Example of Continuous Variable Measure (id = "measure-EXM55-FHIR")

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

<Measure xmlns="http://hl7.org/fhir">
  <id value="measure-EXM55-FHIR"/> 
  <contained> 
    <Library> 
      <id value="EXM55"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="cqi"/> 
      </extension> 
      <url value="http://hl7.org/fhir/uv/cqm/Library/EXM55"/> 
      <identifier> 
        <use value="official"/> 
        <system value="http://example.org/fhir/cqi/ecqm/Library/Identifier"/> 
        <value value="EXM55"/> 
      </identifier> 
      <version value="5.0.0"/> 
      <name value="EXM55"/> 
      <title value="EXM55 - Median Emergency Department Visit Duration Library (Example Continuous
       Variable Measure Library)"/> 
      <status value="active"/> 
      <experimental value="true"/> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/> 
          <code value="logic-library"/> 
        </coding> 
      </type> 
      <date value="2019-09-03"/> 
      <publisher value="HL7 International / Clinical Quality Information"/> 
      <contact> 
        <telecom> 
          <system value="url"/> 
          <value value="http://www.hl7.org/Special/committees/cqi"/> 
        </telecom> 
      </contact> 
      <description value="This library is used as an example in the FHIR Continuous Variable Measure example"/> 
      <jurisdiction> 
        <coding> 
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
          <code value="001"/> 
        </coding> 
      </jurisdiction> 
      <approvalDate value="2019-08-03"/> 
      <lastReviewDate value="2019-08-03"/> 
      <relatedArtifact> 
        <type value="depends-on"/> 
        <display value="FHIR model information"/> 
        <resource value="http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"/> 
      </relatedArtifact> 
      <relatedArtifact> 
        <type value="depends-on"/> 
        <display value="Library FHIRHelpers"/> 
        <resource value="http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"/> 
      </relatedArtifact> 
      <parameter> 
        <name value="Measurement Period"/> 
        <use value="in"/> 
        <min value="0"/> 
        <max value="1"/> 
        <type value="Period"/> 
      </parameter> 
      <parameter> 
        <name value="Patient"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="1"/> 
        <type value="Patient"/> 
      </parameter> 
      <parameter> 
        <name value="Inpatient Encounter"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <parameter> 
        <name value="Initial Population"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <parameter> 
        <name value="Measure Population"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <parameter> 
        <name value="Measure Population Exclusion"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <parameter> 
        <name value="Stratification 1"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <parameter> 
        <name value="Stratification 2"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <parameter> 
        <name value="Stratification 3"/> 
        <use value="out"/> 
        <min value="0"/> 
        <max value="*"/> 
        <type value="Encounter"/> 
      </parameter> 
      <dataRequirement> 
        <type value="Patient"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </dataRequirement> 
      <dataRequirement> 
        <type value="Encounter"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
        <mustSupport value="period"/> 
        <mustSupport value="use"/> 
        <mustSupport value="rank"/> 
        <mustSupport value="rank.value"/> 
        <mustSupport value="condition"/> 
        <mustSupport value="condition.reference"/> 
      </dataRequirement> 
      <dataRequirement> 
        <type value="Encounter"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
        <mustSupport value="type"/> 
        <mustSupport value="status"/> 
        <mustSupport value="period"/> 
        <mustSupport value="use"/> 
        <mustSupport value="rank"/> 
        <mustSupport value="rank.value"/> 
        <mustSupport value="condition"/> 
        <mustSupport value="condition.reference"/> 
        <mustSupport value="hospitalization"/> 
        <mustSupport value="hospitalization.admitSource"/> 
      </dataRequirement> 
      <dataRequirement> 
        <type value="Condition"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <mustSupport value="id"/> 
        <codeFilter> 
          <path value="id"/> 
        </codeFilter> 
      </dataRequirement> 
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      </content> 
    </Library> 
  </contained> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/> 
  </extension> 
  <url value="http://hl7.org/fhir/uv/cqm/Measure/measure-EXM55-FHIR"/> 
  <identifier> 
    <use value="official"/> 
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/> 
    <value value="55"/> 
  </identifier> 
  <version value="5.0.0"/> 
  <name value="EXM55"/> 
  <title value="EXM55 - Median Emergency Department Visit Duration"/> 
  <status value="active"/> 
  <experimental value="true"/> 
  <date value="2025-08-13"/> 
  <publisher value="HL7 International / Clinical Quality Information"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/cqi"/> 
    </telecom> 
  </contact> 
  <description value="This example illustrates a continuous variable measure represented as a FHIR eCQM"/> 
  <useContext> 
    <code> 
      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> 
      <code value="venue"/> 
      <display value="Clinical Venue"/> 
    </code> 
    <valueCodeableConcept> 
      <coding> 
        <system value="http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes"/> 
        <code value="eh"/> 
        <display value="EH"/> 
      </coding> 
    </valueCodeableConcept> 
  </useContext> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
    </coding> 
  </jurisdiction> 
  <approvalDate value="2019-03-08"/> 
  <lastReviewDate value="2019-03-08"/> 
  <effectivePeriod> 
    <start value="2018-01-01"/> 
    <end value="2018-12-31"/> 
  </effectivePeriod> 
  <topic> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="57024-2"/> 
      <display value="Health Quality Measure Document"/> 
    </coding> 
  </topic> 
  <library value="#EXM55"/> 
  <group id="group-1">
    <linkId/>  
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/measure-type"/> 
        <code value="process"/> 
      </coding> 
    </type> 
    <basis value="Encounter"/> 
    <scoring> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/> 
        <code value="continuous-variable"/> 
        <display value="Continuous Variable"/> 
      </coding> 
    </scoring> 
    <improvementNotation> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/> 
        <code value="decrease"/> 
        <display value="Decreased score indicates improvement"/> 
      </coding> 
    </improvementNotation> 
    <population> 
      <linkId value="primary-exm55-initial-population"/> 
      <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> 
      <linkId value="primary-exm55-measure-population"/> 
      <code> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> 
          <code value="measure-population"/> 
          <display value="Measure Population"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql-identifier"/> 
        <expression value="Measure Population"/> 
      </criteria> 
    </population> 
    <population> 
      <linkId value="primary-exm55-measure-population-exclusion"/> 
      <code> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> 
          <code value="measure-population-exclusion"/> 
          <display value="Measure Population Exclusion"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql-identifier"/> 
        <expression value="Measure Population Exclusion"/> 
      </criteria> 
    </population> 
    <population> 
      <linkId value="primary-exm55-measure-population-identifier"/> 
      <code> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> 
          <code value="measure-observation"/> 
          <display value="Measure Observation"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql-identifier"/> 
        <expression value="Measure Observation"/> 
      </criteria> 
      <inputPopulationId value="measure-population-identifier"/> 
      <aggregateMethod> 
        <coding> 
          <system value="http://hl7.org/fhir/CodeSystem/measure-aggregate-method"/> 
          <code value="median"/> 
          <display value="Median"/> 
        </coding> 
      </aggregateMethod> 
    </population> 
    <stratifier> 
      <linkId value="primary-exm55-stratification-1"/> 
      <code> 
        <coding> 
          <system value="http://example.org/stratification"/> 
          <code value="Stratification 1"/> 
          <display value="Stratification 1"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql-identifier"/> 
        <expression value="Stratification 1"/> 
      </criteria> 
    </stratifier> 
    <stratifier> 
      <linkId value="primary-exm55-stratification-2"/> 
      <code> 
        <coding> 
          <system value="http://example.org/stratification"/> 
          <code value="Stratification 2"/> 
          <display value="Stratification 2"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql-identifier"/> 
        <expression value="Stratification 2"/> 
      </criteria> 
    </stratifier> 
    <stratifier> 
      <linkId value="primary-exm55-stratification-3"/> 
      <code> 
        <coding> 
          <system value="http://example.org/stratification"/> 
          <code value="Stratification 3"/> 
          <display value="Stratification 3"/> 
        </coding> 
      </code> 
      <criteria> 
        <language value="text/cql-identifier"/> 
        <expression value="Stratification 3"/> 
      </criteria> 
    </stratifier> 
  </group> 
</Measure>