{
  "resourceType" : "Measure",
  "id" : "measure-risk-adjustment-FHIR2",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
  },
  "url" : "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-risk-adjustment-FHIR2",
  "identifier" : [{
    "use" : "official",
    "system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
    "value" : "RiskAdjustment_FHIR2"
  }],
  "version" : "0.0.001",
  "name" : "RiskAdjustment_FHIR2",
  "title" : "Risk Adjustment FHIR DSTU2",
  "status" : "active",
  "experimental" : true,
  "date" : "2019-02-21",
  "publisher" : "Clinical Quality Information WG",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cqi"
    }]
  }],
  "description" : "This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "approvalDate" : "2019-03-08",
  "lastReviewDate" : "2019-03-08",
  "effectivePeriod" : {
    "start" : "2018-01-01",
    "end" : "2018-12-31"
  },
  "topic" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "57024-2",
      "display" : "Health Quality Measure Document"
    }]
  }],
  "library" : ["http://hl7.org/fhir/us/cqfmeasures/Library/risk-adjustment-FHIR2"],
  "scoring" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "code" : "proportion",
      "display" : "Proportion"
    }]
  },
  "type" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
      "code" : "process"
    }]
  }],
  "improvementNotation" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "code" : "decrease",
      "display" : "Decreased score indicates improvement"
    }]
  },
  "group" : [{
    "population" : [{
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population",
          "display" : "Initial Population"
        }]
      },
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Initial Population"
      }
    },
    {
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "numerator",
          "display" : "Numerator"
        }]
      },
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Numerator"
      }
    },
    {
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator",
          "display" : "Denominator"
        }]
      },
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Denominator"
      }
    }]
  }],
  "supplementalData" : [{
    "id" : "sde-ethnicity",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "supplemental-data"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "SDE Ethnicity"
    }
  },
  {
    "id" : "sde-payer",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "supplemental-data"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "SDE Payer"
    }
  },
  {
    "id" : "sde-race",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "supplemental-data"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "SDE Race"
    }
  },
  {
    "id" : "sde-sex",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "supplemental-data"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "SDE Sex"
    }
  },
  {
    "id" : "hepatic-failure",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "risk-adjustment-factor"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "Hepatic Failure"
    }
  },
  {
    "id" : "cirrhosis-dx",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "risk-adjustment-factor"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "Cirrhosis Dx"
    }
  },
  {
    "id" : "bilirubin-test",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "risk-adjustment-factor"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "Bilirubin Test"
    }
  },
  {
    "id" : "serum-albumin-test",
    "usage" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
        "code" : "risk-adjustment-factor"
      }]
    }],
    "criteria" : {
      "language" : "text/cql-identifier",
      "expression" : "Serum Albumin Test"
    }
  }]
}