<?xml version="1.0" encoding="UTF-8"?>

<Measure xmlns="http://hl7.org/fhir">
  <id value="MPPEncounterLevel"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
    <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm"/>
    <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml">
    <table class="grid dict">
        
            <tr>
                <th scope="row"><b>Title: </b></th>
                <td style="padding-left: 4px;">Multi-provider Patient Encounter Level Example</td>
            </tr>
        

        

        
            <tr>
                <th scope="row"><b>Id: </b></th>
                <td style="padding-left: 4px;">MPPEncounterLevel</td>
            </tr>
            
                <tr>
                    <th scope="row"><b>Download cql: </b></th>
                    <td style="padding-left: 4px;"><a href="Library-MPPEncounterLevel.cql">MPPEncounterLevel.cql</a></td>
                </tr>
            
        

        
            <tr>
                <th scope="row"><b>Version: </b></th>
                <td style="padding-left: 4px;">0.8.000</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Url: </b></th>
                <td style="padding-left: 4px;"><a href="Measure-MPPEncounterLevel.html">Multi-provider Patient Encounter Level Example</a></td>
            </tr>
        

        

        
            <tr>
                <th scope="row"><b>Effective Period: </b></th>
                <td style="padding-left: 4px;">2024-01-01
                    ..2024-12-31</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Status: </b></th>
                <td style="padding-left: 4px;">draft</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Experimental: </b></th>
                <td style="padding-left: 4px;">true</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Date: </b></th>
                <td style="padding-left: 4px;">2023-10-27 08:12:32+0000</td>
            </tr>
        

        

        

        
            <tr>
                <th scope="row"><b>Name: </b></th>
                <td style="padding-left: 4px;">MPPEncounterLevel</td>
            </tr>
        

        

        

        

        
            <tr>
                <th scope="row"><b>Description: </b></th>
                <td style="padding-left: 4px;"><div><p>Example measure supporting testing of the multi-provider patient scenario for encounter-based measures</p>
</div></td>
            </tr>
        

        

        

        
            <tr>
                <th scope="row"><b>Use Context: </b></th>
                <td style="padding-left: 4px;">
                    <table class="grid-dict">
                        <tr>
                            <th><b>code</b></th>
                            <th><b>value</b></th>
                        </tr>
                        
                            <tr>
                                <td>program</td>
                                <td/>
                            </tr>
                        
                    </table>
                </td>
            </tr>
        

        

        

        
            <tr>
                <th scope="row"><b>Purpose: </b></th>
                <td style="padding-left: 4px;"><div><p>To support testing of approaches to multi-provider patient scenarios with an encounter-based measure</p>
</div></td>
            </tr>
        

        

        

        

        

        

        

        

        

        

        

        

        

        

        

        
            
        

        

        

        
            <tr>
                <th scope="row"><b>Libraries: </b></th>
                <td style="padding-left: 4px;">
                    <table class="grid-dict">
                        
                            <tr>
                                <td><a href="Library-MPPEncounterLevel.html">MPPEncounterLevel</a></td>
                            </tr>
                        
                    </table>
                </td>
            </tr>
        

        

        
            
                <tr>
                    <th scope="row"><b>Related Artifact Dependencies: </b></th>
                    <td style="padding-left: 4px;">
                        
                            <li><a href="Library-FHIRHelpers.html">FHIRHelpers</a> version: 4.3.000</li>
                        
                            <li><a href="Library-CQMCommon.html">CQMCommon</a> version: 1.4.000</li>
                        
                            <li><a href="Library-QICoreCommon.html">QICoreCommon</a> version: 1.5.000</li>
                        
                            <li><a href="Library-AttributionModel.html">AttributionModel</a> version: 0.1.0</li>
                        
                            <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.424/expansion">Non-Elective Inpatient Encounter</a></li>
                        
                            <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.212/expansion">Hemorrhagic Stroke</a></li>
                        
                            <li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.247/expansion">Ischemic Stroke</a></li>
                        
                    </td>
                </tr>
                <tr>
                    <th scope="row"><b>Parameters:</b></th>
                    <td style="padding-left: 4px;">
                        <table class="grid-dict">
                            <tr>
                                <th><b>name</b></th>
                                <th><b>use</b></th>
                                <th><b>min</b></th>
                                <th><b>max</b></th>
                                <th><b>type</b></th>
                            </tr>
                            
                                <tr>
                                    <td>Measurement Period</td>
                                    <td>In</td>
                                    <td>0</td>
                                    <td>1</td>
                                    <td>Period</td>
                                </tr>
                            
                                <tr>
                                    <td>Provider</td>
                                    <td>In</td>
                                    <td>0</td>
                                    <td>1</td>
                                    <td>string</td>
                                </tr>
                            
                                <tr>
                                    <td>Initial Population</td>
                                    <td>Out</td>
                                    <td>0</td>
                                    <td>*</td>
                                    <td>Resource</td>
                                </tr>
                            
                        </table>
                    </td>
                </tr>

                <tr>
                    <th scope="row"><b>DataRequirements:</b></th>
                    <td style="padding-left: 4px;">
                        <table class="grid-dict">
                            <tr>
                                <th><b>Type</b></th>
                                <th><b>Elements</b></th>
                                <th><b>Valueset Name</b></th>
                                <th><b>Valueset</b></th>
                            </tr>
                            
                                <tr>
                                    <td>Encounter(<a href="http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html">QICoreEncounter</a>)</td>
                                    <td>
                                        
                                            type
                                        
                                            period
                                        
                                            rank
                                        
                                            rank.value
                                        
                                            condition
                                        
                                            condition.reference
                                        
                                            condition.reference.value
                                        
                                    </td>
                                    <td>
                                        
                                            
                                                 Nonelective Inpatient Encounter
                                            
                                        
                                    </td>
                                    <td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.424/expansion">Non-Elective Inpatient Encounter</a></td>
                                </tr>
                            
                                <tr>
                                    <td>Condition(<a href="http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html">QICoreCondition</a>)</td>
                                    <td>
                                        
                                            id
                                        
                                            id.value
                                        
                                    </td>
                                    <td>
                                        
                                    </td>
                                    <td/>
                                </tr>
                            
                                <tr>
                                    <td>Patient(<a href="http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html">QICorePatient</a>)</td>
                                    <td>
                                        
                                    </td>
                                    <td>
                                        
                                    </td>
                                    <td/>
                                </tr>
                            
                        </table>
                    </td>
                </tr>

                

                
                <tr>
                    <th scope="row"><b>Logic Definitions:</b></th>
                    <td style="padding-left: 4px;">
                        
                        <table class="grid-dict">
                            <tr>
                                <th><b>Group</b></th>
                                <th><b>Scoring</b></th>
                                <th><b>Population Criteria</b></th>
                                <th><b>Expression</b></th>
                            </tr>
                            <tr>
                                
                                <td> 64403d17d4d7050edabb0562 </td>
                                <td>
                                    
                                        <b>Group scoring:</b>
                                        
                                            <span>  proportion </span>
                                        
                                    

                                    

                                    

                                    

                                    

                                    

                                    

                                    

                                </td>
                                
                                <tr>
                                    <td/>
                                    <td/>
                                    <td>Initial Population</td>
                                    <td>
                                        
                                            <pre><code class="language-cql">define &quot;Initial Population&quot;:
  &quot;Encounter with Principal Diagnosis and Age&quot; Encounter
    where Encounter.isAttributable()</code></pre>
                                        
                                    </td>
                                </tr>
                                
                                <tr>
                                    <td/>
                                    <td/>
                                    <td>Denominator</td>
                                    <td>
                                        
                                            <pre><code class="language-cql"/></pre>
                                        
                                    </td>
                                </tr>
                                
                                <tr>
                                    <td/>
                                    <td/>
                                    <td>Numerator</td>
                                    <td>
                                        
                                            <pre><code class="language-cql"/></pre>
                                        
                                    </td>
                                </tr>
                                
                                
                            
                            </tr>
                        </table>
                

                <table class="grid-dict">
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>MPPEncounterLevel</td>
                            
                            
                                <td>Non Elective Inpatient Encounter</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">define &quot;Non Elective Inpatient Encounter&quot;:
  [&quot;Encounter&quot;: &quot;Nonelective Inpatient Encounter&quot;] NonElectiveEncounter
        where NonElectiveEncounter.period ends during day of &quot;Measurement Period&quot;</code></pre>
                                </td>
                            
                        </tr>
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>MPPEncounterLevel</td>
                            
                            
                                <td>All Stroke Encounter</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">define &quot;All Stroke Encounter&quot;:
  &quot;Non Elective Inpatient Encounter&quot; NonElectiveEncounter
  let ConditionCode: NonElectiveEncounter.principalDiagnosis().code
    where ( ConditionCode in &quot;Hemorrhagic Stroke&quot;
       or   ConditionCode in &quot;Ischemic Stroke&quot; )</code></pre>
                                </td>
                            
                        </tr>
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>MPPEncounterLevel</td>
                            
                            
                                <td>Encounter with Principal Diagnosis and Age</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">define &quot;Encounter with Principal Diagnosis and Age&quot;:
  &quot;All Stroke Encounter&quot; AllStrokeEncounter
    where AgeInYearsAt(date from start of AllStrokeEncounter.period ) &gt;= 18</code></pre>
                                </td>
                            
                        </tr>
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>MPPEncounterLevel</td>
                            
                            
                                <td>Initial Population</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;:
  &quot;Encounter with Principal Diagnosis and Age&quot; Encounter
    where Encounter.isAttributable()</code></pre>
                                </td>
                            
                        </tr>
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>CQMCommon</td>
                            
                            
                                <td>principalDiagnosis</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">/*
@description: Returns the condition that is specified as the principal diagnosis for the encounter
*/
define fluent function principalDiagnosis(Encounter Encounter ):
	singleton from ((Encounter.diagnosis D where D.rank = 1) PD
      return singleton from ([Condition] C where C.id = PD.condition.reference.getId())
	)</code></pre>
                                </td>
                            
                        </tr>
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>QICoreCommon</td>
                            
                            
                                <td>getId</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">/*
@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).
@comment: This function can be used to determine the logical id of a given resource. It can be used in
a single-server environment to trace references. However, this function does not attempt to resolve
or distinguish the base of the given url, and so cannot be used safely in multi-server environments.
*/
define fluent function getId(uri String):
  Last(Split(uri, '/'))</code></pre>
                                </td>
                            
                        </tr>
                    
                        <tr>
                            <th><b>Library Name</b></th>
                            <th><b>Name</b></th>
                        </tr>
                        <tr>
                            
                                <td>AttributionModel</td>
                            
                            
                                <td>isAttributable</td>
                            
                        </tr>
                        <tr>
                            
                                <td/>
                                <td>
                                    <pre class="highlight language-cql"><code class="language-cql">define fluent function isAttributable(encounter Encounter):
  encounter.period during &quot;Measurement Period&quot;
    and &quot;Provider&quot; is not null implies encounter.serviceProvider.reference.endsWith(&quot;Provider&quot;)</code></pre>
                                </td>
                            
                        </tr>
                    
                    </table>
                </td>
            </tr>
            
        
    

    </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="MPPEncounterLevel"/>
        </extension>
        <extension url="name">
          <valueString value="Non Elective Inpatient Encounter"/>
        </extension>
        <extension url="statement">
          <valueString value="define &quot;Non Elective Inpatient Encounter&quot;:&#xA;  [&quot;Encounter&quot;: &quot;Nonelective Inpatient Encounter&quot;] NonElectiveEncounter&#xA;        where NonElectiveEncounter.period ends during day of &quot;Measurement Period&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="MPPEncounterLevel"/>
        </extension>
        <extension url="name">
          <valueString value="All Stroke Encounter"/>
        </extension>
        <extension url="statement">
          <valueString value="define &quot;All Stroke Encounter&quot;:&#xA;  &quot;Non Elective Inpatient Encounter&quot; NonElectiveEncounter&#xA;  let ConditionCode: NonElectiveEncounter.principalDiagnosis().code&#xA;    where ( ConditionCode in &quot;Hemorrhagic Stroke&quot;&#xA;       or   ConditionCode in &quot;Ischemic Stroke&quot; )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="MPPEncounterLevel"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with Principal Diagnosis and Age"/>
        </extension>
        <extension url="statement">
          <valueString value="define &quot;Encounter with Principal Diagnosis and Age&quot;:&#xA;  &quot;All Stroke Encounter&quot; AllStrokeEncounter&#xA;    where AgeInYearsAt(date from start of AllStrokeEncounter.period ) &gt;= 18"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="MPPEncounterLevel"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString value="define &quot;Initial Population&quot;:&#xA;  &quot;Encounter with Principal Diagnosis and Age&quot; Encounter&#xA;    where Encounter.isAttributable()"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="CQMCommon"/>
        </extension>
        <extension url="name">
          <valueString value="principalDiagnosis"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@description: Returns the condition that is specified as the principal diagnosis for the encounter&#xA;*/&#xA;define fluent function principalDiagnosis(Encounter Encounter ):&#xA;&#x9;singleton from ((Encounter.diagnosis D where D.rank = 1) PD&#xA;      return singleton from ([Condition] C where C.id = PD.condition.reference.getId())&#xA;&#x9;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="QICoreCommon"/>
        </extension>
        <extension url="name">
          <valueString value="getId"/>
        </extension>
        <extension url="statement">
          <valueString value="/*&#xA;@description: Returns the tail of the given uri (i.e. everything after the last slash in the URI).&#xA;@comment: This function can be used to determine the logical id of a given resource. It can be used in&#xA;a single-server environment to trace references. However, this function does not attempt to resolve&#xA;or distinguish the base of the given url, and so cannot be used safely in multi-server environments.&#xA;*/&#xA;define fluent function getId(uri String):&#xA;  Last(Split(uri, '/'))"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="AttributionModel"/>
        </extension>
        <extension url="name">
          <valueString value="isAttributable"/>
        </extension>
        <extension url="statement">
          <valueString value="define fluent function isAttributable(encounter Encounter):&#xA;  encounter.period during &quot;Measurement Period&quot;&#xA;    and &quot;Provider&quot; is not null implies encounter.serviceProvider.reference.endsWith(&quot;Provider&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource value="http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.3.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library CQMCommon"/>
        <resource value="http://ecqi.healthit.gov/ecqms/Library/CQMCommon|1.4.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library QICoreCommon"/>
        <resource value="http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|1.5.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library AM"/>
        <resource value="http://ecqi.healthit.gov/ecqms/Library/AttributionModel|0.1.0"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Nonelective Inpatient Encounter"/>
        <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Hemorrhagic Stroke"/>
        <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.212"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Ischemic Stroke"/>
        <resource value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.247"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="Provider"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="string"/>
      </parameter>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Resource"/>
      </parameter>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        <mustSupport value="type"/>
        <mustSupport value="period"/>
        <mustSupport value="rank"/>
        <mustSupport value="rank.value"/>
        <mustSupport value="condition"/>
        <mustSupport value="condition.reference"/>
        <mustSupport value="condition.reference.value"/>
        <codeFilter>
          <path value="type"/>
          <valueSet value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.424"/>
        </codeFilter>
        <dateFilter>
          <path value="period"/>
          <valuePeriod>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
              <valueExpression>
                <language value="text/cql-identifier"/>
                <expression value="Measurement Period"/>
              </valueExpression>
            </extension>
          </valuePeriod>
        </dateFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"/>
        <mustSupport value="id"/>
        <mustSupport value="id.value"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
      </dataRequirement>
    </Library>
  </contained>
  <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <extension id="effective-data-requirements" url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements">
    <valueReference>
      <reference value="#effective-data-requirements"/>
    </valueReference>
  </extension>
  <url value="http://ecqi.healthit.gov/ecqms/Measure/MPPEncounterLevel"/>
  <version value="0.8.000"/>
  <name value="MPPEncounterLevel"/>
  <title value="Multi-provider Patient Encounter Level Example"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2023-10-27T08:12:32+00:00"/>
  <description value="Example measure supporting testing of the multi-provider patient scenario for encounter-based measures"/>
  <useContext>
    <code>
      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="program"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"/>
        <code value="eh-cah"/>
        <display value="EH/CAH"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <purpose value="To support testing of approaches to multi-provider patient scenarios with an encounter-based measure"/>
  <effectivePeriod>
    <start value="2024-01-01"/>
    <end value="2024-12-31"/>
  </effectivePeriod>
  <library value="http://ecqi.healthit.gov/ecqms/Library/MPPEncounterLevel"/>
  <group id="64403d17d4d7050edabb0562">
    <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
          <code value="proportion"/>
          <display value="Proportion"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
      <valueCode value="Encounter"/>
    </extension>
    <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="process"/>
          <display value="Process"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <population id="937BAF2A-D36A-4EE5-B2B2-762A0FE04502">
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="302C1DCC-7FE6-41EF-A94E-FDAE24B7BB1B">
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population id="99961E3A-EFC4-4858-A3EE-F7F1D5B222FB">
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
  </group>
</Measure>