Metadata Title HR Example Ratio (Measure Name in Details Tab of MADiE UI) Version 0.5.3 Short Name HRExRati(eCQM Abbreviated Title) GUID (Version Independent) urn:uuid:740197c5-a162-4947-ba39-e8f96c0e05fb GUID (Version Specific) urn:uuid:7d7408c9-e203-4c34-bde5-39ef0558cb38 CMS Consensus Based Entity Identifier 2EndorsementNumber Effective Period 2026-01-01 through 2026-12-31 Status Draft Experimental true Use Context Venue = EH Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm Steward (Publisher) HL7 International - [Some] Work Group Developer ESAC, Inc. Developer ICF Description Description Section of Details Tab in MADiE UI Free text. Character limit not determined. QDM equivalent: Description Purpose Purpose Section of Details Tab in MADiE UI Free text. Character limit not determined. Conditional field, will not display if not populated. QDM Equivalent: N/A Copyright Copyright Section of Details Tab in MADiE UI Free text. Character limit not determined. Displays "UNKNOWN" if not populated. QDM Equivalent: Copyright Disclaimer Disclaimer Section of Details Tab in MADiE UI Free text. Character limit not determined. Displays "UNKNOWN" if not populated. QDM Equivalent: Disclaimer Rationale Rationale Section of Details Tab in MADiE UI Free text. Character limit not determined. Conditional field, will not display if not populated. QDM Equivalent: Rationale Clinical Recommendation Statement Clinical Recommendation Section of Details Tab in MADiE UI Free text. Character limit not determined. Conditional field, will not display if not populated. QDM Equivalent: Clinical Recommendation Statement Citation CITATION References Section of Details Tab in MADiE UI Type" selected from drop down (Citation or Justification) Reference" free text after selection. Character limit not determined. Conditional field, will not display if not populated. QDM Equivalent: Reference Justification Description: **JUSTIFICATION References Section of Details Tab in MADiE UI** * "Type" selected from drop down (Citation or Justification) * "Reference" free text after selection. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Reference** Definition Definition Section of Details Tab in MADiE UI "Term" free text. Character limit not determined. QDM Equivalent: ?.: **Definition Section of Details Tab in MADiE UI** * "Definition" free text. * Character limit not determined *Conditional field, will not display if not populated.* **QDM Equivalent: Definition** Guidance (Usage) **Guidance (Usage) Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Guidance** Measure Group (Rate) (ID: Group_1) Summary **Population Criteria 1 Description on Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. **QDM Equivalent: N/A** **Populates Summary Field in FHIR human readable** | Additional MADiE Page Notes: | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | * Measure type selectable from drop down, multi select; for this example selected all options. | | * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error. | | * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* | | * Aggregate Function selectable from dropdown. | | * Scoring Unit free text entry. | | * Scoring Precision selectable integers. | Basis boolean Scoring Ratio Scoring Unit Scoring Unit Field Scoring Precision 1 Improvement Notation Increased score indicates improvement Improvement Notation Guidance Improvement Notation Description Field of Reporting Section on Population Criteria Tab of MADiE UI Free text. Character limit not determined. Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement). QDM Equivalent: Improvement Notation Type Intermediate Outcome Type Outcome Type Patient Reported Outcome Type Process Type Structure Initial Population ID: InitialPopulation_1_1 Description: **Initial Population Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Initial Population required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Initial Population** Criteria: Initial Population Initial Population ID: InitialPopulation_1_2 Description: **Initial Population 2 Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Initial Population required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Initial Population** Criteria: Initial Population2 Denominator ID: Denominator_1 Description: **Denominator Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Denominator required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Denominator** Criteria: Denominator Input Population: InitialPopulation_1_1 Denominator Exclusion ID: DenominatorExclusion_1 Description: **Denominator Exclusion Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). *Conditional field, will not display if not populated.* **QDM Equivalent: Denominator Exclusion** Criteria: Denominator Exclusions Numerator ID: Numerator_1 Description: **Numerator Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Numerator required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Numerator** Criteria: Numerator Input Population: InitialPopulation_1_2 Stratifier ID: Stratification_1_1 Description: **Stratification 1 Description in Stratifications Section of Population Criteria Tab of MADiE UI** * Free Text. * Character limit not determined. Stratification 1 required field selected by dropdown (Defines from CQL Editor tab). Association 1 appears to default to all defined populations. *Conditional field, does not show if not populated.* **QDM Equivalent: Stratification** Stratifier ID: Stratification_1_2 Description: **Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI** * Free Text. * Character limit not determined. Stratification 2 required field selected by dropdown (Defines from CQL Editor tab). Association 2 appears to default to all defined populations. *Conditional field, does not show if not populated.* **QDM Equivalent: Stratification** Supplemental Data Guidance Guidance Supplemental Data Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. Definition selected from dropdown (Defines in CQL Editor). For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex. Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type. Conditional field, will not display if not populated. QDM Equivalent: Supplemental Data Elements Populates Supplemental Data Guidance in FHIR human readable Risk Adjustment Variable Guidance Guidance Risk Adjustment Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. Definition selected from dropdown, multi select (Defines in CQL Editor). Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type. Conditional field, will not display if not populated. QDM Equivalent: Risk Adjustment Supplemental Data Elements Supplemental Data Element ID: sde-ethnicity Usage Code: Supplemental Data Description: SDE Ethnicity Logic Definition: SDE Ethnicity Supplemental Data Element ID: sde-payer Usage Code: Supplemental Data Description: SDE Payer Logic Definition: SDE Payer Supplemental Data Element ID: sde-race Usage Code: Supplemental Data Description: SDE Race Logic Definition: SDE Race Supplemental Data Element ID: sde-sex Usage Code: Supplemental Data Description: SDE Sex Logic Definition: SDE Sex Supplemental Data Element ID: rav-patient-too-young-at-start-of-measurement-period Usage Code: Risk Adjustment Factor Description: RAV Patient Too Young at Start of Measurement Period Logic Definition: RAV Patient Too Young at Start of Measurement Period Supplemental Data Element ID: rav-patient-too-old-at-start-of-measurement-period Usage Code: Risk Adjustment Factor Description: RAV Patient Too Old at Start of Measurement Period Logic Definition: RAV Patient Too Old at Start of Measurement Period Measure Logic Primary Library HRExampleRatioMeasureCQLLibrary Contents Population Criteria Logic Definitions Terminology Dependencies Data Requirements Parameters Population Criteria Measure Group (Rate) (ID: Group_1) Initial Population define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[18, 75] Definition Initial Population define "Initial Population2": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[19, 76] Definition Denominator define "Denominator": "Initial Population" Definition Denominator Exclusion define "Denominator Exclusions": "Initial Population" Definition Numerator define "Numerator": "Initial Population" Definition Stratifier define "Patient Age Less than 18 Years Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 18 Definition Stratifier define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18 Definition Logic Definitions Logic Definition Library Name: SupplementalDataElementsExample define "SDE Race": Patient.race R return Tuple { codes: R.ombCategory union R.detailed, display: R.text } Logic Definition Library Name: SupplementalDataElementsExample define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end Logic Definition Library Name: SupplementalDataElementsExample define "SDE Payer": [Coverage: type in "Payer Type"] Payer return { code: Payer.type, period: Payer.period } Logic Definition Library Name: SupplementalDataElementsExample define "SDE Ethnicity": Patient.ethnicity E return Tuple { codes: { E.ombCategory } union E.detailed, display: E.text } Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "RAV Patient Too Old at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") > 80 Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "RAV Patient Too Young at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 5 Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "SDE Race": SDE."SDE Race" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "SDE Sex": SDE."SDE Sex" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[18, 75] Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Numerator": "Initial Population" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Patient Age Less than 18 Years Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 18 Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Denominator": "Initial Population" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "SDE Payer": SDE."SDE Payer" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "SDE Ethnicity": SDE."SDE Ethnicity" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Denominator Exclusions": "Initial Population" Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18 Logic Definition Library Name: HRExampleRatioMeasureCQLLibrary define "Initial Population2": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[19, 76] Logic Definition Library Name: FHIRHelpers define function ToString(value uri): value.value Logic Definition Library Name: FHIRHelpers define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value } Logic Definition Library Name: FHIRHelpers define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value] Terminology Value Set Description: Value set Payer Type Resource: Payer Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 Dependencies Dependency Description: Library SDE Resource: SupplementalDataElementsExample Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/SupplementalDataElementsExample Dependency Description: Library FHIRHelpers Resource: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1 Canonical URL: http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1 Data Requirements Data Requirement Type: Patient Profile(s): QICore Patient Must Support Elements: url, extension Data Requirement Type: Coverage Profile(s): QICore Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period RAV Patient Too Old at Start of Measurement Period Out 0..1 boolean RAV Patient Too Young at Start of Measurement Period Out 0..1 boolean SDE Race Out 0..1 Resource SDE Sex Out 0..1 Coding Numerator Out 0..1 boolean Patient Age Less than 18 Years Start of Measurement Period Out 0..1 boolean Denominator Out 0..1 boolean SDE Payer Out 0..* Resource Initial Population Out 0..1 boolean SDE Ethnicity Out 0..1 Resource Denominator Exclusions Out 0..1 boolean Patient Age 18 Years or Older at Start of Measurement Period Out 0..1 boolean Initial Population2 Out 0..1 boolean Generated using version 0.5.3 of the sample-content-ig Liquid templates
RAV Patient Too Old at Start of Measurement Period
define "RAV Patient Too Old at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") > 80
RAV Patient Too Young at Start of Measurement Period
define "RAV Patient Too Young at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 5
define "SDE Race": Patient.race R return Tuple { codes: R.ombCategory union R.detailed, display: R.text }
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
define "Initial Population": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[18, 75]
define "Numerator": "Initial Population"
Patient Age Less than 18 Years Start of Measurement Period
define "Patient Age Less than 18 Years Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") < 18
define "Denominator": "Initial Population"
define "SDE Payer": [Coverage: type in "Payer Type"] Payer return { code: Payer.type, period: Payer.period }
define "SDE Ethnicity": Patient.ethnicity E return Tuple { codes: { E.ombCategory } union E.detailed, display: E.text }
define "SDE Ethnicity": SDE."SDE Ethnicity"
define "Denominator Exclusions": "Initial Population"
Patient Age 18 Years or Older at Start of Measurement Period
define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18
define "Initial Population2": AgeInYearsAt(date from end of "Measurement Period" ) in Interval[19, 76]
define function ToString(value uri): value.value
define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }
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]
Supplemental Data Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. Definition selected from dropdown (Defines in CQL Editor). For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex. Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type. Conditional field, will not display if not populated. QDM Equivalent: Supplemental Data Elements Populates Supplemental Data Guidance in FHIR human readable
Risk Adjustment Section of Population Criteria Tab of MADiE UI Free text. Character limit not determined. Definition selected from dropdown, multi select (Defines in CQL Editor). Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type. Conditional field, will not display if not populated. QDM Equivalent: Risk Adjustment
Definition Section of Details Tab in MADiE UI "Term" free text. Character limit not determined. QDM Equivalent: ?.
**Definition Section of Details Tab in MADiE UI** * "Definition" free text. * Character limit not determined *Conditional field, will not display if not populated.* **QDM Equivalent: Definition**
HR Example Ratio (Measure Name in Details Tab of MADiE UI)
**Description Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. **QDM equivalent: Description**
**Purpose Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: N/A**
**Guidance (Usage) Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Guidance**
**Copyright Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Displays "UNKNOWN" if not populated.* **QDM Equivalent: Copyright**
**CITATION References Section of Details Tab in MADiE UI** * Type" selected from drop down (Citation or Justification) * Reference" free text after selection. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Reference**
**JUSTIFICATION References Section of Details Tab in MADiE UI** * "Type" selected from drop down (Citation or Justification) * "Reference" free text after selection. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Reference**
**Disclaimer Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Displays "UNKNOWN" if not populated.* **QDM Equivalent: Disclaimer**
**Rationale Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Rationale**
**Clinical Recommendation Section of Details Tab in MADiE UI** * Free text. * Character limit not determined. *Conditional field, will not display if not populated.* **QDM Equivalent: Clinical Recommendation Statement**
**Improvement Notation Description Field of Reporting Section on Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement). **QDM Equivalent: Improvement Notation**
**Population Criteria 1 Description on Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. **QDM Equivalent: N/A** **Populates Summary Field in FHIR human readable** | Additional MADiE Page Notes: | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | * Measure type selectable from drop down, multi select; for this example selected all options. | | * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error. | | * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* | | * Aggregate Function selectable from dropdown. | | * Scoring Unit free text entry. | | * Scoring Precision selectable integers. |
**Initial Population Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Initial Population required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Initial Population**
**Initial Population 2 Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Initial Population required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Initial Population**
**Denominator Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Denominator required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Denominator**
**Denominator Exclusion Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab). *Conditional field, will not display if not populated.* **QDM Equivalent: Denominator Exclusion**
**Numerator Description Field in Population Criteria Tab of MADiE UI** * Free text. * Character limit not determined. * Numerator required field selected by dropdown (Defines from CQL Editor Tab). **QDM Equivalent: Numerator**
**Stratification 1 Description in Stratifications Section of Population Criteria Tab of MADiE UI** * Free Text. * Character limit not determined. Stratification 1 required field selected by dropdown (Defines from CQL Editor tab). Association 1 appears to default to all defined populations. *Conditional field, does not show if not populated.* **QDM Equivalent: Stratification**
**Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI** * Free Text. * Character limit not determined. Stratification 2 required field selected by dropdown (Defines from CQL Editor tab). Association 2 appears to default to all defined populations. *Conditional field, does not show if not populated.* **QDM Equivalent: Stratification**