clinical Quality Information</td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>This example illustrates a continuous variable measure represented as a FHIR eCQM</p>\n</div></td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>code</b></th>\n <th><b>value</b></th>\n </tr>\n \n <tr>\n <td>venue</td>\n <td/>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 4px;\">US</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Topic: </b></th>\n <td style=\"padding-left: 4px;\">57024-2</td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Basis: </b></th>\n <td style=\"padding-left: 4px;\">\n Encounter\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>Continuous Variable </span>\n </p>\n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>process </span>\n </p>\n \n \n \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>Decreased score indicates improvement </span>\n </p>\n \n \n \n </td>\n </tr>\n \n\n \n\n \n \n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-EXM55-FHIR.html\">EXM55 - Median Emergency Department Visit Duration Library (Example Continuous Variable Measure Library)</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Terminology and Other Dependencies: </b></th>\n <td style=\"padding-left: 4px;\">\n \n <li><code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code></li>\n \n <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-diagnosis-role.html\">Diagnosis Role</a></li>\n \n <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</code></li>\n \n <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</code></li>\n \n <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126</code></li>\n \n </td>\n </tr>\n <tr>\n <th scope=\"row\"><b>Parameters:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>name</b></th>\n <th><b>use</b></th>\n <th><b>min</b></th>\n <th><b>max</b></th>\n <th><b>type</b></th>\n </tr>\n \n <tr>\n <td>Measurement Period</td>\n <td>In</td>\n <td>0</td>\n <td>1</td>\n <td>Period</td>\n </tr>\n \n <tr>\n <td>Stratification 3</td>\n <td>Out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Stratification 2</td>\n <td>Out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Measure Population Exclusion</td>\n <td>Out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Stratification 1</td>\n <td>Out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Initial Population</td>\n <td>Out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Measure Population</td>\n <td>Out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n </table>\n </td>\n </tr>\n\n <tr>\n <th scope=\"row\"><b>DataRequirements:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>Resource Type</b></th>\n <th><b>Resource Elements</b></th>\n <th><b>Valueset Name</b></th>\n <th><b>Valueset</b></th>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>)</td>\n <td>\n \n period\n \n hospitalization\n \n hospitalization.admitSource\n \n type\n \n status\n \n </td>\n <td>\n \n \n Emergency Department Visit\n \n \n </td>\n <td><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</code></td>\n </tr>\n \n <tr>\n <td>Encounter(<a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>)</td>\n <td>\n \n period\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n <tr>\n <td>Condition(<a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a>)</td>\n <td>\n \n id\n \n </td>\n <td>\n \n </td>\n <td/>\n </tr>\n \n </table>\n </td>\n </tr>\n\n \n\n \n <tr>\n <th scope=\"row\"><b>Direct Reference Codes:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>display</b></th>\n <th><b>code</b></th>\n <th><b>system</b></th>\n </tr>\n \n <tr>\n <td>Billing</td>\n <td>billing</td>\n <td><a href=\"http://hl7.org/fhir/R4/codesystem-diagnosis-role.html\">http://terminology.hl7.org/CodeSystem/diagnosis-role</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Logic Definitions:</b></th>\n <td style=\"padding-left: 4px;\">\n \n <table class=\"grid-dict\">\n <tr>\n <th><b>Group</b></th>\n <th><b>Scoring</b></th>\n <th><b>Population Criteria</b></th>\n <th><b>Expression</b></th>\n </tr>\n <tr>\n \n <td> </td>\n <td colspan=\"3\" style=\"padding-left: 4px;\">\n \n\n \n\n \n <b>Measure scoring:</b>\n \n <p style=\"margin-bottom: 5px;\">\n <span>Continuous Variable</span>\n </p>\n \n \n\n \n\n \n\n \n\n \n\n \n\n \n\n </td>\n \n <tr>\n <td/>\n <td/>\n <td>Initial Population</td>\n <td>\n \n <pre><code class=\"language-cql\">define &quot;Initial Population&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n with [&quot;Encounter&quot; : &quot;Emergency Department Visit&quot;] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Measure Population</td>\n <td>\n \n <pre><code class=\"language-cql\">define &quot;Measure Population&quot; :\n &quot;Initial Population&quot;</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Measure Population Exclusion</td>\n <td>\n \n <pre><code class=\"language-cql\">define &quot;Measure Population Exclusion&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n with [&quot;Encounter&quot; : &quot;Emergency Department Visit&quot;] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in &quot;Hospital Settings&quot;</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Measure Observation</td>\n <td>\n \n <pre><code class=\"language-cql\"/></pre>\n \n </td>\n </tr>\n \n \n <tr>\n <td/>\n <td/>\n <td>Stratification 1</td>\n <td>\n \n <pre><code class=\"language-cql\">define &quot;Stratification 1&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n where not (PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;)</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Stratification 2</td>\n <td>\n \n <pre><code class=\"language-cql\">define &quot;Stratification 2&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n where PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;</code></pre>\n \n </td>\n </tr>\n \n <tr>\n <td/>\n <td/>\n <td>Stratification 3</td>\n <td>\n \n <pre><code class=\"language-cql\">define &quot;Stratification 3&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n where PrincipalDiagnosis(Encounter) is null</code></pre>\n \n </td>\n </tr>\n \n \n </tr>\n </table>\n \n\n <table class=\"grid-dict\">\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Inpatient Encounter</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Inpatient Encounter&quot; :\n [&quot;Encounter&quot;] Encounter\n where LengthInDays(Encounter.period) &lt;= 120\n and Encounter.period ends during &quot;Measurement Period&quot;</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Stratification 3</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Stratification 3&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n where PrincipalDiagnosis(Encounter) is null</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Stratification 2</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Stratification 2&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n where PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Measure Population Exclusion</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Measure Population Exclusion&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n with [&quot;Encounter&quot; : &quot;Emergency Department Visit&quot;] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in &quot;Hospital Settings&quot;</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Stratification 1</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Stratification 1&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n where not (PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;)</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Initial Population</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Initial Population&quot; :\n &quot;Inpatient Encounter&quot; Encounter\n with [&quot;Encounter&quot; : &quot;Emergency Department Visit&quot;] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period</code></pre>\n </td>\n \n </tr>\n \n <tr>\n <th><b>Library Name</b></th>\n <th><b>Name</b></th>\n </tr>\n <tr>\n \n <td>EXM55-FHIR</td>\n \n \n <td>Measure Population</td>\n \n </tr>\n <tr>\n \n <td/>\n <td>\n <pre class=\"highlight language-cql\"><code class=\"language-cql\">define &quot;Measure Population&quot; :\n &quot;Initial Population&quot;</code></pre>\n </td>\n \n </tr>\n \n </table>\n </td>\n </tr>\n \n \n \n\n </table>\n</div>\n</div>"
      },
      "contained" : [
        {
          "resourceType" : "Library",
          "id" : "effective-data-requirements-exm55",
          "meta" : {
            "profile" : [
              "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"
            ]
          },
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
              "valueCoding" : {
                "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                "code" : "billing",
                "display" : "Billing"
              }
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Inpatient Encounter"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Inpatient Encounter\" :\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\""
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 0
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Stratification 3"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Stratification 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null"
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Stratification 2"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Stratification 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\""
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 2
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Measure Population Exclusion"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Measure Population Exclusion\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in \"Hospital Settings\""
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 3
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Stratification 1"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Stratification 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")"
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 4
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Initial Population"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period"
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 5
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension" : [
                {
                  "url" : "libraryName",
                  "valueString" : "EXM55-FHIR"
                },
                {
                  "url" : "name",
                  "valueString" : "Measure Population"
                },
                {
                  "url" : "statement",
                  "valueString" : "define \"Measure Population\" :\n \"Initial Population\""
                },
                {
                  "url" : "displaySequence",
                  "valueInteger" : 6
                }
              ],
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm55",
          "version" : "1.0.0",
          "name" : "ModuleDefinitionLibraryEXM55",
          "title" : "Module Definition Library - EXM55",
          "status" : "active",
          "experimental" : true,
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/library-type",
                "code" : "module-definition"
              }
            ]
          },
          "date" : "2022-02-22T10:37:03-07:00",
          "description" : "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
          "relatedArtifact" : [
            {
              "type" : "depends-on",
              "display" : "Library FHIRHelpers",
              "resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
            },
            {
              "type" : "depends-on",
              "display" : "Code system Diagnosis Role",
              "resource" : "http://terminology.hl7.org/CodeSystem/diagnosis-role"
            },
            {
              "type" : "depends-on",
              "display" : "Value set Psychiatric/Mental Health Patient",
              "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"
            },
            {
              "type" : "depends-on",
              "display" : "Value set Emergency Department Visit",
              "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
            },
            {
              "type" : "depends-on",
              "display" : "Value set Hospital Settings",
              "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"
            }
          ],
          "parameter" : [
            {
              "name" : "Measurement Period",
              "use" : "in",
              "min" : 0,
              "max" : "1",
              "type" : "Period"
            },
            {
              "name" : "Stratification 3",
              "use" : "out",
              "min" : 0,
              "max" : "*",
              "type" : "Encounter"
            },
            {
              "name" : "Stratification 2",
              "use" : "out",
              "min" : 0,
              "max" : "*",
              "type" : "Encounter"
            },
            {
              "name" : "Measure Population Exclusion",
              "use" : "out",
              "min" : 0,
              "max" : "*",
              "type" : "Encounter"
            },
            {
              "name" : "Stratification 1",
              "use" : "out",
              "min" : 0,
              "max" : "*",
              "type" : "Encounter"
            },
            {
              "name" : "Initial Population",
              "use" : "out",
              "min" : 0,
              "max" : "*",
              "type" : "Encounter"
            },
            {
              "name" : "Measure Population",
              "use" : "out",
              "min" : 0,
              "max" : "*",
              "type" : "Encounter"
            }
          ],
          "dataRequirement" : [
            {
              "type" : "Encounter",
              "profile" : [
                "http://hl7.org/fhir/StructureDefinition/Encounter"
              ],
              "mustSupport" : [
                "period",
                "hospitalization",
                "hospitalization.admitSource",
                "type",
                "status"
              ],
              "codeFilter" : [
                {
                  "path" : "type",
                  "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
                }
              ]
            },
            {
              "type" : "Encounter",
              "profile" : [
                "http://hl7.org/fhir/StructureDefinition/Encounter"
              ],
              "mustSupport" : [
                "period"
              ]
            },
            {
              "type" : "Condition",
              "profile" : [
                "http://hl7.org/fhir/StructureDefinition/Condition"
              ],
              "mustSupport" : [
                "id"
              ],
              "codeFilter" : [
                {
                  "path" : "id"
                }
              ]
            }
          ]
        }
      ],
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode" : "Encounter"
        },
        {
          "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
          "valueReference" : {
            "reference" : "Device/software-system-example"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
          "valueCanonical" : "#effective-data-requirements-exm55"
        }
      ],
      "url" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR",
      "identifier" : [
        {
          "use" : "official",
          "system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
          "value" : "55"
        }
      ],
      "version" : "5.0.0",
      "name" : "EXM55",
      "title" : "EXM55 - Median Emergency Department Visit Duration",
      "status" : "active",
      "experimental" : true,
      "date" : "2022-02-22",
      "publisher" : "HL7 International / Clinical Quality Information",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/cqi"
            }
          ]
        }
      ],
      "description" : "This example illustrates a continuous variable measure represented as a FHIR eCQM",
      "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" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "approvalDate" : "2019-03-08",
      "lastReviewDate" : "2019-03-08",
      "effectivePeriod" : {
        "start" : "2018-01-01",
        "end" : "2018-12-31"
      },
      "topic" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "57024-2",
              "display" : "Health Quality Measure Document"
            }
          ]
        }
      ],
      "library" : [
        "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55-FHIR"
      ],
      "scoring" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
            "code" : "continuous-variable",
            "display" : "Continuous Variable"
          }
        ]
      },
      "type" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
              "code" : "process"
            }
          ]
        }
      ],
      "improvementNotation" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
            "code" : "decrease",
            "display" : "Decreased score indicates improvement"
          }
        ]
      },
      "group" : [
        {
          "population" : [
            {
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code" : "initial-population",
                    "display" : "Initial Population"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Initial Population"
              }
            },
            {
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code" : "measure-population",
                    "display" : "Measure Population"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Measure Population"
              }
            },
            {
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code" : "measure-population-exclusion",
                    "display" : "Measure Population Exclusion"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Measure Population Exclusion"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
                  "valueString" : "measure-population-identifier"
                },
                {
                  "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
                  "valueCode" : "median"
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code" : "measure-observation",
                    "display" : "Measure Observation"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Measure Observation"
              }
            }
          ],
          "stratifier" : [
            {
              "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"
                      }
                    ]
                  }
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "http://example.org/stratification",
                    "code" : "Stratification 1",
                    "display" : "Stratification 1"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Stratification 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"
                      }
                    ]
                  }
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "http://example.org/stratification",
                    "code" : "Stratification 2",
                    "display" : "Stratification 2"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Stratification 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"
                      }
                    ]
                  }
                }
              ],
              "code" : {
                "coding" : [
                  {
                    "system" : "http://example.org/stratification",
                    "code" : "Stratification 3",
                    "display" : "Stratification 3"
                  }
                ]
              },
              "criteria" : {
                "language" : "text/cql-identifier",
                "expression" : "Stratification 3"
              }
            }
          ]
        }
      ]
    }

    XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.