Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures 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/davinci-deqm/ and changes regularly. See the Directory of published versions

: Measure - Supporting Evidence

Page standards status: Informative

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{
  "resourceType" : "Measure",
  "id" : "SupportingEvidenceExample",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">SupportingEvidenceMeasure</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">Supporting Evidence Measure</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>This is an example of a Maasure using Supporing Evidence</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"http://www.hl7.org/Special/committees/cqi\">http://www.hl7.org/Special/committees/cqi</a></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">1.0.0-ballot</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring ratio}\">Ratio</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n  \n    \n    <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria (ID: group-1)</th>\n\n</tr>\n  \n  \n  \n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: initial-population\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#supportingevidenceexample-initial-population-boolean\">Initial Population Boolean</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: denominator\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#supportingevidenceexample-denominator-boolean\">Denominator Boolean</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Denominator Exclusion</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: denominator-exclusion\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#supportingevidenceexample-denominator-exclusion-boolean\">Denominator Exclusion Boolean</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Numerator Exclusion</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: numerator-exclusion\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#supportingevidenceexample-numerator-exclusion-boolean\">Numerator Exclusion Boolean</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n    <tr>\n      \n        \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: numerator\n        <br/>\n        \n        \n          <em>Description</em>: No description provided\n        \n        \n          \n            \n            <em>Logic Definition</em>: <a href=\"#supportingevidenceexample-numerator-boolean\">Numerator Boolean</a> \n          \n        \n      </td>\n    </tr>\n  \n\n  \n  \n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><code>https://madie.cms.gov/Library/SupportingEvidenceExample</code></td>\n</tr>\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "https://madie.cms.gov/Measure/SupportingEvidenceExample",
  "version" : "1.0.0-ballot",
  "name" : "SupportingEvidenceMeasure",
  "title" : "Supporting Evidence Measure",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-03-24T20:19:58+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "This is an example of a Maasure using Supporing Evidence",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "library" : [
    "https://madie.cms.gov/Library/SupportingEvidenceExample"
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "ratio"
      }
    ]
  },
  "group" : [
    {
      "id" : "group-1",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
          "valueCode" : "boolean"
        }
      ],
      "population" : [
        {
          "id" : "initial-population",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population",
                "display" : "Initial Population"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Initial Population Boolean"
          }
        },
        {
          "id" : "denominator",
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "always-true",
                      "display" : "Always True"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is always true",
                "name" : "AlwaysTrue",
                "language" : "text/cql-identifier",
                "expression" : "always true"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "denominator-resource",
                      "display" : "Denominator Resource"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a Denominator Resource",
                "name" : "DenominatorResource",
                "language" : "text/cql-identifier",
                "expression" : "Denominator Resource"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "list-of-boolean",
                      "display" : "List of Boolean"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of boolean",
                "name" : "ListOfBoolean",
                "language" : "text/cql-identifier",
                "expression" : "list of boolean"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "string",
                      "display" : "String"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a string",
                "name" : "String",
                "language" : "text/cql-identifier",
                "expression" : "string"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "date",
                      "display" : "Date"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a date",
                "name" : "Date",
                "language" : "text/cql-identifier",
                "expression" : "date"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "decimal",
                      "display" : "Decimal"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a decimal",
                "name" : "Decimal",
                "language" : "text/cql-identifier",
                "expression" : "decimal"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "number",
                      "display" : "Number"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a number",
                "name" : "Number",
                "language" : "text/cql-identifier",
                "expression" : "number"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "list-of-dates",
                      "display" : "List of Dates"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of dates",
                "name" : "ListOfDates",
                "language" : "text/cql-identifier",
                "expression" : "list of dates"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "list-of-numbers",
                      "display" : "List of Numbers"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of numbers",
                "name" : "ListOfNumbers",
                "language" : "text/cql-identifier",
                "expression" : "list of numbers"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "list-of-string",
                      "display" : "List of String"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of string",
                "name" : "ListOfString",
                "language" : "text/cql-identifier",
                "expression" : "list of string"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "test-tuple",
                      "display" : "Test Tuple"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a tuple",
                "name" : "TestTuple",
                "language" : "text/cql-identifier",
                "expression" : "test tuple"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "interval",
                      "display" : "Interval"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is an interval",
                "name" : "Interval",
                "language" : "text/cql-identifier",
                "expression" : "interval"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "test-interval-list",
                      "display" : "Test Interval List"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of intervals",
                "name" : "TestIntervalList",
                "language" : "text/cql-identifier",
                "expression" : "TestIntervalList"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "test-decimal-list",
                      "display" : "Test Decimal List"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of decimals",
                "name" : "TestDecimalList",
                "language" : "text/cql-identifier",
                "expression" : "TestDecimalList"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "test-code",
                      "display" : "Test Code"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a code",
                "name" : "TestCode",
                "language" : "text/cql-identifier",
                "expression" : "test code"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "empty-list-example",
                      "display" : "Empty List Example"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is an empty list",
                "name" : "EmptyListExample",
                "language" : "text/cql-identifier",
                "expression" : "EmptyListExample"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "null-example",
                      "display" : "Null Example"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a null",
                "name" : "NullExample",
                "language" : "text/cql-identifier",
                "expression" : "NullExample"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "patient-resource",
                      "display" : "Patient Resource"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a Patient Resource",
                "name" : "PatientResource",
                "language" : "text/cql-identifier",
                "expression" : "PatientRes"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition",
              "valueExpression" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expressionCode",
                    "valueCoding" : {
                      "system" : "http://example.org/fhir/CodeSystem/example-supporting-evidence-codes",
                      "code" : "list-test-tuple",
                      "display" : "List Test Tuple"
                    }
                  }
                ],
                "description" : "Example of supporting evidence that is a list of tuples",
                "name" : "ListTestTuple",
                "language" : "text/cql-identifier",
                "expression" : "list test tuple"
              }
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator",
                "display" : "Denominator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Denominator Boolean"
          }
        },
        {
          "id" : "denominator-exclusion",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator-exclusion",
                "display" : "Denominator Exclusion"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Denominator Exclusion Boolean"
          }
        },
        {
          "id" : "numerator-exclusion",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator-exclusion",
                "display" : "Numerator Exclusion"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Numerator Exclusion Boolean"
          }
        },
        {
          "id" : "numerator",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator",
                "display" : "Numerator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Numerator Boolean"
          }
        }
      ]
    }
  ]
}