<?xml version="1.0" encoding="UTF-8"?><Measure xmlns="http://hl7.org/fhir">
  <id value="measure-EXM55-FHIR"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <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>
      <content>
        <contentType value="text/cql"/>
        <data value="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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>