{
  "resourceType" : "Measure",
  "id" : "HOBExample",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">2026.1.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n\n<td class=\"content-container\">Draft</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: o-cob-prevalence-rate)</th>\n\n\n</tr>\n  \n  \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Summary</th>\n\n\n\n<td class=\"content-container\">O-COB Prevalence Rate</td>\n\n\n</tr>\n\n  \n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Basis</th>\n\n\n\n<td class=\"content-container\">Encounter</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Proportion\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n  \n  \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: o-cob-ip\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Outpatient (ED/OBS) encounters occurring within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: O-COB Prevalence Rate Initial Population\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: o-cob-denom\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Outpatient (ED/OBS) encounters occurring within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: O-COB Prevalence Rate Denominator\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: o-cob-numer\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Number of outpatient O-COB events occurring within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: Numerator\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n  \n\n\n  \n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: cob-prevalence-rate)</th>\n\n\n</tr>\n  \n  \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Summary</th>\n\n\n\n<td class=\"content-container\">COB Prevalence Rate</td>\n\n\n</tr>\n\n  \n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Basis</th>\n\n\n\n<td class=\"content-container\">Encounter</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Proportion\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n  \n  \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: cob-ip\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: COB Prevalence Rate Initial Population\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: cob-denom\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: COB Prevalence Rate Denominator\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: cob-numer\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient COB events occurring within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: Numerator\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n  \n\n\n  \n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: hob-crude-risk)</th>\n\n\n</tr>\n  \n  \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Summary</th>\n\n\n\n<td class=\"content-container\">HOB Crude Risk</td>\n\n\n</tr>\n\n  \n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Basis</th>\n\n\n\n<td class=\"content-container\">Encounter</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Proportion\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n  \n  \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-crude-ip\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: HOB Crude Risk Initial Population\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-crude-denom\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: HOB Crude Risk Denominator\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-crude-numer\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Number of inpatient stays with at least one HOB event occurring within the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: Numerator\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n  \n\n\n  \n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: hob-incidence)</th>\n\n\n</tr>\n  \n  \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Summary</th>\n\n\n\n<td class=\"content-container\">HOB Incidence Density</td>\n\n\n</tr>\n\n  \n  \n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Basis</th>\n\n\n\n<td class=\"content-container\">Encounter</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Ratio\n\n\n</td>\n\n\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Scoring Unit</th>\n\n\n\n<td class=\"content-container\">\n    per 100 eligible patient days\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n  \n  \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-incidence-ip\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient stay with days eligible for a hospital-onset event during the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: HOB Incidence Initial Population\n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-incidence-denom\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Inpatient stay with days eligible for a hospital-onset event during the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: Denominator\n            \n          \n          \n        \n        \n          <br/><em>Input Population</em>: hob-incidence-ip\n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-incidence-numer\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">HOB Event</p>\n        \n        \n          \n            \n              <em>Criteria</em>: HOB Incidence Numerator\n            \n          \n          \n        \n        \n          <br/><em>Input Population</em>: hob-incidence-ip\n        \n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n    \n      \n    \n\n    \n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Measure Observation</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-incidence-denom-obs\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Number of inipatient days eligible for a hospital-onset event during the measurement period</p>\n        \n        \n          \n            \n              <em>Criteria</em>: HOB Incidence Denominator Observation\n            \n          \n          \n        \n        \n          <br/><em>Input Population</em>: hob-incidence-denom\n        \n        \n          <em>AggregateMethod</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-aggregate-method sum}\">Sum</span>\n        \n      </td>\n    </tr>\n  \n\n      \n        \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Measure Observation</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: hob-incidence-numer-obs\n        <br/>\n        \n        \n          <em>Description</em>:\n          <p style=\"white-space: pre-line\" class=\"tab-one\">Number of HOB Events</p>\n        \n        \n          \n            \n              <em>Criteria</em>: HOB Incidence Numerator Observation\n            \n          \n          \n        \n        \n          <br/><em>Input Population</em>: hob-incidence-numer\n        \n        \n          <em>AggregateMethod</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-aggregate-method sum}\">Sum</span>\n        \n      </td>\n    </tr>\n  \n\n      \n    \n\n  \n\n\n  \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n\n<td class=\"content-container\"><a href=\"Library-HOB.html\">HOB Elements and Logic</a></td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.6-cibuild of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "https://madie.cms.gov/Measure/HOBExample",
  "version" : "2026.1.0",
  "status" : "draft",
  "date" : "2026-07-30T20:17:17+00:00",
  "library" : ["https://madie.cms.gov/Library/HOB"],
  "group" : [{
    "id" : "o-cob-prevalence-rate",
    "extension" : [{
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "o-cob-prevalence-rate"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Encounter"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "proportion",
          "display" : "Proportion"
        }]
      }
    }],
    "description" : "O-COB Prevalence Rate",
    "population" : [{
      "id" : "o-cob-ip",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "o-cob-ip"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population",
          "display" : "Initial Population"
        }]
      },
      "description" : "Outpatient (ED/OBS) encounters occurring within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "O-COB Prevalence Rate Initial Population"
      }
    },
    {
      "id" : "o-cob-denom",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "o-cob-denom"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator",
          "display" : "Denominator"
        }]
      },
      "description" : "Outpatient (ED/OBS) encounters occurring within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "O-COB Prevalence Rate Denominator"
      }
    },
    {
      "id" : "o-cob-numer",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "o-cob-numer"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "numerator",
          "display" : "Numerator"
        }]
      },
      "description" : "Number of outpatient O-COB events occurring within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Numerator"
      }
    }]
  },
  {
    "id" : "cob-prevalence-rate",
    "extension" : [{
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "cob-prevalence-rate"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Encounter"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "proportion",
          "display" : "Proportion"
        }]
      }
    }],
    "description" : "COB Prevalence Rate",
    "population" : [{
      "id" : "cob-ip",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "cob-ip"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population",
          "display" : "Initial Population"
        }]
      },
      "description" : "Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "COB Prevalence Rate Initial Population"
      }
    },
    {
      "id" : "cob-denom",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "cob-denom"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator",
          "display" : "Denominator"
        }]
      },
      "description" : "Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "COB Prevalence Rate Denominator"
      }
    },
    {
      "id" : "cob-numer",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "cob-numer"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "numerator",
          "display" : "Numerator"
        }]
      },
      "description" : "Inpatient COB events occurring within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Numerator"
      }
    }]
  },
  {
    "id" : "hob-crude-risk",
    "extension" : [{
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "hob-crude-risk"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Encounter"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "proportion",
          "display" : "Proportion"
        }]
      }
    }],
    "description" : "HOB Crude Risk",
    "population" : [{
      "id" : "hob-crude-ip",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-crude-ip"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population",
          "display" : "Initial Population"
        }]
      },
      "description" : "Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "HOB Crude Risk Initial Population"
      }
    },
    {
      "id" : "hob-crude-denom",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-crude-denom"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator",
          "display" : "Denominator"
        }]
      },
      "description" : "Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "HOB Crude Risk Denominator"
      }
    },
    {
      "id" : "hob-crude-numer",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-crude-numer"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "numerator",
          "display" : "Numerator"
        }]
      },
      "description" : "Number of inpatient stays with at least one HOB event occurring within the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Numerator"
      }
    }]
  },
  {
    "id" : "hob-incidence",
    "extension" : [{
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "hob-incidence"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Encounter"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "ratio",
          "display" : "Ratio"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://unitsofmeasure.org",
          "code" : "/100.d",
          "display" : "per 100 eligible patient days"
        }]
      }
    }],
    "description" : "HOB Incidence Density",
    "population" : [{
      "id" : "hob-incidence-ip",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-incidence-ip"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population",
          "display" : "Initial Population"
        }]
      },
      "description" : "Inpatient stay with days eligible for a hospital-onset event during the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "HOB Incidence Initial Population"
      }
    },
    {
      "id" : "hob-incidence-denom",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-incidence-denom"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
        "valueString" : "hob-incidence-ip"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator",
          "display" : "Denominator"
        }]
      },
      "description" : "Inpatient stay with days eligible for a hospital-onset event during the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Denominator"
      }
    },
    {
      "id" : "hob-incidence-denom-obs",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-incidence-denom-obs"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
        "valueString" : "hob-incidence-denom"
      },
      {
        "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/measure-aggregate-method",
            "code" : "sum",
            "display" : "Sum"
          }]
        }
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "measure-observation",
          "display" : "Measure Observation"
        }]
      },
      "description" : "Number of inipatient days eligible for a hospital-onset event during the measurement period",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "HOB Incidence Denominator Observation"
      }
    },
    {
      "id" : "hob-incidence-numer",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-incidence-numer"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
        "valueString" : "hob-incidence-ip"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "numerator",
          "display" : "Numerator"
        }]
      },
      "description" : "HOB Event",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "HOB Incidence Numerator"
      }
    },
    {
      "id" : "hob-incidence-numer-obs",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "hob-incidence-numer-obs"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
        "valueString" : "hob-incidence-numer"
      },
      {
        "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/measure-aggregate-method",
            "code" : "sum",
            "display" : "Sum"
          }]
        }
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "measure-observation",
          "display" : "Measure Observation"
        }]
      },
      "description" : "Number of HOB Events",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "HOB Incidence Numerator Observation"
      }
    }]
  }]
}