Quality Measure Implementation Guide
1.0.0-ballot - ballot International flag

Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

: EXM Measure - XML Representation

Active as of 2022-02-22

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<Measure xmlns="http://hl7.org/fhir">
  <id value="EXMLogic-FHIR"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/executable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cql-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/elm-measure-cqfm"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>

<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>

</tr>

<tr>

<th scope="row" class="row-header">Name (machine-readable)</th>

<td class="content-container">MeasureEXM</td>
</tr>


<tr>

<th scope="row" class="row-header">Title (human-readable)</th>

<td class="content-container">EXM Measure</td>
</tr>



<tr>

<th scope="row" class="row-header">Status</th>

<td class="content-container">Active</td>
</tr>


<tr>

<th scope="row" class="row-header">Experimental</th>

<td class="content-container">true</td>
</tr>


<tr>

<th scope="row" class="row-header">Description</th>

<td class="content-container"><div><p>An example FHIR-based measure</p>
</div></td>
</tr>


<tr>

<th scope="row" class="row-header">Purpose</th>

<td class="content-container"><div><p>This measure has been developed to support improvement in clinical care.</p>
</div></td>
</tr>


<tr>

<th scope="row" class="row-header">Clinical Usage</th>

<td class="content-container">Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure.</td>
</tr>


<tr>

<th scope="row" class="row-header">Approval Date</th>

<td class="content-container">2019-02-17</td>
</tr>




<tr>

<th scope="row" class="row-header">Effective Period</th>

<td class="content-container">2018-01-01..2018-12-31</td>
</tr>



<tr>

<th scope="row" class="row-header">Use Context</th>

<td class="content-container"><span title="{http://terminology.hl7.org/CodeSystem/usage-context-type venue}">Venue</span> = <span title="Codes:{http://hl7.org/fhir/uv/cqfmeasures/CodeSystem/intended-venue-codes ec}">EC</span></td>
</tr>


<tr>

<th scope="row" class="row-header">Topic</th>

<td class="content-container"><span title="Codes:{http://loinc.org 57024-2}">Health Quality Measure Document</span></td>
</tr>


<tr>

<th scope="row" class="row-header">Measure Developer</th>

<td class="content-container">Example Measure Content Developer: </td>
</tr>





<tr>

<th scope="row" class="row-header">Measure Steward</th>

<td class="content-container">HL7 International / Clinical Quality Information</td>
</tr>


<tr>

<th scope="row" class="row-header">Steward Contact Details</th>

<td class="content-container"><a href="http://www.hl7.org/Special/committees/cqi">http://www.hl7.org/Special/committees/cqi</a></td>
</tr>


<tr>

<th scope="row" class="row-header">Copyright</th>

<td class="content-container"><div><p>Example Copyright Statement</p>
</div></td>
</tr>




  
    
<tr>

<th scope="row" class="row-header">Comment</th>

<td class="content-container"><div><p>This illustrates an example comment</p>
</div></td>
</tr>

  







<tr>

<th colspan="2" scope="row" class="row-header">Measure Metadata</th>

</tr>






<tr>

<th scope="row" class="row-header">Version Number</th>

<td class="content-container">2.0.0</td>
</tr>


<tr>

<th scope="row" class="row-header">Measure Scoring</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">Proportion</span></td>
</tr>



<tr>

<th scope="row" class="row-header">Measure Type</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}">Process</span></td>
</tr>


<tr>

<th scope="row" class="row-header">Risk Adjustment</th>

<td class="content-container">Risk adjustment for this measure is performed by...</td>
</tr>


<tr>

<th scope="row" class="row-header">Rate Aggregation</th>

<td class="content-container">Rate aggregation for this measure is performed by...</td>
</tr>


<tr>

<th scope="row" class="row-header">Rationale</th>

<td class="content-container"><div><p>The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented.</p>
</div></td>
</tr>


<tr>

<th scope="row" class="row-header">Clinical Recommendation Statement</th>

<td class="content-container"><div><p>The clinical recommendation statement for this measure is...</p>
</div></td>
</tr>


<tr>

<th scope="row" class="row-header">Improvement Notation</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></td>
</tr>



<tr>

<th scope="row" class="row-header">Guidance</th>

<td class="content-container"><div><p>Additional guidance provided to help communicate the intent of the measure</p>
</div></td>
</tr>






  
    
    <tr>

<th colspan="2" scope="row" class="row-header">Measure Population Criteria (ID: group-1)</th>

</tr>
  
  
  
  
    <tr>
      
        
<th scope="row" class="row-header">Initial Population</th>

      
      <td class="content-container">
        
        <em>ID</em>: initial-population-1
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmlogic-fhir-initial-population">Initial Population</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Numerator</th>

      
      <td class="content-container">
        
        <em>ID</em>: numerator
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmlogic-fhir-numerator">Numerator</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Denominator</th>

      
      <td class="content-container">
        
        <em>ID</em>: denominator
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmlogic-fhir-denominator">Denominator</a> 
          
        
      </td>
    </tr>
  

  
<tr>
  
<th scope="row" class="row-header">Stratifier</th>

  <td class="content-container">
    
      <em>ID</em>: stratifier-1
      
        <br/>
      
    
    
      
        <em>Code</em>: <span title="Codes:">Stratifier 1</span>
      
      
    
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Stratifier</th>

  <td class="content-container">
    
      <em>ID</em>: stratifier-2
      
        <br/>
      
    
    
      
        <em>Code</em>: <span title="Codes:">Stratifier 2</span>
      
      
    
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Stratifier</th>

  <td class="content-container">
    
      <em>ID</em>: stratifier-3
      
        <br/>
      
    
    
      
        <em>Code</em>: <span title="Codes:">Stratifier 3</span>
      
      
    
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Stratifier</th>

  <td class="content-container">
    
      <em>ID</em>: stratifier-4
      
        <br/>
      
    
    
      
        <em>Code</em>: <span title="Codes:">Stratifier 4</span>
      
      
    
    
  </td>
</tr>

  











  <tr>

<th colspan="2" scope="row" class="row-header">Supplemental Data Elements</th>

</tr>


<tr>
  
<th scope="row" class="row-header">Supplemental Data Element</th>

  <td class="content-container">
    
      <em>ID</em>: sde-ethnicity
      
      <br/>
      
    
    
      
        
          <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>
        
        <br/>
      
    
    
      <em>Description</em>: No description provided
    
    
      
        <br/>
        
        <em>Logic Definition</em>: <a href="#exmlogic-fhir-sde-ethnicity">SDE Ethnicity</a> 
      
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Supplemental Data Element</th>

  <td class="content-container">
    
      <em>ID</em>: sde-race
      
      <br/>
      
    
    
      
        
          <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>
        
        <br/>
      
    
    
      <em>Description</em>: No description provided
    
    
      
        <br/>
        
        <em>Logic Definition</em>: <a href="#exmlogic-fhir-sde-race">SDE Race</a> 
      
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Supplemental Data Element</th>

  <td class="content-container">
    
      <em>ID</em>: sde-payer
      
      <br/>
      
    
    
      
        
          <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>
        
        <br/>
      
    
    
      <em>Description</em>: No description provided
    
    
      
        <br/>
        
        <em>Logic Definition</em>: <a href="#exmlogic-fhir-sde-payer">SDE Payer</a> 
      
    
  </td>
</tr>

<tr>
  
<th scope="row" class="row-header">Supplemental Data Element</th>

  <td class="content-container">
    
      <em>ID</em>: sde-sex
      
      <br/>
      
    
    
      
        
          <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>
        
        <br/>
      
    
    
      <em>Description</em>: No description provided
    
    
      
        <br/>
        
        <em>Logic Definition</em>: <a href="#exmlogic-fhir-sde-sex">SDE Sex</a> 
      
    
  </td>
</tr>


<tr>

<th colspan="2" scope="row" class="row-header">Measure Logic</th>

</tr>

<tr>

<th scope="row" class="row-header">Primary Library</th>

<td class="content-container"><a href="Library-EXMLogic-FHIR.html">Example Logic Library</a></td>
</tr>




  
  

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Library FHIRHelpers
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Code system Diagnosis Role
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-diagnosis-role.html">Diagnosis Role</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Value set Payer
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  
<th scope="row" class="row-header">Dependency</th>

  
  <td class="content-container">
    
    <em>Description</em>: Value set Psychiatric/Mental Health Patient
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</tt>
    
  </td>
</tr>


  
  <tr>
    <th scope="row" class="row-header">Direct Reference Code</th>
    <td class="content-container">
      
        <em>Display</em>: Billing
        <br/>
      
      <em>Code</em>: billing
      <br/>
      <em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>
    </td>
  </tr>

  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Measurement Period
    <br/>
    <em>Use</em>: In
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: Period
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: SDE Sex
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: 1
    <br/>
    <em>Type</em>: Coding
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Stratifier 3
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Encounter
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Stratifier 4
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Encounter
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: SDE Payer
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Resource
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Initial Population
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Encounter
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: SDE Ethnicity
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Coding
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: SDE Race
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Coding
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Stratifier 1
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Encounter
  </td>
</tr>
  
  <tr>
  
<th scope="row" class="row-header">Parameter</th>

  <td class="content-container">
    <em>Name</em>: Stratifier 2
    <br/>
    <em>Use</em>: Out
    <br/>
    <em>Min Cardinality</em>: 0
    <br/>
    <em>Max Cardinality</em>: *
    <br/>
    <em>Type</em>: Encounter
  </td>
</tr>
  
  
  <tr>
    <th colspan="2" scope="row" class="section-header"><a name="effective-data-requirements"> </a>Measure Logic Data Requirements</th>
  </tr>
  
  
<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Patient
    <br/>
  
    <em>Profile(s)</em>: 
  
    <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</code>
    <br/>        
  
   
   
   
  </td>
</tr>

<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Patient
    <br/>
  
    <em>Profile(s)</em>: 
  
    <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</code>
    <br/>        
  
   
   
    <em>Must Support Elements</em>: url, extension, value
    <br/>
   
   
  </td>
</tr>

<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Patient
    <br/>
  
    <em>Profile(s)</em>: 
  
    <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</code>
    <br/>        
  
   
   
    <em>Must Support Elements</em>: url, extension, value
    <br/>
   
  
    <em>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: url</span>
    <br/>
  
  
  
  
    <span class="tab-one"><em>Code</em>: </span>
    <br/>
  
  
   
  </td>
</tr>

<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Encounter
    <br/>
  
    <em>Profile(s)</em>: 
  
    <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>
    <br/>        
  
   
   
    <em>Must Support Elements</em>: period
    <br/>
   
   
  </td>
</tr>

<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Coverage
    <br/>
  
    <em>Profile(s)</em>: 
  
    <a href="http://hl7.org/fhir/R4/coverage.html">Coverage</a>
    <br/>        
  
   
   
    <em>Must Support Elements</em>: type, period
    <br/>
   
  
    <em>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: type</span>
    <br/>
  
  
  
    <span class="tab-one"><em>ValueSet</em>:</span> <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</code>
    <br/> 
  
  
  
   
  </td>
</tr>

  
  <tr>

<th colspan="2" scope="row" class="row-header">Measure Logic Definitions</th>

</tr>
  
          
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-sde-sex"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Sex&quot;:
  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</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-inpatient-encounter"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Inpatient Encounter&quot; :
  [&quot;Encounter&quot;] Encounter
    where LengthInDays(Encounter.period) &lt;= 120
      and Encounter.period ends during &quot;Measurement Period&quot;</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-stratifier-3"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Stratifier 3&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where PrincipalDiagnosis(Encounter) is null</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-stratifier-4"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Stratifier 4&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where PrincipalDiagnosis(Encounter) is null</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-sde-payer"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Payer&quot;:
    [Coverage: type in &quot;Payer&quot;] Payer
      return {
        code: Payer.type,
        period: Payer.period
      }</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-initial-population"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot; :
  &quot;Inpatient Encounter&quot; Encounter</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-sde-ethnicity"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Ethnicity&quot;:
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-sde-race"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Race&quot;:
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-stratifier-1"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Stratifier 1&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where not (PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;)</code></pre>
  </td>

</tr>
        
<tr>
  <th scope="row" rowspan="2" class="row-header">
    
      
      <a name="exmlogic-fhir-stratifier-2"> </a>
    
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> EXMLogic-FHIR</td>

</tr>
<tr>

  <td>
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Stratifier 2&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;</code></pre>
  </td>

</tr>

  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
    </tbody>
  </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements-exmlogic"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"/>
      </meta>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
        <valueCoding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
          <code value="billing"/>
          <display value="Billing"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Sex"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Sex&quot;:
  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"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="Inpatient Encounter"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Inpatient Encounter&quot; :
  [&quot;Encounter&quot;] Encounter
    where LengthInDays(Encounter.period) &lt;= 120
      and Encounter.period ends during &quot;Measurement Period&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="Stratifier 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Stratifier 3&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where PrincipalDiagnosis(Encounter) is null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Stratifier 4"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Stratifier 4&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where PrincipalDiagnosis(Encounter) is null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Payer&quot;:
    [Coverage: type in &quot;Payer&quot;] Payer
      return {
        code: Payer.type,
        period: Payer.period
      }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Initial Population&quot; :
  &quot;Inpatient Encounter&quot; Encounter"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Ethnicity&quot;:
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Race&quot;:
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="Stratifier 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Stratifier 1&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where not (PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;)"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="EXMLogic-FHIR"/>
        </extension>
        <extension url="name">
          <valueString value="Stratifier 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Stratifier 2&quot; :
  &quot;Inpatient Encounter&quot; Encounter
    where PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <url
           value="http://hl7.org/fhir/uv/cqfmeasures/Library/effective-data-requirements-exmlogic"/>
      <version value="1.0.0"/>
      <name value="EffectiveDataRequirements"/>
      <title value="Module Definition Library - EXM Logic"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <description
                   value="This library is used as an example module definition in the FHIR Quality Measure Implementation Guide"/>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system Diagnosis Role"/>
        <resource
                  value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Payer"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psychiatric/Mental Health Patient"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="SDE Sex"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Stratifier 3"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="Stratifier 4"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="SDE Payer"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Resource"/>
      </parameter>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="SDE Ethnicity"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="SDE Race"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Stratifier 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="Stratifier 2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <dataRequirement>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
          <valueString value="Patient?_id={{context.patientId}}"/>
        </extension>
        <type value="Patient"/>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
      </dataRequirement>
      <dataRequirement>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
          <valueString value="Patient?_id={{context.patientId}}"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-valueFilter">
          <extension url="path">
            <valueString value="url"/>
          </extension>
          <extension url="comparator">
            <valueCode value="eq"/>
          </extension>
          <extension url="value">
            <valueString
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"/>
          </extension>
        </extension>
        <type value="Patient"/>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        <mustSupport value="url"/>
        <mustSupport value="extension"/>
        <mustSupport value="value"/>
      </dataRequirement>
      <dataRequirement>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
          <valueString value="Patient?_id={{context.patientId}}"/>
        </extension>
        <type value="Patient"/>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        <mustSupport value="url"/>
        <mustSupport value="extension"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="url"/>
          <code>
            <system value="urn:ietf:rfc:3986"/>
            <code
                  value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
          <valueString
                       value="Encounter?subject=Patient/{{context.patientId}}"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-isSelective">
          <valueBoolean value="true"/>
        </extension>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="period"/>
        <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>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern">
          <valueString
                       value="Coverage?policy-holder=Patient/{{context.patientId}}&amp;type:in=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
        </extension>
        <type value="Coverage"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
        <mustSupport value="type"/>
        <mustSupport value="period"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-artifactComment">
    <extension url="type">
      <valueCode value="documentation"/>
    </extension>
    <extension url="text">
      <valueMarkdown value="This illustrates an example comment"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
    <valueReference>🔗 
      <reference value="Device/software-system-example"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements-exmlogic"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision">
    <valuePositiveInt value="2"/>
  </extension>
  <url value="http://hl7.org/fhir/uv/cqfmeasures/Measure/EXMLogic-FHIR"/>
  <identifier>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="EXM"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="MeasureEXM"/>
  <title value="EXM Measure"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2022-02-22"/>
  <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="An example FHIR-based measure"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="venue"/>
      <display value="Venue"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cqfmeasures/CodeSystem/intended-venue-codes"/>
        <code value="ec"/>
        <display value="EC"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This measure has been developed to support improvement in clinical care."/>
  <usage
         value="Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure."/>
  <copyright value="Example Copyright Statement"/>
  <approvalDate value="2019-02-17"/>
  <lastReviewDate value="2019-02-17"/>
  <effectivePeriod>
    <extension
               url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor">
      <valueDateTime value="2018-01-01"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration">
      <valueDuration>
        <value value="1"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </valueDuration>
    </extension>
    <start value="2018-01-01"/>
    <end value="2018-12-31"/>
  </effectivePeriod>
  <topic>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57024-2"/>
    </coding>
    <text value="Health Quality Measure Document"/>
  </topic>
  <author>
    <name value="Example Measure Content Developer"/>
  </author>
  <library value="http://hl7.org/fhir/uv/cqfmeasures/Library/EXMLogic-FHIR"/>
  <disclaimer value="Example disclaimer"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <riskAdjustment
                  value="Risk adjustment for this measure is performed by..."/>
  <rateAggregation
                   value="Rate aggregation for this measure is performed by..."/>
  <rationale
             value="The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented."/>
  <clinicalRecommendationStatement
                                   value="The clinical recommendation statement for this measure is..."/>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
      <display value="Increased score indicates improvement"/>
    </coding>
  </improvementNotation>
  <guidance
            value="Additional guidance provided to help communicate the intent of the measure"/>
  <group id="group-1">
    <code>
      <coding>
        <system value="http://example.org/group"/>
        <code value="group"/>
        <display value="group-1"/>
      </coding>
    </code>
    <population id="initial-population-1">
      <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="numerator">
      <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>
    <population id="denominator">
      <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>
    <stratifier id="stratifier-1">
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 1"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 1"/>
      </criteria>
    </stratifier>
    <stratifier id="stratifier-2">
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 2"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 2"/>
      </criteria>
    </stratifier>
    <stratifier id="stratifier-3">
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 3"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 3"/>
      </criteria>
    </stratifier>
    <stratifier id="stratifier-4">
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 4"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 4"/>
      </criteria>
    </stratifier>
  </group>
  <supplementalData id="sde-ethnicity">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Ethnicity"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-race">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Race"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-payer">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Payer"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-sex">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Sex"/>
    </criteria>
  </supplementalData>
</Measure>