{
  "resourceType" : "Measure",
  "id" : "FHIRPath-example",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Example of a Measure using FHIRPath</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">1.0.0-ballot</td>\n\n\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.42.29.4</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n\n<td class=\"content-container\">Draft</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n\n<td class=\"content-container\">\n    focus from <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-usage-context-type.html\">http://terminology.hl7.org/CodeSystem/usage-context-type</a> \n\n = \n    COVID-19\n\n\n</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n\n<td class=\"content-container\">\n    World\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>This measure exemplifies use of FHIRPath expressions in a FHIR Measure</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n\n  \n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: CDC/NHSN COVID-19 Patient Impact &amp; Hospital Capacity Module Home Page\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n\n  \n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Importing COVID-19 Patient Module Denominator data for Patient Safety Component\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n\n  \n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n\n  \n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: CDC/NHSN COVID-19 Reporting CSV File Template\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n  \n  \n  \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate)</th>\n\n\n</tr>\n  \n  \n  \n\n\n\n\n\n\n\n\n\n\n\n  \n\n  \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4-cibuild of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "http://hl7.org/fhir/uv/deqm/Measure/FHIRPath-example",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.42.29.4"
  }],
  "version" : "1.0.0-ballot",
  "name" : "FHIRPathExample",
  "title" : "Example of a Measure using FHIRPath",
  "status" : "draft",
  "experimental" : true,
  "date" : "2024-05-18T21:25:01+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cqi"
    }]
  }],
  "description" : "This measure exemplifies use of FHIRPath expressions in a FHIR Measure",
  "useContext" : [{
    "code" : {
      "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
      "code" : "focus"
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "840539006",
        "display" : "COVID-19"
      }]
    }
  }],
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "relatedArtifact" : [{
    "type" : "documentation",
    "label" : "NHSN COVID-19 Reporting",
    "display" : "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page",
    "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/",
    "document" : {
      "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"
    }
  },
  {
    "type" : "documentation",
    "label" : "How to import COVID-19 Summary Data",
    "display" : "Importing COVID-19 Patient Module Denominator data for Patient Safety Component",
    "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf",
    "document" : {
      "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"
    }
  },
  {
    "type" : "documentation",
    "label" : "Table of Instructions",
    "display" : "Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)",
    "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf",
    "document" : {
      "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"
    }
  },
  {
    "type" : "documentation",
    "label" : "CSV File Template",
    "display" : "CDC/NHSN COVID-19 Reporting CSV File Template",
    "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv",
    "document" : {
      "url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"
    }
  }],
  "group" : [{
    "extension" : [{
      "extension" : [{
        "url" : "subject",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/resource-types",
            "code" : "Device"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "257463002",
            "display" : "Ventilator Outlet"
          }],
          "text" : "Ventilator capacity"
        }
      },
      {
        "url" : "scoring",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://example.org/fhir/",
            "code" : "capacity"
          }]
        }
      },
      {
        "url" : "type",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
            "code" : "structure"
          }]
        }
      },
      {
        "url" : "improvementNotation",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
            "code" : "decrease"
          }]
        }
      },
      {
        "url" : "rateAggregation",
        "valueString" : "point-in-time"
      }],
      "url" : "http://example.org/fhir/MeasureGroupAttributes"
    }],
    "code" : {
      "coding" : [{
        "system" : "http://example.org/fhir/",
        "code" : "Ventilators",
        "display" : "Ventilators"
      }],
      "text" : "Ventilator Reporting"
    },
    "population" : [{
      "code" : {
        "coding" : [{
          "system" : "http://example.org/fhir/",
          "code" : "numVent",
          "display" : "Mechanical Ventilators"
        },
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator"
        }],
        "text" : "Total number of ventilators"
      },
      "description" : "Count of all ventilators that can support patient care, whether or not they are presently in use.",
      "criteria" : {
        "description" : "Computes the total number of ventilators from the previously reported MeasureReport",
        "name" : "NumVent",
        "language" : "text/fhirpath",
        "expression" : "iif(trace('PriorReport exists:', %PriorReport.exists()), %PriorReport.group[3].population[0].count, 0)"
      }
    },
    {
      "code" : {
        "coding" : [{
          "system" : "http://example.org/fhir/",
          "code" : "numVentUse",
          "display" : "Mechanical Ventilators in Use"
        },
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "numerator"
        }],
        "text" : "Total number of ventilators in use"
      },
      "description" : "Count of all ventilators in use.",
      "criteria" : {
        "description" : "Identifies the number of ventilators in use by counting Patient with an Observation\n or Procedure resource from an appropriate value set indicating ventilator use.",
        "name" : "NumVentUse",
        "language" : "text/fhirpath",
        "expression" : "findAll('Encounter',\n including('subject'),\n with('status').equalTo('in-progress'|'finished'),\n with('date').within(%ReportingPeriod)\n).onServers(%Base)\n.select(entry.resource as Patient)\n.where(\n  iif(\n    whereExists('Observation',\n      with('status').equalTo('registered'|'preliminary'|'final'|'amended'|'corrected'),\n      with('patient').equalTo($this.id),\n      with('verificationStatus').notEqualTo('refuted'|'entered-in-error'),\n      with('date').within(%ReportingPeriod),\n      with('code').in(%VentilatorObservations.url)\n    ).onServers(%Base)\n    true,\n    whereExists('Procedure',\n      with('status').equalTo('in-progress'|'completed'),\n      with('patient').equalTo($this.id),\n      with('date').within(%ReportingPeriod),\n      with('code').in(%VentilatorProcedures.url)\n    ).onServers(%Base)\n  )\n)"
      }
    },
    {
      "code" : {
        "coding" : [{
          "system" : "http://example.org/fhir/",
          "code" : "numVentAvail",
          "display" : "Mechanical Ventilators Available"
        },
        {
          "system" : "http://example.org/fhir/",
          "code" : "numerator-complement"
        }],
        "text" : "Total number of ventilators not presently in use."
      },
      "description" : "Count of all ventilators not presently in use.",
      "criteria" : {
        "description" : "Computes the number of ventilators available by substracting the number of ventilators in use\n determined by population 1 from thee total number of ventilators given in population 0",
        "name" : "NumVentAvail",
        "language" : "text/fhirpath",
        "expression" : "%NumVent - %NumVentUse.total.toInteger()"
      }
    }]
  }]
}