eCQM QICore Content Implementation Guide
2023.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2023.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2023/ and changes regularly. See the Directory of published versions

## : Multi-provider Patient Encounter Level Example - XML Representation

Draft as of 2023-10-27

Raw xml | Download

    <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;:
      [&quot;Encounter&quot;: &quot;Nonelective Inpatient Encounter&quot;] NonElectiveEncounter
            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;:
      &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; )"/>
            </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;:
      &quot;All Stroke Encounter&quot; AllStrokeEncounter
        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;:
      &quot;Encounter with Principal Diagnosis and Age&quot; Encounter
        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="/*
    @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())
    	)"/>
            </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="/*
    @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, '/'))"/>
            </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):
      encounter.period during &quot;Measurement Period&quot;
        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
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
        <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>