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Your User Friendly Name for MyContentIG Here, published by HL7 International - [Some] Work Group. This guide is not an authorized publication; it is the continuous build for version 0.5.3-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/sample-content-ig/ and changes regularly. See the Directory of published versions

: HR Example Ratio (Measure Name in Details Tab of MADiE UI) - XML Representation

Draft as of 2025-09-30

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<Measure xmlns="http://hl7.org/fhir">
  <id value="HRExampleRatioMeasure"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/elm-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-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">Metadata</th>


</tr>

<tr>


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



<td class="content-container">HR Example Ratio (Measure Name in Details Tab of MADiE UI)</td>


</tr>



<tr>


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



<td class="content-container">0.5.3-cibuild</td>


</tr>


  
<tr>


<th scope="row" class="row-header">Short Name</th>



<td class="content-container">HRExRati(eCQM Abbreviated Title)</td>


</tr>



  
<tr>


<th scope="row" class="row-header">GUID (Version Independent)</th>



<td class="content-container">urn:uuid:740197c5-a162-4947-ba39-e8f96c0e05fb</td>


</tr>



  
<tr>


<th scope="row" class="row-header">GUID (Version Specific)</th>



<td class="content-container">urn:uuid:7d7408c9-e203-4c34-bde5-39ef0558cb38</td>


</tr>




  
    
    
<tr>


<th scope="row" class="row-header">CMS Consensus Based Entity Identifier</th>



<td class="content-container">2EndorsementNumber</td>


</tr>

  



  
    
    
<tr>


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



<td class="content-container">2026-01-01 through 2026-12-31</td>


</tr>

  





<tr>


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



<td class="content-container">Draft</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">Use Context</th>



<td class="content-container">
    Venue

 = 
    EH


</td>


</tr>


<tr>


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



<td class="content-container">
    001 from <a href="http://unstats.un.org/unsd/methods/m49/m49.htm">http://unstats.un.org/unsd/methods/m49/m49.htm</a> 


</td>


</tr>








<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>



<td class="content-container">HL7 International - [Some] Work Group</td>


</tr>






<tr>


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



<td class="content-container">ESAC, Inc.</td>


</tr>



<tr>


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



<td class="content-container">ICF</td>


</tr>






<tr>


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



<td class="content-container"><div><p><strong>Description Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><strong>QDM equivalent: Description</strong></p>
</div></td>


</tr>



<tr>


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



<td class="content-container"><div><p><strong>Purpose Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><em>Conditional field, will not display if not populated.</em></p>
<p><strong>QDM Equivalent: N/A</strong></p>
</div></td>


</tr>



<tr>


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



<td class="content-container"><div><p><strong>Copyright Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><em>Displays &quot;UNKNOWN&quot; if not populated.</em></p>
<p><strong>QDM Equivalent: Copyright</strong></p>
</div></td>


</tr>


<tr>


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



<td class="content-container"><div><p><strong>Disclaimer Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><em>Displays &quot;UNKNOWN&quot; if not populated.</em></p>
<p><strong>QDM Equivalent: Disclaimer</strong></p>
</div></td>


</tr>













<tr>


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



<td class="content-container"><div><p><strong>Rationale Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><em>Conditional field, will not display if not populated.</em></p>
<p><strong>QDM Equivalent: Rationale</strong></p>
</div></td>


</tr>


<tr>


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



<td class="content-container"><div><p><strong>Clinical Recommendation Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><em>Conditional field, will not display if not populated.</em></p>
<p><strong>QDM Equivalent: Clinical Recommendation Statement</strong></p>
</div></td>


</tr>



<tr>
  
  
  
  

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


  
  
  
  <td class="content-container">
    
    
    
    <div><p><strong>CITATION References Section of Details Tab in MADiE UI</strong></p>
<ul>
<li>
<p>Type&quot; selected from drop down (Citation or Justification)</p>
</li>
<li>
<p>Reference&quot; free text after selection.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
</ul>
<p><em>Conditional field, will not display if not populated.</em></p>
<p><strong>QDM Equivalent: Reference</strong></p>
</div>
    
    
    
    
    
    
    
  </td>
</tr>

<tr>
  
  
  

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


  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: **JUSTIFICATION References Section of Details Tab in MADiE UI**

* &quot;Type&quot; selected from drop down (Citation or Justification)

* &quot;Reference&quot; free text after selection.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Reference**
    
    
    
    
    
    
    
    
  </td>
</tr>






  
  
<tr>


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



<td class="content-container">Definition Section of Details Tab in MADiE UI &quot;Term&quot; free text. Character limit not determined. QDM Equivalent: ?.: **Definition Section of Details Tab in MADiE UI**

* &quot;Definition&quot; free text.

* Character limit not determined

*Conditional field, will not display if not populated.*

**QDM Equivalent: Definition**</td>


</tr>



<tr>


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



<td class="content-container">**Guidance (Usage) Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Guidance**</td>


</tr>



  
  
  
    
    <tr>


<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Group_1)</th>


</tr>
  
  
    
<tr>


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



<td class="content-container">**Population Criteria 1 Description on Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

**QDM Equivalent: N/A**

**Populates Summary Field in FHIR human readable**

|                                                                        Additional MADiE Page Notes:                                                                         |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| * Measure type selectable from drop down, multi select; for this example selected all options.                                                                              |
| * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error.                                           |
| * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* |
| * Aggregate Function selectable from dropdown.                                                                                                                              |
| * Scoring Unit free text entry.                                                                                                                                             |
| * Scoring Precision selectable integers.                                                                                                                                    |</td>


</tr>

  
  
  
<tr>


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



<td class="content-container">boolean</td>


</tr>



  
<tr>


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



<td class="content-container">
    Ratio


</td>


</tr>



  
<tr>


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



<td class="content-container">
    Scoring Unit Field


</td>


</tr>



  
<tr>


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



<td class="content-container">1</td>


</tr>



  
<tr>


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



<td class="content-container">
    Increased score indicates improvement


</td>


</tr>



  
<tr>


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



<td class="content-container"><div><p><strong>Improvement Notation Description Field of Reporting Section on Population Criteria Tab of MADiE UI</strong></p>
<ul>
<li>
<p>Free text.</p>
</li>
<li>
<p>Character limit not determined.</p>
</li>
<li>
<p>Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement).</p>
</li>
</ul>
<p><strong>QDM Equivalent: Improvement Notation</strong></p>
</div></td>


</tr>





<tr>


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



<td class="content-container">
    Intermediate Outcome


</td>


</tr>

<tr>


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



<td class="content-container">
    Outcome


</td>


</tr>

<tr>


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



<td class="content-container">
    Patient Reported Outcome


</td>


</tr>

<tr>


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



<td class="content-container">
    Process


</td>


</tr>

<tr>


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



<td class="content-container">
    Structure


</td>


</tr>




  
  
    
    
    <tr>
      
        

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


      
      <td class="content-container">
        
        <em>ID</em>: InitialPopulation_1_1
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">**Initial Population Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Initial Population required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Initial Population**</p>
        
        
          
            
              
              <em>Criteria</em>: <a href="#Group_1-InitialPopulation_1_1">Initial Population</a> 
            
          
          
        
        
        
      </td>
    </tr>
  

  
    
    
    <tr>
      
        

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


      
      <td class="content-container">
        
        <em>ID</em>: InitialPopulation_1_2
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">**Initial Population 2 Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Initial Population required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Initial Population**</p>
        
        
          
            
              
              <em>Criteria</em>: <a href="#Group_1-InitialPopulation_1_2">Initial Population2</a> 
            
          
          
        
        
        
      </td>
    </tr>
  

  
    
    
    <tr>
      
        

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


      
      <td class="content-container">
        
        <em>ID</em>: Denominator_1
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">**Denominator Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Denominator required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Denominator**</p>
        
        
          
            
              
              <em>Criteria</em>: <a href="#Group_1-Denominator_1">Denominator</a> 
            
          
          
        
        
          <br/><em>Input Population</em>: InitialPopulation_1_1
        
        
      </td>
    </tr>
  

  
    
    
    <tr>
      
        

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


      
      <td class="content-container">
        
        <em>ID</em>: DenominatorExclusion_1
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">**Denominator Exclusion Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab).

*Conditional field, will not display if not populated.*

**QDM Equivalent: Denominator Exclusion**</p>
        
        
          
            
              
              <em>Criteria</em>: <a href="#Group_1-DenominatorExclusion_1">Denominator Exclusions</a> 
            
          
          
        
        
        
      </td>
    </tr>
  

  
    
    
    <tr>
      
        

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


      
      <td class="content-container">
        
        <em>ID</em>: Numerator_1
        <br/>
        
        
          <em>Description</em>:
          <p style="white-space: pre-line" class="tab-one">**Numerator Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Numerator required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Numerator**</p>
        
        
          
            
              
              <em>Criteria</em>: <a href="#Group_1-Numerator_1">Numerator</a> 
            
          
          
        
        
          <br/><em>Input Population</em>: InitialPopulation_1_2
        
        
      </td>
    </tr>
  

  
<tr>
  

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


  <td class="content-container">
    
      <em>ID</em>: Stratification_1_1
      
        <br/>
      
    
    
    
      <em>Description</em>: **Stratification 1 Description in Stratifications Section of Population Criteria Tab of MADiE UI**

* Free Text.

* Character limit not determined.

Stratification 1 required field selected by dropdown (Defines from CQL Editor tab).

Association 1 appears to default to all defined populations.

*Conditional field, does not show if not populated.*

**QDM Equivalent: Stratification**
    
  </td>
</tr>

<tr>
  

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


  <td class="content-container">
    
      <em>ID</em>: Stratification_1_2
      
        <br/>
      
    
    
    
      <em>Description</em>: **Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI**

* Free Text.

* Character limit not determined.

Stratification 2 required field selected by dropdown (Defines from CQL Editor tab).

Association 2 appears to default to all defined populations.

*Conditional field, does not show if not populated.*

**QDM Equivalent: Stratification**
    
  </td>
</tr>



  
    
    
    
    
    
<tr>


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



<td class="content-container">&lt;p&gt;&lt;strong&gt;Supplemental Data Section of Population Criteria Tab of MADiE UI &lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
 &lt;li&gt;&lt;p&gt;Free text.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Character limit not determined.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Definition selected from dropdown (Defines in CQL Editor).&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.&lt;/p&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;em&gt;Conditional field, will not display if not populated. &lt;/em&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;QDM Equivalent: Supplemental Data Elements&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Populates Supplemental Data Guidance in FHIR human readable&lt;/strong&gt;&lt;/p&gt;</td>


</tr>

  

  
    
    
    
    
    
<tr>


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



<td class="content-container">&lt;p&gt;&lt;strong&gt;Risk Adjustment Section of Population Criteria Tab of MADiE UI &lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
 &lt;li&gt;&lt;p&gt;Free text.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Character limit not determined.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Definition selected from dropdown, multi select (Defines in CQL Editor).&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.&lt;/p&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;em&gt;Conditional field, will not display if not populated.&lt;/em&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;QDM Equivalent: Risk Adjustment&lt;/strong&gt;&lt;/p&gt;</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>: SDE Ethnicity
    
    
      
        <br/>
        
          
          <em>Logic Definition</em>: <a href="#hrexampleratiomeasurecqllibrary-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-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>: SDE Payer
    
    
      
        <br/>
        
          
          <em>Logic Definition</em>: <a href="#hrexampleratiomeasurecqllibrary-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-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>: SDE Race
    
    
      
        <br/>
        
          
          <em>Logic Definition</em>: <a href="#hrexampleratiomeasurecqllibrary-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-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>: SDE Sex
    
    
      
        <br/>
        
          
          <em>Logic Definition</em>: <a href="#hrexampleratiomeasurecqllibrary-sde-sex">SDE Sex</a> 
        
      
    
  </td>
</tr>

<tr>
  

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


  <td class="content-container">
    
      <em>ID</em>: rav-patient-too-young-at-start-of-measurement-period
      
      <br/>
      
    
    
      
        
          <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}">Risk Adjustment Factor</span>
        
        <br/>
      
    
    
      <em>Description</em>: RAV Patient Too Young at Start of Measurement Period
    
    
      
        <br/>
        
          
          <em>Logic Definition</em>: <a href="#hrexampleratiomeasurecqllibrary-rav-patient-too-young-at-start-of-measurement-period">RAV Patient Too Young at Start of Measurement Period</a> 
        
      
    
  </td>
</tr>

<tr>
  

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


  <td class="content-container">
    
      <em>ID</em>: rav-patient-too-old-at-start-of-measurement-period
      
      <br/>
      
    
    
      
        
          <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage risk-adjustment-factor}">Risk Adjustment Factor</span>
        
        <br/>
      
    
    
      <em>Description</em>: RAV Patient Too Old at Start of Measurement Period
    
    
      
        <br/>
        
          
          <em>Logic Definition</em>: <a href="#hrexampleratiomeasurecqllibrary-rav-patient-too-old-at-start-of-measurement-period">RAV Patient Too Old at Start of Measurement Period</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-HRExampleRatioMeasureCQLLibrary.html">HRExampleRatioMeasureCQLLibrary</a></td>


</tr>




<tr>
  <th scope="row" class="row-header">Contents</th>
  <td class="content-container">
    <em><a href="#population-criteria">Population Criteria</a></em>
    <br/>
    <em><a href="#definitions">Logic Definitions</a></em>
    <br/>
    <em><a href="#terminology">Terminology</a></em>
    <br/>
    <em><a href="#dependencies">Dependencies</a></em>
    <br/>
    <em><a href="#data-requirements">Data Requirements</a></em>
    <br/>
    <em><a href="#parameters">Parameters</a></em>
    <br/>
  </td>
</tr>


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>


</tr>
  
  
  

  
  
  
    
    <tr>


<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Group_1)</th>


</tr>
  
  
  
  
    
      
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            
              
            
            
            
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Initial Population
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
      
      <a name="Group_1-InitialPopulation_1_1"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;:
  AgeInYearsAt(date from 
    end of &quot;Measurement Period&quot;
  ) in Interval[18, 75]</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-initial-population"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
      
    
  

  
    
      
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            
              
            
            
            
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Initial Population
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
      
      <a name="Group_1-InitialPopulation_1_2"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population2&quot;:
  AgeInYearsAt(date from 
    end of &quot;Measurement Period&quot;
  ) in Interval[19, 76]</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-initial-population2"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
      
    
  

  
    
      
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            
              
            
            
            
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Denominator
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
      
      <a name="Group_1-Denominator_1"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator&quot;:
  &quot;Initial Population&quot;</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-denominator"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
      
    
  

  
    
      
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            
              
            
            
            
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Denominator Exclusion
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
      
      <a name="Group_1-DenominatorExclusion_1"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator Exclusions&quot;:
  &quot;Initial Population&quot;</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-denominator-exclusions"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
          
        
          
        
      
    
  

  
    
      
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            
              
            
            
            
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Numerator
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
      
      <a name="Group_1-Numerator_1"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator&quot;:
  &quot;Initial Population&quot;</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-numerator"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
      
    
  

  
  
    
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Stratifier
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Patient Age Less than 18 Years Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &lt; 18</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-patient-age-less-than-18-years-start-of-measurement-period"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
    
  

  
    
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
        
          
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Stratifier
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Patient Age 18 Years or Older at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt;= 18</code></pre>
    
      
      <a href="#hrexampleratiomeasurecqllibrary-patient-age-18-years-or-older-at-start-of-measurement-period"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
          
        
          
        
          
        
    
  

  

  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>


</tr>
  
  
          
        



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="supplementaldataelementsexample-sde-race"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Race&quot;:
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }</code></pre>
  </td>

</tr>



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="supplementaldataelementsexample-sde-sex"> </a>
    
    <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">
    Logic Definition
  </th>

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

</tr>
<tr>

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

</tr>



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="supplementaldataelementsexample-sde-ethnicity"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Ethnicity&quot;:
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }</code></pre>
  </td>

</tr>



        



        



        



        



        



        



        




        
        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-rav-patient-too-old-at-start-of-measurement-period"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;RAV Patient Too Old at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt; 80</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-rav-patient-too-young-at-start-of-measurement-period"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;RAV Patient Too Young at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &lt; 5</code></pre>
  </td>

</tr>



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-sde-race"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;</code></pre>
  </td>

</tr>



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

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

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-initial-population"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;:
  AgeInYearsAt(date from 
    end of &quot;Measurement Period&quot;
  ) in Interval[18, 75]</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-numerator"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator&quot;:
  &quot;Initial Population&quot;</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-patient-age-less-than-18-years-start-of-measurement-period"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Patient Age Less than 18 Years Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &lt; 18</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-denominator"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator&quot;:
  &quot;Initial Population&quot;</code></pre>
  </td>

</tr>



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-sde-payer"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;</code></pre>
  </td>

</tr>



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-sde-ethnicity"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-denominator-exclusions"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator Exclusions&quot;:
  &quot;Initial Population&quot;</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-patient-age-18-years-or-older-at-start-of-measurement-period"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Patient Age 18 Years or Older at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt;= 18</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="hrexampleratiomeasurecqllibrary-initial-population2"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population2&quot;:
  AgeInYearsAt(date from 
    end of &quot;Measurement Period&quot;
  ) in Interval[19, 76]</code></pre>
  </td>

</tr>



        



        



        




        
        



        



        



        



        



        



        



        



        



        



        



        



        



        



        



        



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="fhirhelpers-tostring"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value uri): value.value</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="fhirhelpers-tocode"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

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

</tr>
<tr>

  <td>
    
    
    
    
      <a name="fhirhelpers-tointerval"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        if period.&quot;start&quot; is null then
            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]
        else
            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]</code></pre>
  </td>

</tr>





  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>


</tr>
  
  
  

 

 


<tr>
  
  

<th scope="row" class="row-header">Value Set</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: Value set Payer Type
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a>
    <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 colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>


</tr>
  
  
  


<tr>
  

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


  <td class="content-container">
    
    <em>Description</em>: Library SDE
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="Library-SupplementalDataElementsExample.html">SupplementalDataElementsExample</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://somewhere.org/fhir/uv/mycontentig/Library/SupplementalDataElementsExample</tt>
    
  </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://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1</tt>
    
  </td>
</tr>
 

 


  
  






  <tr>


<th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>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>: 
  
    <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a>
    <br/>        
  
   
   
    <em>Must Support Elements</em>: url, extension
    <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/us/qicore/STU5/StructureDefinition-qicore-coverage.html">QICore 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> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a>
    <br/> 
  
  
  
   
  </td>
</tr>

  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>


</tr>
  
  
  <tr>
  

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


  <td class="content-container">
    <table>
      <thead>
        <tr>
          <td><em>Name</em></td>
          <td><em>Use</em></td>
          <td><em>Card.</em></td>
          <td><em>Type</em></td>
          <td><em>Documentation</em></td>
        </tr>
      </thead>
      <tbody>
      
        <tr>
          <td>Measurement Period</td>
          <td>In</td>
          <td>0..1</td>
          <td>Period</td>
          <td/>
        </tr>
      
        <tr>
          <td>RAV Patient Too Old at Start of Measurement Period</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>RAV Patient Too Young at Start of Measurement Period</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>SDE Race</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Resource</td>
          <td/>
        </tr>
      
        <tr>
          <td>SDE Sex</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Coding</td>
          <td/>
        </tr>
      
        <tr>
          <td>Numerator</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>Patient Age Less than 18 Years Start of Measurement Period</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>Denominator</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>SDE Payer</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Resource</td>
          <td/>
        </tr>
      
        <tr>
          <td>Initial Population</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>SDE Ethnicity</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Resource</td>
          <td/>
        </tr>
      
        <tr>
          <td>Denominator Exclusions</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>Patient Age 18 Years or Older at Start of Measurement Period</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
        <tr>
          <td>Initial Population2</td>
          <td>Out</td>
          <td>0..1</td>
          <td>boolean</td>
          <td/>
        </tr>
      
      </tbody>
    </table>
  </td>
</tr>

  
  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.3-cibuild of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString
                       value="RAV Patient Too Old at Start of Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;RAV Patient Too Old at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt; 80"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString
                       value="RAV Patient Too Young at Start of Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;RAV Patient Too Young at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &lt; 5"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElementsExample"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Race&quot;:
  Patient.race R
    return Tuple {
      codes: R.ombCategory union R.detailed,
      display: R.text
    }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Race&quot;:
  SDE.&quot;SDE Race&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElementsExample"/>
        </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="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Sex"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Sex&quot;:
  SDE.&quot;SDE Sex&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Initial Population&quot;:
  AgeInYearsAt(date from 
    end of &quot;Measurement Period&quot;
  ) in Interval[18, 75]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Numerator&quot;:
  &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Patient Age Less than 18 Years Start of Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Patient Age Less than 18 Years Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &lt; 18"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator&quot;:
  &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElementsExample"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Payer&quot;:
  [Coverage: type in &quot;Payer Type&quot;] Payer
    return {
      code: Payer.type,
      period: Payer.period
    }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Payer&quot;:
  SDE.&quot;SDE Payer&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElementsExample"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Ethnicity&quot;:
  Patient.ethnicity E
    return Tuple {
      codes: { E.ombCategory } union E.detailed,
      display: E.text
    }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Ethnicity&quot;:
  SDE.&quot;SDE Ethnicity&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator Exclusions"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator Exclusions&quot;:
  &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Patient Age 18 Years or Older at Start of Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Patient Age 18 Years or Older at Start of Measurement Period&quot;:
  AgeInYearsAt(date from start of &quot;Measurement Period&quot;) &gt;= 18"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="HRExampleRatioMeasureCQLLibrary"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Initial Population2&quot;:
  AgeInYearsAt(date from 
    end of &quot;Measurement Period&quot;
  ) in Interval[19, 76]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value uri): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToCode"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToCode(coding FHIR.Coding):
    if coding is null then
        null
    else
        System.Code {
          code: coding.code.value,
          system: coding.system.value,
          version: coding.version.value,
          display: coding.display.value
        }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToInterval"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToInterval(period FHIR.Period):
    if period is null then
        null
    else
        if period.&quot;start&quot; is null then
            Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]
        else
            Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="19"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library SDE"/>
        <resource
                  value="http://somewhere.org/fhir/uv/mycontentig/Library/SupplementalDataElementsExample"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://somewhere.org/fhir/uv/mycontentig/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Payer Type"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="RAV Patient Too Old at Start of Measurement Period"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="RAV Patient Too Young at Start of Measurement Period"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="SDE Race"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Resource"/>
      </parameter>
      <parameter>
        <name value="SDE Sex"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Numerator"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name
              value="Patient Age Less than 18 Years Start of Measurement Period"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Denominator"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </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="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="SDE Ethnicity"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Resource"/>
      </parameter>
      <parameter>
        <name value="Denominator Exclusions"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name
              value="Patient Age 18 Years or Older at Start of Measurement Period"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Initial Population2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        <mustSupport value="url"/>
        <mustSupport value="extension"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Coverage"/>
        <profile
                 value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-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/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance" id="supplementalDataGuidance">
    <extension url="guidance">
      <valueString
                   value="&lt;p&gt;&lt;strong&gt;Supplemental Data Section of Population Criteria Tab of MADiE UI &lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
 &lt;li&gt;&lt;p&gt;Free text.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Character limit not determined.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Definition selected from dropdown (Defines in CQL Editor).&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;For this example, selected SDE Payer, SDE Ethnicity, SDE Race and SDE Sex.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.&lt;/p&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;em&gt;Conditional field, will not display if not populated. &lt;/em&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;QDM Equivalent: Supplemental Data Elements&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Populates Supplemental Data Guidance in FHIR human readable&lt;/strong&gt;&lt;/p&gt;"/>
    </extension>
    <extension url="usage">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
          <code value="supplemental-data"/>
          <display value="Supplemental Data"/>
        </coding>
        <text value="Supplemental Data Guidance"/>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance" id="riskAdjustmentVariableGuidance">
    <extension url="guidance">
      <valueString
                   value="&lt;p&gt;&lt;strong&gt;Risk Adjustment Section of Population Criteria Tab of MADiE UI &lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
 &lt;li&gt;&lt;p&gt;Free text.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Character limit not determined.&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Definition selected from dropdown, multi select (Defines in CQL Editor).&lt;/p&gt;&lt;/li&gt;
 &lt;li&gt;&lt;p&gt;Appears to default to Individual, Subject List, Summary and Data Collection for Include in Report Type.&lt;/p&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;em&gt;Conditional field, will not display if not populated.&lt;/em&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;QDM Equivalent: Risk Adjustment&lt;/strong&gt;&lt;/p&gt;"/>
    </extension>
    <extension url="usage">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
          <code value="risk-adjustment-factor"/>
          <display value="Risk Adjustment Factor"/>
        </coding>
        <text value="Risk Adjustment Variable Guidance"/>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm">
    <extension url="term">
      <valueString
                   value="Definition Section of Details Tab in MADiE UI &quot;Term&quot; free text. Character limit not determined. QDM Equivalent: ?."/>
    </extension>
    <extension url="definition">
      <valueMarkdown
                     value="**Definition Section of Details Tab in MADiE UI**

* &quot;Definition&quot; free text.

* Character limit not determined

*Conditional field, will not display if not populated.*

**QDM Equivalent: Definition**"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
    <valueReference>🔗 
      <reference value="Device/cqf-tooling"/>
    </valueReference>
  </extension>
  <url
       value="http://somewhere.org/fhir/uv/mycontentig/Measure/HRExampleRatioMeasure"/>
  <identifier>
    <use value="usual"/>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
        <code value="short-name"/>
        <display value="Short Name"/>
      </coding>
    </type>
    <system value="https://madie.cms.gov/measure/shortName"/>
    <value value="HRExRati(eCQM Abbreviated Title)"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
        <code value="version-independent"/>
        <display value="Version Independent"/>
      </coding>
    </type>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:740197c5-a162-4947-ba39-e8f96c0e05fb"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
        <code value="version-specific"/>
        <display value="Version Specific"/>
      </coding>
    </type>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:7d7408c9-e203-4c34-bde5-39ef0558cb38"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
        <code value="endorser"/>
        <display value="Endorser"/>
      </coding>
    </type>
    <system value="https://madie.cms.gov/measure/cbeId"/>
    <value value="2EndorsementNumber"/>
    <assigner>
      <display value="CMS Consensus Based Entity"/>
    </assigner>
  </identifier>
  <version value="0.5.3-cibuild"/>
  <name value="HRExampleRatioMeasure"/>
  <title value="HR Example Ratio (Measure Name in Details Tab of MADiE UI)"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2025-09-30T04:16:55+00:00"/>
  <publisher value="HL7 International - [Some] Work Group"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/[something]"/>
    </telecom>
  </contact>
  <description
               value="**Description Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

**QDM equivalent: Description**"/>
  <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/us/cqfmeasures/CodeSystem/intended-venue-codes"/>
        <code value="eh"/>
        <display value="EH"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <purpose
           value="**Purpose Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: N/A**"/>
  <usage
         value="**Guidance (Usage) Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Guidance**"/>
  <copyright
             value="**Copyright Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Displays &quot;UNKNOWN&quot; if not populated.*

**QDM Equivalent: Copyright**"/>
  <effectivePeriod>
    <start value="2026-01-01"/>
    <end value="2026-12-31"/>
  </effectivePeriod>
  <author>
    <name value="ESAC, Inc."/>
    <telecom>
      <system value="url"/>
      <value value="https://www.icf.com/work/federal-health/it"/>
    </telecom>
  </author>
  <author>
    <name value="ICF"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.icf.com/"/>
    </telecom>
  </author>
  <relatedArtifact>
    <type value="citation"/>
    <citation
              value="**CITATION References Section of Details Tab in MADiE UI**

* Type&quot; selected from drop down (Citation or Justification)

* Reference&quot; free text after selection.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Reference**"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="justification"/>
    <display
             value="**JUSTIFICATION References Section of Details Tab in MADiE UI**

* &quot;Type&quot; selected from drop down (Citation or Justification)

* &quot;Reference&quot; free text after selection.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Reference**"/>
  </relatedArtifact>
  <library
           value="http://somewhere.org/fhir/uv/mycontentig/Library/HRExampleRatioMeasureCQLLibrary"/>
  <disclaimer
              value="**Disclaimer Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Displays &quot;UNKNOWN&quot; if not populated.*

**QDM Equivalent: Disclaimer**"/>
  <rationale
             value="**Rationale Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Rationale**"/>
  <clinicalRecommendationStatement
                                   value="**Clinical Recommendation Section of Details Tab in MADiE UI**

* Free text.

* Character limit not determined.

*Conditional field, will not display if not populated.*

**QDM Equivalent: Clinical Recommendation Statement**"/>
  <group id="Group_1">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
          <code value="ratio"/>
          <display value="Ratio"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
      <valueCode value="boolean"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit">
      <valueCodeableConcept>
        <coding>
          <system value="http://unitsofmeasure.org/"/>
          <code value="Scoring Unit Field"/>
          <display value="Scoring Unit Field"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="intermediate-outcome"/>
          <display value="Intermediate Outcome"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="outcome"/>
          <display value="Outcome"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="patient-reported-outcome"/>
          <display value="Patient Reported Outcome"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="process"/>
          <display value="Process"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="structure"/>
          <display value="Structure"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision">
      <valuePositiveInt value="1"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
          <code value="increase"/>
          <display value="Increased score indicates improvement"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance">
      <valueMarkdown
                     value="**Improvement Notation Description Field of Reporting Section on Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Improvement Notation required field selected by dropdown (Increased score indicates improvement and Decreased score indicates improvement).

**QDM Equivalent: Improvement Notation**"/>
    </extension>
    <description
                 value="**Population Criteria 1 Description on Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

**QDM Equivalent: N/A**

**Populates Summary Field in FHIR human readable**

|                                                                        Additional MADiE Page Notes:                                                                         |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| * Measure type selectable from drop down, multi select; for this example selected all options.                                                                              |
| * Population Basis selectable from drop down, single select; for this example, boolean is only one that didn't generate an error.                                           |
| * Scoring selectable from dropdown, single select (Cohort, Continuous Variable, Proportion and Ratio). *Note to self, changing scoring deletes all population information.* |
| * Aggregate Function selectable from dropdown.                                                                                                                              |
| * Scoring Unit free text entry.                                                                                                                                             |
| * Scoring Precision selectable integers.                                                                                                                                    |"/>
    <population id="InitialPopulation_1_1">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <description
                   value="**Initial Population Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Initial Population required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Initial Population**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="InitialPopulation_1_2">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <description
                   value="**Initial Population 2 Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Initial Population required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Initial Population**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population2"/>
      </criteria>
    </population>
    <population id="Denominator_1">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="InitialPopulation_1_1"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <description
                   value="**Denominator Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Denominator required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Denominator**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population id="DenominatorExclusion_1">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator-exclusion"/>
          <display value="Denominator Exclusion"/>
        </coding>
      </code>
      <description
                   value="**Denominator Exclusion Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Denominator Exclusion is not required field selected by dropdown (Defines from CQL Editor Tab).

*Conditional field, will not display if not populated.*

**QDM Equivalent: Denominator Exclusion**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator Exclusions"/>
      </criteria>
    </population>
    <population id="Numerator_1">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="InitialPopulation_1_2"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <description
                   value="**Numerator Description Field in Population Criteria Tab of MADiE UI**

* Free text.

* Character limit not determined.

* Numerator required field selected by dropdown (Defines from CQL Editor Tab).

**QDM Equivalent: Numerator**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
    <stratifier id="Stratification_1_1">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="numerator"/>
            <display value="Numerator"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <description
                   value="**Stratification 1 Description in Stratifications Section of Population Criteria Tab of MADiE UI**

* Free Text.

* Character limit not determined.

Stratification 1 required field selected by dropdown (Defines from CQL Editor tab).

Association 1 appears to default to all defined populations.

*Conditional field, does not show if not populated.*

**QDM Equivalent: Stratification**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression
                    value="Patient Age Less than 18 Years Start of Measurement Period"/>
      </criteria>
    </stratifier>
    <stratifier id="Stratification_1_2">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="numerator"/>
            <display value="Numerator"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <description
                   value="**Stratification 2 Description in Stratifications Section of Population Criteria Tab of MADiE UI**

* Free Text.

* Character limit not determined.

Stratification 2 required field selected by dropdown (Defines from CQL Editor tab).

Association 2 appears to default to all defined populations.

*Conditional field, does not show if not populated.*

**QDM Equivalent: Stratification**"/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression
                    value="Patient Age 18 Years or Older at Start of Measurement Period"/>
      </criteria>
    </stratifier>
  </group>
  <supplementalData id="sde-ethnicity">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="individual"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="subject-list"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="summary"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="data-collection"/>
    </extension>
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <description value="SDE Ethnicity"/>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Ethnicity"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-payer">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="individual"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="subject-list"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="summary"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="data-collection"/>
    </extension>
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <description value="SDE Payer"/>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Payer"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-race">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="individual"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="subject-list"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="summary"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="data-collection"/>
    </extension>
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <description value="SDE Race"/>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Race"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-sex">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="individual"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="subject-list"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="summary"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="data-collection"/>
    </extension>
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <description value="SDE Sex"/>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Sex"/>
    </criteria>
  </supplementalData>
  <supplementalData
                    id="rav-patient-too-young-at-start-of-measurement-period">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="individual"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="subject-list"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="summary"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="data-collection"/>
    </extension>
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="risk-adjustment-factor"/>
      </coding>
    </usage>
    <description
                 value="RAV Patient Too Young at Start of Measurement Period"/>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression
                  value="RAV Patient Too Young at Start of Measurement Period"/>
    </criteria>
  </supplementalData>
  <supplementalData id="rav-patient-too-old-at-start-of-measurement-period">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="individual"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="subject-list"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="summary"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType">
      <valueCode value="data-collection"/>
    </extension>
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="risk-adjustment-factor"/>
      </coding>
    </usage>
    <description value="RAV Patient Too Old at Start of Measurement Period"/>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="RAV Patient Too Old at Start of Measurement Period"/>
    </criteria>
  </supplementalData>
</Measure>