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

MeasureEXM

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "measure-exm"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-02-17T17:05:00.0-06:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm";
       fhir:index 0     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "type" ];
       fhir:Extension.valueCode [ fhir:value "documentation" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "This illustrates an example comment" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
     fhir:Extension.valueCode [ fhir:value "boolean" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation" ];
     fhir:Extension.valueMarkdown [ fhir:value "Additional guidance for allocation" ]
  ];
  fhir:Measure.url [ fhir:value "http://example.org/fhir/measures/measure-exm"];
  fhir:Measure.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
     fhir:Identifier.value [ fhir:value "EXM" ]
  ];
  fhir:Measure.version [ fhir:value "1.0.0"];
  fhir:Measure.name [ fhir:value "MeasureEXM"];
  fhir:Measure.title [ fhir:value "EXM Measure"];
  fhir:Measure.status [ fhir:value "active"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2019-02-17"^^xsd:date];
  fhir:Measure.publisher [ fhir:value "Example Measure Publisher"];
  fhir:Measure.description [ fhir:value "An example FHIR-based measure"];
  fhir:Measure.purpose [ fhir:value "The purpose of this measure is to..."];
  fhir:Measure.usage [ fhir:value "Users of this measure should be aware of..."];
  fhir:Measure.approvalDate [ fhir:value "2019-02-17"^^xsd:date];
  fhir:Measure.lastReviewDate [ fhir:value "2019-02-17"^^xsd:date];
  fhir:Measure.effectivePeriod [
     fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
  ];
  fhir:Measure.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.code [ fhir:value "program" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.text [ fhir:value "eligible-provider" ]     ]
  ];
  fhir:Measure.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:Measure.topic [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:57024-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "57024-2" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Health Quality Measure Document" ]
  ];
  fhir:Measure.contributor [
     fhir:index 0;
     fhir:Contributor.type [ fhir:value "author" ];
     fhir:Contributor.name [ fhir:value "Example Measure Content Developer" ]
  ];
  fhir:Measure.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.example.org/" ]     ]
  ];
  fhir:Measure.copyright [ fhir:value "Example Copyright Statement"];
  fhir:Measure.relatedArtifact [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ];
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.citation [ fhir:value "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." ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ];
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.citation [ fhir:value "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ];
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.citation [ fhir:value "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." ]
  ];
  fhir:Measure.library [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Library/library-exm-logic" ]
  ];
  fhir:Measure.disclaimer [ fhir:value "Example disclaimer"];
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/measure-scoring" ];
       fhir:Coding.code [ fhir:value "proportion" ]     ]
  ];
  fhir:Measure.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/measure-type" ];
       fhir:Coding.code [ fhir:value "process" ]     ]
  ];
  fhir:Measure.riskAdjustment [ fhir:value "Risk adjustment for this measure is performed by..."];
  fhir:Measure.rateAggregation [ fhir:value "Rate aggregation for this measure is performed by..."];
  fhir:Measure.rationale [ fhir:value "Rationale for this measure is..."];
  fhir:Measure.clinicalRecommendationStatement [ fhir:value "The clinical recommendation statement for this measure is..."];
  fhir:Measure.improvementNotation [ fhir:value "increase"];
  fhir:Measure.definition [
     fhir:value "A term used in the measure that bears clearly defining to communicate the measure intent";
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm" ];
       fhir:Extension.valueString [ fhir:value "Term" ]     ]
  ];
  fhir:Measure.guidance [ fhir:value "Additional guidance provided to help communicate the intent of the measure"];
  fhir:Measure.group [
     fhir:index 0;
     fhir:Measure.group.identifier [
       fhir:Identifier.value [ fhir:value "group-1" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "initial-population 1" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Initial Population 1" ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "numerator 1" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Numerator 1" ]     ], [
       fhir:index 2;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "denominator 1" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Denominator 1" ]     ];
     fhir:Measure.group.stratifier [
       fhir:index 0;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 1" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 1" ]     ], [
       fhir:index 1;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 2" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 2" ]     ], [
       fhir:index 2;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 3" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 3" ]     ], [
       fhir:index 3;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 4" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 4" ]     ]
  ], [
     fhir:index 1;
     fhir:Measure.group.identifier [
       fhir:Identifier.value [ fhir:value "group-2" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "initial-population 2" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Initial Population 2" ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "numerator 2" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Numerator 2" ]     ], [
       fhir:index 2;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "denominator 2" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Denominator 2" ]     ];
     fhir:Measure.group.stratifier [
       fhir:index 0;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 1" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 1" ]     ], [
       fhir:index 1;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 2" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 2" ]     ], [
       fhir:index 2;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 3" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 3" ]     ], [
       fhir:index 3;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier 4" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratifier 4" ]     ]
  ];
  fhir:Measure.supplementalData [
     fhir:index 0;
     fhir:Measure.supplementalData.identifier [
       fhir:Identifier.value [ fhir:value "sde-ethnicity" ]     ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [ fhir:value "SDE Ethnicity" ]
  ], [
     fhir:index 1;
     fhir:Measure.supplementalData.identifier [
       fhir:Identifier.value [ fhir:value "sde-race" ]     ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [ fhir:value "SDE Race" ]
  ], [
     fhir:index 2;
     fhir:Measure.supplementalData.identifier [
       fhir:Identifier.value [ fhir:value "sde-payer" ]     ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [ fhir:value "SDE Payer" ]
  ], [
     fhir:index 3;
     fhir:Measure.supplementalData.identifier [
       fhir:Identifier.value [ fhir:value "sde-sex" ]     ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [ fhir:value "SDE Sex" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.