Quality Measure Implementation Guide
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Measure",
"id" : "measure-exm",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2019-02-17T17:05:00.0-06:00",
"profile" : [
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: measure-exm</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>library</b>: <a href=\"Library-library-exm-logic.html\">Generated Summary: id: library-exm-logic; version: 1.0.0; status: active; experimental; <span title=\"Codes: \">logic-library</span>; </a></p><p><b style=\"color: maroon\">Exception generating Narrative: type org.hl7.fhir.r4.model.DataRequirement not handled yet</b></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment",
"extension" : [
{
"url" : "type",
"valueCode" : "documentation"
},
{
"url" : "text",
"valueString" : "This illustrates an example comment"
}
]
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "boolean"
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation",
"valueMarkdown" : "Additional guidance for allocation"
}
],
"url" : "http://example.org/fhir/measures/measure-exm",
"identifier" : [
{
"system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
"value" : "EXM"
}
],
"version" : "1.0.0",
"name" : "MeasureEXM",
"title" : "EXM Measure",
"status" : "active",
"experimental" : true,
"date" : "2019-02-17",
"publisher" : "Example Measure Publisher",
"description" : "An example FHIR-based measure",
"purpose" : "The purpose of this measure is to...",
"usage" : "Users of this measure should be aware of...",
"approvalDate" : "2019-02-17",
"lastReviewDate" : "2019-02-17",
"effectivePeriod" : {
"start" : "2018-01-01",
"end" : "2018-12-31"
},
"useContext" : [
{
"code" : {
"code" : "program"
},
"valueCodeableConcept" : {
"text" : "eligible-provider"
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"topic" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57024-2"
}
],
"text" : "Health Quality Measure Document"
}
],
"contributor" : [
{
"type" : "author",
"name" : "Example Measure Content Developer"
}
],
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.example.org/"
}
]
}
],
"copyright" : "Example Copyright Statement",
"relatedArtifact" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean" : true
}
],
"type" : "documentation",
"citation" : "Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. \"Antibiotic treatment of children with sore throat.\" JAMA 294(18):2315-2322."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean" : true
}
],
"type" : "documentation",
"citation" : "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\""
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean" : true
}
],
"type" : "documentation",
"citation" : "Roberts, R.R., B. Hota, I. Ahmad, et al. \"Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.\" Clin Infect Dis. Oct 2009; 49(8):1175-84."
}
],
"library" : [
{
"reference" : "Library/library-exm-logic"
}
],
"disclaimer" : "Example disclaimer",
"scoring" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-scoring",
"code" : "proportion"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-type",
"code" : "process"
}
]
}
],
"riskAdjustment" : "Risk adjustment for this measure is performed by...",
"rateAggregation" : "Rate aggregation for this measure is performed by...",
"rationale" : "Rationale for this measure is...",
"clinicalRecommendationStatement" : "The clinical recommendation statement for this measure is...",
"improvementNotation" : "increase",
"definition" : [
"A term used in the measure that bears clearly defining to communicate the measure intent"
],
"_definition" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm",
"valueString" : "Term"
}
]
}
],
"guidance" : "Additional guidance provided to help communicate the intent of the measure",
"group" : [
{
"identifier" : {
"value" : "group-1"
},
"population" : [
{
"identifier" : {
"value" : "initial-population 1"
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"criteria" : "Initial Population 1"
},
{
"identifier" : {
"value" : "numerator 1"
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"criteria" : "Numerator 1"
},
{
"identifier" : {
"value" : "denominator 1"
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"criteria" : "Denominator 1"
}
],
"stratifier" : [
{
"identifier" : {
"value" : "stratifier 1"
},
"criteria" : "Stratifier 1"
},
{
"identifier" : {
"value" : "stratifier 2"
},
"criteria" : "Stratifier 2"
},
{
"identifier" : {
"value" : "stratifier 3"
},
"criteria" : "Stratifier 3"
},
{
"identifier" : {
"value" : "stratifier 4"
},
"criteria" : "Stratifier 4"
}
]
},
{
"identifier" : {
"value" : "group-2"
},
"population" : [
{
"identifier" : {
"value" : "initial-population 2"
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"criteria" : "Initial Population 2"
},
{
"identifier" : {
"value" : "numerator 2"
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"criteria" : "Numerator 2"
},
{
"identifier" : {
"value" : "denominator 2"
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"criteria" : "Denominator 2"
}
],
"stratifier" : [
{
"identifier" : {
"value" : "stratifier 1"
},
"criteria" : "Stratifier 1"
},
{
"identifier" : {
"value" : "stratifier 2"
},
"criteria" : "Stratifier 2"
},
{
"identifier" : {
"value" : "stratifier 3"
},
"criteria" : "Stratifier 3"
},
{
"identifier" : {
"value" : "stratifier 4"
},
"criteria" : "Stratifier 4"
}
]
}
],
"supplementalData" : [
{
"identifier" : {
"value" : "sde-ethnicity"
},
"usage" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : "SDE Ethnicity"
},
{
"identifier" : {
"value" : "sde-race"
},
"usage" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : "SDE Race"
},
{
"identifier" : {
"value" : "sde-payer"
},
"usage" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : "SDE Payer"
},
{
"identifier" : {
"value" : "sde-sex"
},
"usage" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : "SDE Sex"
}
]
}
© HL7.org (Clinical Quality Information WG). hl7.fhir.us.cqfmeasures#0.1.0 based on FHIR v3.0.1 generated 27/03/2019.
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