measure-publishable-exm
type: Measure
node role: treeRoot
resource.id:
  value: measure-publishable-exm
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure
    index: -1
    link: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure
  meta.profile:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
    index: -1
    link: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Metadata Title EXM Publishable Measure Version 2.0.0 Short Name EXM-123 GUID (Version Independent) urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74 GUID (Version Specific) urn:uuid:b366f29b-347f-464e-8064-c83842d825c7 CMS Identifier CMS-123 NQF Identifier NQF-123 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.29.23 Approval Date 2019-02-17 Last Review Date 2019-02-17 Experimental true Use Context Clinical Venue = EC Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm Topic Health Quality Measure Document Steward (Publisher) HL7 International / Clinical Quality Information Developer Example Measure Content Developer Description An example FHIR-based publishable measure Purpose This measure has been developed to support improvement in clinical care. Copyright Example Copyright Statement Disclaimer Example disclaimer Measure Basis Encounter Measure Scoring Continuous Variable Improvement Notation Increased score indicates improvement Measure Type process from http://terminology.hl7.org/CodeSystem/measure-type Risk Adjustment Risk adjustment for this measure is performed by... Rate Aggregation Rate aggregation for this measure is performed by... Rationale The rationale of this measure is to... Clinical Recommendation Statement The clinical recommendation statement for this measure is... Citation Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. 'Antibiotic treatment of children with sore throat.' JAMA 294(18):2315-2322. Content URL: https://pubmed.ncbi.nlm.nih.gov/16278359/ Document: null @ https://pubmed.ncbi.nlm.nih.gov/16278359/ Citation Infectious Diseases Society of America. 2012. 'Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.' Content URL: https://pubmed.ncbi.nlm.nih.gov/23091044/ Document: null @ https://pubmed.ncbi.nlm.nih.gov/23091044/ Citation Roberts, R.R., B. Hota, I. Ahmad, et al. 'Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teachin…
domain resource.contained: Library
  index: -1
  resource.id:
    value: effective-data-requirements
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: SDE Sex
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: 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
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: SDE Payer
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Inpatient Encounter
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "Inpatient Encounter" : ["Encounter"] Encounter where LengthInDays(Encounter.period) <= 120 and Encounter.period ends during "Measurement Period"
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 2
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Initial Population
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "Initial Population" : "Inpatient Encounter" Encounter
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 3
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: SDE Ethnicity
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "SDE Ethnicity": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 4
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: SDE Race
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 5
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: EXMPublishableLibrary
    element.extension:
      index: -1
      extension.url:
        value: name

value: Measure Population

index: -1
extension.url:
  value: statement
extension.value string:
  value: define "Measure Population" : "Initial Population"

index: -1
extension.url:
  value: displaySequence
extension.value integer:
  value: 6

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: FHIRHelpers
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToString
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToString(value AdministrativeGender): value.value
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 7
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: EXMPublishableLibrary
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: LengthInDays
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function "LengthInDays"(Value Interval<DateTime>): difference in days between start of Value and end of Value
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 8
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: FHIRHelpers
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToInterval
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: /* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ 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]
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 9
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: FHIRHelpers
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToString
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToString(value uri): value.value
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 10
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: EXMPublishableLibrary
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: Measure Observation
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function "Measure Observation" (Encounter "Encounter" ) : duration in minutes of "Related ED Visit"(Encounter).period
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 11
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: EXMPublishableLibrary
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: Related ED Visit
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: //Measure Observation define function "Related ED Visit" (Encounter "Encounter" ) : Last(["Encounter" : "Emergency Department Visit"] ED where ED.status = 'finished' and ED.period ends 1 hour or less before start of Encounter.period sort by start of period )
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 12
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: FHIRHelpers
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToString
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToString(value EncounterStatus): value.value
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 13
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

value: EffectiveDataRequirements

value: active

codeable concept.coding:
  index: -1
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/library-type
  coding.code:
    value: module-definition

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: FHIR model information
related artifact.resource:
  value: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1
  link: 4.0
  link: .1

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: Library FHIRHelpers
related artifact.resource:
  value: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
  link: 4.0
  link: .1

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: Value set Payer
related artifact.resource:
  value: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
  link: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: Value set Emergency Department Visit
related artifact.resource:
  value: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
  link: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292

index: -1
parameter definition.name:
  value: Measurement Period
parameter definition.use:
  value: in
parameter definition.min:
  value: 0
parameter definition.max:
  value: 1
parameter definition.type:
  value: Period

index: -1
parameter definition.name:
  value: SDE Sex
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: 1
parameter definition.type:
  value: Coding

index: -1
parameter definition.name:
  value: SDE Payer
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Resource

index: -1
parameter definition.name:
  value: Initial Population
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Encounter

index: -1
parameter definition.name:
  value: SDE Ethnicity
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Coding

index: -1
parameter definition.name:
  value: SDE Race
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Coding

index: -1
parameter definition.name:
  value: Measure Population
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Encounter

index: -1
data requirement.type:
  value: Patient
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Patient
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Patient
data requirement.must support:
  value: url
  index: -1
data requirement.must support:
  value: extension
  index: -1
data requirement.must support:
  value: value
  index: -1

index: -1
data requirement.type:
  value: Coverage
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Coverage
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Coverage
data requirement.must support:
  value: type
  index: -1
data requirement.must support:
  value: period
  index: -1
data requirement.code filter:
  index: -1
  data requirement.code filter.path:
    value: type
  data requirement.code filter.value set:
    value: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
    link: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

index: -1
data requirement.type:
  value: Encounter
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Encounter
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Encounter
data requirement.must support:
  value: type
  index: -1
data requirement.must support:
  value: status
  index: -1
data requirement.must support:
  value: period
  index: -1
data requirement.code filter:
  index: -1
  data requirement.code filter.path:
    value: type
  data requirement.code filter.value set:
    value: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
    link: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292

index: -1
data requirement.type:
  value: Encounter
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Encounter
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Encounter
data requirement.must support:
  value: period
  index: -1

index: -1
extension.url:
  value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
extension.value code:
  value: Encounter

index: -1
extension.url:
  value: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension.value reference:
  link: http://hl7.org/fhir/uv/cqm/Device/software-system-example
  reference.reference:
    value: Device/software-system-example

index: -1
element.extension:
  index: -1
  extension.url:
    value: code
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://example.org/fhir/CodeSystem/measure-terms
      coding.code:
        value: example-term-code
      coding.display:
        value: Example Term Display
element.extension:
  index: -1
  extension.url:
    value: definition
  extension.value markdown:
    value: A term used in the measure that bears clearly definition to communicate the measure intent
extension.url:
  value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.term

index: -1
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
extension.value code:
  value: cqi

index: -1
extension.url:
  value: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
extension.value canonical:
  value: #effective-data-requirements

index: -1
identifier.use:
  value: usual
identifier.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
    coding.code:
      value: short-name
identifier.system:
  value: http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm
identifier.value:
  value: EXM-123

index: -1
identifier.use:
  value: official
identifier.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
    coding.code:
      value: version-independent
identifier.system:
  value: urn:ietf:rfc:3986

index: -1
identifier.use:
  value: official
identifier.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
    coding.code:
      value: version-specific
identifier.system:
  value: urn:ietf:rfc:3986

index: -1
identifier.use:
  value: official
identifier.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
    coding.code:
      value: endorser
identifier.system:
  value: http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf
identifier.value:
  value: NQF-123
identifier.assigner:
  reference.display:
    value: NQF

index: -1
identifier.use:
  value: official
identifier.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
    coding.code:
      value: publisher
identifier.system:
  value: http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms
identifier.value:
  value: CMS-123
identifier.assigner:
  reference.display:
    value: CMS

index: -1
identifier.system:
  value: urn:ietf:rfc:3986
identifier.value:
  value: urn:oid:2.16.840.1.113883.4.642.40.61.29.23

value: 2.0.0

value: PublishableMeasureEXM

value: EXM Publishable Measure

value: active

value: true

value: 2025-08-13

value: HL7 International / Clinical Quality Information

index: -1
contact detail.telecom:
  index: -1
  contact point.system:
    value: url
  contact point.value:
    value: http://www.hl7.org/Special/committees/cqi

value: An example FHIR-based publishable measure

index: -1
usage context.code:
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/usage-context-type
  coding.code:
    value: venue
  coding.display:
    value: Clinical Venue
usage context.value codeable concept:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes
    coding.code:
      value: ec
    coding.display:
      value: EC

index: -1
codeable concept.coding:
  index: -1
  coding.system:
    value: http://unstats.un.org/unsd/methods/m49/m49.htm
  coding.code:
    value: 001

value: This measure has been developed to support improvement in clinical care.

value: Users of this measure should be aware of...

value: Example Copyright Statement

value: 2019-02-17

value: 2019-02-17

element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor
  extension.value date time:
    value: 2018-01-01
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration
  extension.value duration:
    quantity.value:
      value: 1
    quantity.system:
      value: http://unitsofmeasure.org
    quantity.code:
      value: a
period.start:
  value: 2018-01-01
period.end:
  value: 2018-12-31

index: -1
codeable concept.coding: http://loinc.org/rdf#57024-2
  index: -1
  coding.system:
    value: http://loinc.org
  coding.code:
    value: 57024-2
codeable concept.text:
  value: Health Quality Measure Document

index: -1
contact detail.name:
  value: Example Measure Content Developer

index: -1
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
  extension.value boolean:
    value: true
related artifact.type:
  value: citation
related artifact.citation:
  value: Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. 'Antibiotic treatment of children with sore throat.' JAMA 294(18):2315-2322.
related artifact.url:
  value: https://pubmed.ncbi.nlm.nih.gov/16278359/
related artifact.document:
  attachment.url:
    value: https://pubmed.ncbi.nlm.nih.gov/16278359/

index: -1
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
  extension.value boolean:
    value: true
related artifact.type:
  value: citation
related artifact.citation:
  value: Infectious Diseases Society of America. 2012. 'Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.'
related artifact.url:
  value: https://pubmed.ncbi.nlm.nih.gov/23091044/
related artifact.document:
  attachment.url:
    value: https://pubmed.ncbi.nlm.nih.gov/23091044/

index: -1
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
  extension.value boolean:
    value: true
related artifact.type:
  value: citation
related artifact.citation:
  value: Roberts, R.R., B. Hota, I. Ahmad, et al. 'Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.' Clin Infect Dis. Oct 2009; 49(8):1175-84.
related artifact.url:
  value: https://pubmed.ncbi.nlm.nih.gov/19739972/
related artifact.document:
  attachment.url:
    value: https://pubmed.ncbi.nlm.nih.gov/19739972/

index: -1
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus
  extension.value code:
    value: draft
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
  extension.value date:
    value: 2019-01-01
related artifact.type:
  value: citation
related artifact.citation:
  value: Example citation to draft publication
related artifact.url:
  value: http://example.org/publications/1234
related artifact.document:
  attachment.url:
    value: http://example.org/publications/1234

value: http://hl7.org/fhir/uv/cqm/Library/EXMPublishableLibrary
index: -1
link: http://hl7.org/fhir/uv/cqm/Library/EXMPublishableLibrary

value: Example disclaimer

codeable concept.coding:
  index: -1
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/measure-scoring
  coding.code:
    value: continuous-variable
  coding.display:
    value: Continuous Variable

index: -1
codeable concept.coding:
  index: -1
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/measure-type
  coding.code:
    value: process

value: Risk adjustment for this measure is performed by...

value: Rate aggregation for this measure is performed by...

value: The rationale of this measure is to...

value: The clinical recommendation statement for this measure is...

codeable concept.coding:
  index: -1
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
  coding.code:
    value: increase
  coding.display:
    value: Increased score indicates improvement

index: -1
element.id:
  value: group-1
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: primary
measure.group.population:
  index: -1
  element.id:
    value: initial-population
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-publishablexm-initial-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: initial-population
      coding.display:
        value: Initial Population
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Initial Population
measure.group.population:
  index: -1
  element.id:
    value: measure-population
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-publishablexm-measure-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-population
      coding.display:
        value: Measure Population
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Measure Population
measure.group.population:
  index: -1
  element.id:
    value: measure-observation
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-publishablexm-measure-observation
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-observation
      coding.display:
        value: Measure Observation
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Measure Observation

index: -1
element.id:
  value: sde-ethnicity
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
  extension.value string:
    value: primary-sde-ethnicity
measure.supplemental data.usage:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/measure-data-usage
    coding.code:
      value: supplemental-data
measure.supplemental data.criteria:
  expression.language:
    value: text/cql-identifier
  expression.expression:
    value: SDE Ethnicity

index: -1
element.id:
  value: sde-race
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
  extension.value string:
    value: primary-sde-race
measure.supplemental data.usage:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/measure-data-usage
    coding.code:
      value: supplemental-data
measure.supplemental data.criteria:
  expression.language:
    value: text/cql-identifier
  expression.expression:
    value: SDE Race

index: -1
element.id:
  value: sde-payer
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
  extension.value string:
    value: primary-sde-payer
measure.supplemental data.usage:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/measure-data-usage
    coding.code:
      value: supplemental-data
measure.supplemental data.criteria:
  expression.language:
    value: text/cql-identifier
  expression.expression:
    value: SDE Payer

index: -1
element.id:
  value: sde-sex
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
  extension.value string:
    value: primary-sde-sex
measure.supplemental data.usage:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/measure-data-usage
    coding.code:
      value: supplemental-data
measure.supplemental data.criteria:
  expression.language:
    value: text/cql-identifier
  expression.expression:
    value: SDE Sex