Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## : Supporting Evidence Example Measure

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    <Measure xmlns="http://hl7.org/fhir">
      <id value="SupportingEvidenceExample"/>
      <language value="en"/>
      <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">Supporting Evidence Example</td>

    </tr>

    <tr>

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

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

    </tr>

    <tr>

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

    <td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.61.29.28</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">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">Topic</th>

    <td class="content-container">
        Health Quality Measure Document

    </td>

    </tr>

    <tr>

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

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

    </tr>

    <tr>

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

    <td class="content-container"><div><p>Example measure illustrating the use of supporting evidence as a way to exchange additional information about particular populations within a measure.</p>
    </div></td>

    </tr>

    <tr>

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

    <td class="content-container">
        ratio from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </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">Basis</th>

    <td class="content-container">boolean</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-SupportingEvidenceExample.html">Supporting Evidence Example</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 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> SupportingEvidenceExample</td>

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-all-encounters"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// main criteria logic

    define &quot;All Encounters&quot;:
         [Encounter] E</code></pre>
      </td>

    </tr>

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

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

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-initial-population-boolean"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// boolean population results
    // has matching encounter

    define &quot;Initial Population Boolean&quot;:
      exists &quot;All Encounters&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> SupportingEvidenceExample</td>

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-denominator-boolean"> </a>

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

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-encounter-arrived"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter Arrived&quot;:
        [Encounter] E
           where E.status = 'arrived'</code></pre>
      </td>

    </tr>

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

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

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-numerator-exclusion-boolean"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator Exclusion Boolean&quot;:
      exists &quot;Encounter Arrived&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> SupportingEvidenceExample</td>

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-encounters-in-period"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounters in Period&quot;:
         [Encounter] E
           where E.period during &quot;Measurement Period&quot; and E.status='finished'</code></pre>
      </td>

    </tr>

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

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

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-numerator-boolean"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator Boolean&quot;:
      exists &quot;Encounters in Period&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> SupportingEvidenceExample</td>

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-encounter-cancelled"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter Cancelled&quot;:
        [Encounter] E
           where E.status = 'cancelled'</code></pre>
      </td>

    </tr>

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

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

    </tr>
    <tr>

      <td>

          <a name="supportingevidenceexample-denominator-exclusion-boolean"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator Exclusion Boolean&quot;:
      exists &quot;Encounter Cancelled&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> 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 EncounterStatus): 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-tointerval"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    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">Terminology</th>

    <td class="content-container">None</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>: FHIR model information

        <br/>

        <em>Resource</em>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIR-ModelInfo.html">http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</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>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIRHelpers.html">http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/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>: Encounter
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>
        <br/>

        <em>Must Support Elements</em>: status, period
        <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>Denominator Boolean</td>
              <td>Out</td>
              <td>0..1</td>
              <td>boolean</td>
              <td/>
            </tr>

            <tr>
              <td>Numerator Exclusion Boolean</td>
              <td>Out</td>
              <td>0..1</td>
              <td>boolean</td>
              <td/>
            </tr>

            <tr>
              <td>Initial Population Boolean</td>
              <td>Out</td>
              <td>0..1</td>
              <td>boolean</td>
              <td/>
            </tr>

            <tr>
              <td>Numerator Boolean</td>
              <td>Out</td>
              <td>0..1</td>
              <td>boolean</td>
              <td/>
            </tr>

            <tr>
              <td>Denominator Exclusion Boolean</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 0.5.4 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="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="All Encounters"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// main criteria logic

    define &quot;All Encounters&quot;:
         [Encounter] E"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="0"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Initial Population Boolean"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// boolean population results
    // has matching encounter

    define &quot;Initial Population Boolean&quot;:
      exists &quot;All Encounters&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Denominator Boolean"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Denominator Boolean&quot;:
        &quot;Initial Population Boolean&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="2"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Encounter Arrived"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter Arrived&quot;:
        [Encounter] E
           where E.status = 'arrived'"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="3"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Numerator Exclusion Boolean"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Numerator Exclusion Boolean&quot;:
      exists &quot;Encounter Arrived&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="4"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Encounters in Period"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounters in Period&quot;:
         [Encounter] E
           where E.period during &quot;Measurement Period&quot; and E.status='finished'"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="5"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Numerator Boolean"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Numerator Boolean&quot;:
      exists &quot;Encounters in Period&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="6"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Encounter Cancelled"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter Cancelled&quot;:
        [Encounter] E
           where E.status = 'cancelled'"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="7"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupportingEvidenceExample"/>
            </extension>
            <extension url="name">
              <valueString value="Denominator Exclusion Boolean"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Denominator Exclusion Boolean&quot;:
      exists &quot;Encounter Cancelled&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="8"/>
            </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 EncounterStatus): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="9"/>
            </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="/*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    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="10"/>
            </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="FHIR model information"/>
            <resource
                      value="http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Library FHIRHelpers"/>
            <resource
                      value="http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"/>
          </relatedArtifact>
          <parameter>
            <name value="Measurement Period"/>
            <use value="in"/>
            <min value="0"/>
            <max value="1"/>
            <type value="Period"/>
          </parameter>
          <parameter>
            <name value="Denominator Boolean"/>
            <use value="out"/>
            <min value="0"/>
            <max value="1"/>
            <type value="boolean"/>
          </parameter>
          <parameter>
            <name value="Numerator Exclusion Boolean"/>
            <use value="out"/>
            <min value="0"/>
            <max value="1"/>
            <type value="boolean"/>
          </parameter>
          <parameter>
            <name value="Initial Population Boolean"/>
            <use value="out"/>
            <min value="0"/>
            <max value="1"/>
            <type value="boolean"/>
          </parameter>
          <parameter>
            <name value="Numerator Boolean"/>
            <use value="out"/>
            <min value="0"/>
            <max value="1"/>
            <type value="boolean"/>
          </parameter>
          <parameter>
            <name value="Denominator Exclusion Boolean"/>
            <use value="out"/>
            <min value="0"/>
            <max value="1"/>
            <type value="boolean"/>
          </parameter>
          <dataRequirement>
            <type value="Encounter"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
            <mustSupport value="status"/>
            <mustSupport value="period"/>
          </dataRequirement>
        </Library>
      </contained>
      <extension
                 url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
        <valueCanonical value="#effective-data-requirements"/>
      </extension>
      <url value="http://hl7.org/fhir/uv/cqm/Measure/SupportingEvidenceExample"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.61.29.28"/>
      </identifier>
      <version value="2.0.0-ballot"/>
      <name value="SupportingEvidenceExample"/>
      <title value="Supporting Evidence Example"/>
      <status value="draft"/>
      <experimental value="true"/>
      <date value="2025-08-13"/>
      <publisher value="HL7 International / Clinical Quality Information"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cqi"/>
        </telecom>
      </contact>
      <description
                   value="Example measure illustrating the use of supporting evidence as a way to exchange additional information about particular populations within a measure."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
        </coding>
      </jurisdiction>
      <topic>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57024-2"/>
          <display value="Health Quality Measure Document"/>
        </coding>
      </topic>
      <library
               value="http://hl7.org/fhir/uv/cqm/Library/SupportingEvidenceExample"/>
      <scoring>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
          <code value="ratio"/>
        </coding>
      </scoring>
      <group id="group-1">
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
          <valueCode value="boolean"/>
        </extension>
        <population id="initial-population">
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
              <display value="Initial Population"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Initial Population Boolean"/>
          </criteria>
        </population>
        <population id="denominator">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="always-true"/>
                  <display value="Always True"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is always true"/>
              <name value="AlwaysTrue"/>
              <language value="text/cql-identifier"/>
              <expression value="always true"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="denominator-resource"/>
                  <display value="Denominator Resource"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a Denominator Resource"/>
              <name value="DenominatorResource"/>
              <language value="text/cql-identifier"/>
              <expression value="Denominator Resource"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="list-of-boolean"/>
                  <display value="List of Boolean"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of boolean"/>
              <name value="ListOfBoolean"/>
              <language value="text/cql-identifier"/>
              <expression value="list of boolean"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="string"/>
                  <display value="String"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a string"/>
              <name value="String"/>
              <language value="text/cql-identifier"/>
              <expression value="string"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="date"/>
                  <display value="Date"/>
                </valueCoding>
              </extension>
              <description value="Example of supporting evidence that is a date"/>
              <name value="Date"/>
              <language value="text/cql-identifier"/>
              <expression value="date"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="decimal"/>
                  <display value="Decimal"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a decimal"/>
              <name value="Decimal"/>
              <language value="text/cql-identifier"/>
              <expression value="decimal"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="number"/>
                  <display value="Number"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a number"/>
              <name value="Number"/>
              <language value="text/cql-identifier"/>
              <expression value="number"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="list-of-dates"/>
                  <display value="List of Dates"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of dates"/>
              <name value="ListOfDates"/>
              <language value="text/cql-identifier"/>
              <expression value="list of dates"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="list-of-numbers"/>
                  <display value="List of Numbers"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of numbers"/>
              <name value="ListOfNumbers"/>
              <language value="text/cql-identifier"/>
              <expression value="list of numbers"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="list-of-string"/>
                  <display value="List of String"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of string"/>
              <name value="ListOfString"/>
              <language value="text/cql-identifier"/>
              <expression value="list of string"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="test-tuple"/>
                  <display value="Test Tuple"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a tuple"/>
              <name value="TestTuple"/>
              <language value="text/cql-identifier"/>
              <expression value="test tuple"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="interval"/>
                  <display value="Interval"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is an interval"/>
              <name value="Interval"/>
              <language value="text/cql-identifier"/>
              <expression value="interval"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="test-interval-list"/>
                  <display value="Test Interval List"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of intervals"/>
              <name value="TestIntervalList"/>
              <language value="text/cql-identifier"/>
              <expression value="TestIntervalList"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="test-decimal-list"/>
                  <display value="Test Decimal List"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of decimals"/>
              <name value="TestDecimalList"/>
              <language value="text/cql-identifier"/>
              <expression value="TestDecimalList"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="test-code"/>
                  <display value="Test Code"/>
                </valueCoding>
              </extension>
              <description value="Example of supporting evidence that is a code"/>
              <name value="TestCode"/>
              <language value="text/cql-identifier"/>
              <expression value="test code"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="empty-list-example"/>
                  <display value="Empty List Example"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is an empty list"/>
              <name value="EmptyListExample"/>
              <language value="text/cql-identifier"/>
              <expression value="EmptyListExample"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="null-example"/>
                  <display value="Null Example"/>
                </valueCoding>
              </extension>
              <description value="Example of supporting evidence that is a null"/>
              <name value="NullExample"/>
              <language value="text/cql-identifier"/>
              <expression value="NullExample"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="patient-resource"/>
                  <display value="Patient Resource"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a Patient Resource"/>
              <name value="PatientResource"/>
              <language value="text/cql-identifier"/>
              <expression value="PatientRes"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-supportingEvidenceDefinition">
            <valueExpression>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/expression-coding">
                <valueCoding>
                  <system
                          value="http://example.org/fhir/CodeSystem/example-supporting-evidence-codes"/>
                  <code value="list-test-tuple"/>
                  <display value="List Test Tuple"/>
                </valueCoding>
              </extension>
              <description
                           value="Example of supporting evidence that is a list of tuples"/>
              <name value="ListTestTuple"/>
              <language value="text/cql-identifier"/>
              <expression value="list test tuple"/>
            </valueExpression>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="denominator"/>
              <display value="Denominator"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Denominator Boolean"/>
          </criteria>
        </population>
        <population id="denominator-exclusion">
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="denominator-exclusion"/>
              <display value="Denominator Exclusion"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Denominator Exclusion Boolean"/>
          </criteria>
        </population>
        <population id="numerator-exclusion">
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="numerator-exclusion"/>
              <display value="Numerator Exclusion"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Numerator Exclusion Boolean"/>
          </criteria>
        </population>
        <population id="numerator">
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="numerator"/>
              <display value="Numerator"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Numerator Boolean"/>
          </criteria>
        </population>
      </group>
    </Measure>