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FHIR IG analytics

Packageexample.fhir.uv.mycontentig
Resource TypeMeasure
IdMeasure-HRExampleRatioMeasure.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/cqframework/sample-content-ig/Measure-HRExampleRatioMeasure.html
URLhttp://somewhere.org/fhir/uv/mycontentig/Measure/HRExampleRatioMeasure
Version0.5.3
Statusdraft
Date2025-09-30T04:16:55+00:00
NameHRExampleRatioMeasure
TitleHR Example Ratio (Measure Name in Details Tab of MADiE UI)
Realmuv
Authorityhl7
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. *Conditional field, will not display if not populated.* **QDM Equivalent: N/A**
Copyright**Copyright Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Displays "UNKNOWN" if not populated.* **QDM Equivalent: Copyright**

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

Metadata
Title HR Example Ratio (Measure Name in Details Tab of MADiE UI)
Version 0.5.3
Short Name HRExRati(eCQM Abbreviated Title)
GUID (Version Independent) urn:uuid:740197c5-a162-4947-ba39-e8f96c0e05fb
GUID (Version Specific) urn:uuid:7d7408c9-e203-4c34-bde5-39ef0558cb38
CMS Consensus Based Entity Identifier 2EndorsementNumber
Effective Period 2026-01-01 through 2026-12-31
Status Draft
Experimental true
Use Context Venue = EH
Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm
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.

Conditional field, will not display if not populated.

QDM Equivalent: N/A
Copyright

Copyright Section of Details Tab in MADiE UI

  • Free text.

  • Character limit not determined.

Displays "UNKNOWN" if not populated.

QDM Equivalent: Copyright
Disclaimer

Disclaimer Section of Details Tab in MADiE UI

  • Free text.

  • Character limit not determined.

Displays "UNKNOWN" if not populated.

QDM Equivalent: Disclaimer
Rationale

Rationale Section of Details Tab in MADiE UI

  • Free text.

  • Character limit not determined.

Conditional field, will not display if not populated.

QDM Equivalent: Rationale
Clinical Recommendation Statement

Clinical Recommendation Section of Details Tab in MADiE UI

  • Free text.

  • Character limit not determined.

Conditional field, will not display if not populated.

QDM Equivalent: Clinical Recommendation Statement
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.

Conditional field, will not display if not populated.

QDM Equivalent: Reference
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. *Conditional field, will not display if not populated.* **QDM Equivalent: Reference**
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 *Conditional field, will not display if not populated.* **QDM Equivalent: Definition**
Guidance (Usage) **Guidance (Usage) Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Guidance**
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: N/A** **Populates Summary Field in FHIR human readable** | Additional MADiE Page Notes: | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | * 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.* | | * Aggregate Function selectable from dropdown. | | * Scoring Unit free text entry. | | * Scoring Precision selectable integers. |
Basis boolean
Scoring Ratio
Scoring Unit Scoring Unit Field
Scoring Precision 1
Improvement Notation Increased score indicates improvement
Improvement Notation Guidance

Improvement Notation Description Field of Reporting Section on Population Criteria Tab of MADiE UI

  • Free text.

  • Character limit not determined.

  • Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement).

QDM Equivalent: Improvement Notation
Type Intermediate Outcome
Type Outcome
Type Patient Reported Outcome
Type Process
Type Structure
Initial Population ID: InitialPopulation_1_1
Description:

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

Criteria: Initial Population
Initial Population ID: InitialPopulation_1_2
Description:

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

Criteria: Initial Population2
Denominator ID: Denominator_1
Description:

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

Criteria: 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. * Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). *Conditional field, will not display if not populated.* **QDM Equivalent: Denominator Exclusion**

Criteria: Denominator Exclusions
Numerator ID: Numerator_1
Description:

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

Criteria: 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** * Free Text. * Character limit not determined. Stratification 1 required field selected by dropdown (Defines from CQL Editor tab). Association 1 appears to default to all defined populations. *Conditional field, does not show if not populated.* **QDM Equivalent: Stratification**
Stratifier ID: Stratification_1_2
Description: **Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI** * Free Text. * Character limit not determined. Stratification 2 required field selected by dropdown (Defines from CQL Editor tab). Association 2 appears to default to all defined populations. *Conditional field, does not show if not populated.* **QDM Equivalent: Stratification**
Supplemental Data Guidance Guidance <p><strong>Supplemental Data Section of Population Criteria Tab of MADiE UI </strong></p> <ul> <li><p>Free text.</p></li> <li><p>Character limit not determined.</p></li> <li><p>Definition selected from dropdown (Defines in CQL Editor).</p></li> <li><p>For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex.</p></li> <li><p>Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.</p></li> </ul> <p><em>Conditional field, will not display if not populated. </em></p> <p><strong>QDM Equivalent: Supplemental Data Elements</strong></p> <p><strong>Populates Supplemental Data Guidance in FHIR human readable</strong></p>
Risk Adjustment Variable Guidance Guidance <p><strong>Risk Adjustment Section of Population Criteria Tab of MADiE UI </strong></p> <ul> <li><p>Free text.</p></li> <li><p>Character limit not determined.</p></li> <li><p>Definition selected from dropdown, multi select (Defines in CQL Editor).</p></li> <li><p>Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.</p></li> </ul> <p><em>Conditional field, will not display if not populated.</em></p> <p><strong>QDM Equivalent: Risk Adjustment</strong></p>
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
Parameters
Population Criteria
Measure Group (Rate) (ID: Group_1)
Initial Population 
define "Initial Population":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[18, 75]
Definition
Initial Population 
define "Initial Population2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[19, 76]
Definition
Denominator 
define "Denominator":
  "Initial Population"
Definition
Denominator Exclusion 
define "Denominator Exclusions":
  "Initial Population"
Definition
Numerator 
define "Numerator":
  "Initial Population"
Definition
Stratifier 
define "Patient Age Less than 18 Years Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") < 18
Definition
Stratifier 
define "Patient Age 18 Years or Older at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") >= 18
Definition
Logic Definitions
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Race":
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Sex":
  case
      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
      else null
    end
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Payer":
  [Coverage: type in "Payer Type"] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }
Logic Definition Library Name: SupplementalDataElementsExample 
define "SDE Ethnicity":
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "RAV Patient Too Old at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") > 80
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "RAV Patient Too Young at Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") < 5
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "SDE Race":
  SDE."SDE Race"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "SDE Sex":
  SDE."SDE Sex"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "Initial Population":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[18, 75]
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "Numerator":
  "Initial Population"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "Patient Age Less than 18 Years Start of Measurement Period":
  AgeInYearsAt(date from start of "Measurement Period") < 18
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "Denominator":
  "Initial Population"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "SDE Payer":
  SDE."SDE Payer"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "SDE Ethnicity":
  SDE."SDE Ethnicity"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
define "Denominator Exclusions":
  "Initial Population"
Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary 
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 
define "Initial Population2":
  AgeInYearsAt(date from 
    end of "Measurement Period"
  ) in Interval[19, 76]
Logic Definition Library Name: FHIRHelpers 
define function ToString(value uri): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }
Logic Definition Library Name: FHIRHelpers 
define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        if period."start" is null then
            Interval(period."start".value, period."end".value]
        else
            Interval[period."start".value, period."end".value]
Terminology
Value Set Description: Value set Payer Type
Resource: Payer
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Dependencies
Dependency Description: Library SDE
Resource: SupplementalDataElementsExample
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/SupplementalDataElementsExample
Dependency Description: Library FHIRHelpers
Resource: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1
Data Requirements
Data Requirement Type: Patient
Profile(s): QICore Patient
Must Support Elements: url, extension
Data Requirement Type: Coverage
Profile(s): QICore Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: Payer
Parameters
Name Use Card. Type Documentation
Measurement Period In 0..1 Period
RAV Patient Too Old at Start of Measurement Period Out 0..1 boolean
RAV Patient Too Young at Start of Measurement Period Out 0..1 boolean
SDE Race Out 0..1 Resource
SDE Sex Out 0..1 Coding
Numerator Out 0..1 boolean
Patient Age Less than 18 Years Start of Measurement Period Out 0..1 boolean
Denominator Out 0..1 boolean
SDE Payer Out 0..* Resource
Initial Population Out 0..1 boolean
SDE Ethnicity Out 0..1 Resource
Denominator Exclusions Out 0..1 boolean
Patient Age 18 Years or Older at Start of Measurement Period Out 0..1 boolean
Initial Population2 Out 0..1 boolean
Generated using version 0.5.3 of the sample-content-ig Liquid templates

Source1

{
  "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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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": "<p><strong>Supplemental Data Section of Population Criteria Tab of MADiE UI </strong></p>\n<ul>\n <li><p>Free text.</p></li>\n <li><p>Character limit not determined.</p></li>\n <li><p>Definition selected from dropdown (Defines in CQL Editor).</p></li>\n <li><p>For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex.</p></li>\n <li><p>Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.</p></li>\n</ul>\n<p><em>Conditional field, will not display if not populated. </em></p>\n<p><strong>QDM Equivalent: Supplemental Data Elements</strong></p>\n<p><strong>Populates Supplemental Data Guidance in FHIR human readable</strong></p>"
        },
        {
          "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": "<p><strong>Risk Adjustment Section of Population Criteria Tab of MADiE UI </strong></p>\n<ul>\n <li><p>Free text.</p></li>\n <li><p>Character limit not determined.</p></li>\n <li><p>Definition selected from dropdown, multi select (Defines in CQL Editor).</p></li>\n <li><p>Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.</p></li>\n</ul>\n<p><em>Conditional field, will not display if not populated.</em></p>\n<p><strong>QDM Equivalent: Risk Adjustment</strong></p>"
        },
        {
          "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**\n\n* \"Definition\" free text.\n\n* Character limit not determined\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Definition**"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm"
    },
    {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
      "valueCanonical": "#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:7d7408c9-e203-4c34-bde5-39ef0558cb38"
    },
    {
      "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": "0.5.3",
  "name": "HRExampleRatioMeasure",
  "title": "HR Example Ratio (Measure Name in Details Tab of MADiE UI)",
  "status": "draft",
  "experimental": true,
  "date": "2025-09-30T04:16:55+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**\n\n* Free text.\n\n* Character limit not determined.\n\n**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**\n\n* Free text.\n\n* Character limit not determined.\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: N/A**",
  "usage": "**Guidance (Usage) Section of Details Tab in MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Guidance**",
  "copyright": "**Copyright Section of Details Tab in MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n*Displays \"UNKNOWN\" if not populated.*\n\n**QDM Equivalent: Copyright**",
  "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**\n\n* Type\" selected from drop down (Citation or Justification)\n\n* Reference\" free text after selection.\n\n* Character limit not determined.\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Reference**"
    },
    {
      "type": "justification",
      "display": "**JUSTIFICATION References Section of Details Tab in MADiE UI**\n\n* \"Type\" selected from drop down (Citation or Justification)\n\n* \"Reference\" free text after selection.\n\n* Character limit not determined.\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Reference**"
    }
  ],
  "library": [
    "http://somewhere.org/fhir/uv/mycontentig/Library/HRExampleRatioMeasureCQLLibrary"
  ],
  "disclaimer": "**Disclaimer Section of Details Tab in MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n*Displays \"UNKNOWN\" if not populated.*\n\n**QDM Equivalent: Disclaimer**",
  "rationale": "**Rationale Section of Details Tab in MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Rationale**",
  "clinicalRecommendationStatement": "**Clinical Recommendation Section of Details Tab in MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Clinical Recommendation Statement**",
  "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**\n\n* Free text.\n\n* Character limit not determined.\n\n* Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement).\n\n**QDM Equivalent: Improvement Notation**"
        }
      ],
      "description": "**Population Criteria 1 Description on Population Criteria Tab of MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n**QDM Equivalent: N/A**\n\n**Populates Summary Field in FHIR human readable**\n\n|                                                                        Additional MADiE Page Notes:                                                                         |\n|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|\n| * Measure type selectable from drop down, multi select; for this example selected all options.                                                                              |\n| * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error.                                           |\n| * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* |\n| * Aggregate Function selectable from dropdown.                                                                                                                              |\n| * Scoring Unit free text entry.                                                                                                                                             |\n| * 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**\n\n* Free text.\n\n* Character limit not determined.\n\n* Initial Population required field selected by dropdown (Defines from CQL Editor Tab).\n\n**QDM Equivalent: Initial Population**",
          "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**\n\n* Free text.\n\n* Character limit not determined.\n\n* Initial Population required field selected by dropdown (Defines from CQL Editor Tab).\n\n**QDM Equivalent: Initial Population**",
          "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**\n\n* Free text.\n\n* Character limit not determined.\n\n* Denominator required field selected by dropdown (Defines from CQL Editor Tab).\n\n**QDM Equivalent: Denominator**",
          "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**\n\n* Free text.\n\n* Character limit not determined.\n\n* Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab).\n\n*Conditional field, will not display if not populated.*\n\n**QDM Equivalent: Denominator Exclusion**",
          "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 Description Field in Population Criteria Tab of MADiE UI**\n\n* Free text.\n\n* Character limit not determined.\n\n* Numerator required field selected by dropdown (Defines from CQL Editor Tab).\n\n**QDM Equivalent: Numerator**",
          "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**\n\n* Free Text.\n\n* Character limit not determined.\n\nStratification 1 required field selected by dropdown (Defines from CQL Editor tab).\n\nAssociation 1 appears to default to all defined populations.\n\n*Conditional field, does not show if not populated.*\n\n**QDM Equivalent: Stratification**",
          "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**\n\n* Free Text.\n\n* Character limit not determined.\n\nStratification 2 required field selected by dropdown (Defines from CQL Editor tab).\n\nAssociation 2 appears to default to all defined populations.\n\n*Conditional field, does not show if not populated.*\n\n**QDM Equivalent: Stratification**",
          "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"
      }
    }
  ]
}