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

<Measure xmlns="http://hl7.org/fhir">
<!--  This example illustrates the basic structure of a FHIR-based eCQM  -->
<!--  The id of the measure is a server-owned id for the resource. It is not expected to be globally unique,
  it is only unique as required by the server on which the resource is housed.  -->
  <id value="measure-exm"/>
  <meta>
  <!--  The versionId of the measure is the server-maintained version identifier for this resource (as opposed to the business
    version, which is specified using the version of the measure). It is not expected to be globally unique, only unique within the resource id. 
    (Though it may be globally unique if the server implements version using a globally unique identifier such as a guid.)  -->
    <versionId value="1"/>
  <!--  The date on which the measure resource was last updated  -->
    <lastUpdated value="2019-02-17T17:05:00.0-06:00"/>
  <!--  The url of the profile to which this measure resource conforms.  -->
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
  </meta>
<!--  The text of the measure is the human-readable rendering of the resource. This content is generated from the contents of the
  resource and the referenced library or libraries.  -->
  <text>
    <status value="generated"/>
    <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>
  </text>
<!--  Extensions in FHIR support data as part of the measure that is not supported by the base Measure resource definition  -->
<!--  This example illustrates an artifactComment extension, used to provide additional comments at any point in the measure  -->
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment">
    <extension url="type">
      <valueCode value="documentation"/>
    </extension>
    <extension url="text">
      <valueString value="This illustrates an example comment"/>
    </extension>
  </extension>
<!--  Population Basis, specifies the type of the elements in the population lists. For a patient-based proportion measure,
  for example, the criteria are all yes/no questions, resulting in a "boolean" value.  -->
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="boolean"/>
  </extension>
<!--  Allocation, provides additional guidance about the allocation for a measure  -->
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation">
    <valueMarkdown value="Additional guidance for allocation"/>
  </extension>
<!--  Canonical URL for the measure. This is a globally unique, version-independent identifier for the eCQM.  -->
  <url value="http://example.org/fhir/measures/measure-exm"/>
<!--  A business identifier for the measure. This is typically a short, user-friendly identifier assigned for a particular
  set of eCQMs such as HEDIS or CMS eCQM identifiers. A measure may have any number of business identifiers.  -->
  <identifier>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="EXM"/>
  </identifier>
<!--  The business version of the measure. This value is incremented as part of managing changes to the measure content.  -->
  <version value="1.0.0"/>
<!--  The name of the measure. This is a machine-friendly identifier for the measure  -->
  <name value="MeasureEXM"/>
<!--  The title of the measure. This is a user-friendly identifier for the measure  -->
  <title value="EXM Measure"/>
  <status value="active"/>
  <experimental value="true"/>
<!--  The publication date of the measure  -->
  <date value="2019-02-17"/>
<!--  The publisher of the measure  -->
  <publisher value="Example Measure Publisher"/>
<!--  The description of the measure  -->
  <description value="An example FHIR-based measure"/>
  <purpose value="The purpose of this measure is to..."/>
  <usage value="Users of this measure should be aware of..."/>
  <approvalDate value="2019-02-17"/>
  <lastReviewDate value="2019-02-17"/>
  <effectivePeriod>
    <start value="2018-01-01"/>
    <end value="2018-12-31"/>
  </effectivePeriod>
  <useContext>
    <code>
      <code value="program"/>
    </code>
    <valueCodeableConcept>
      <text value="eligible-provider"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <topic>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57024-2"/>
    </coding>
    <text value="Health Quality Measure Document"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Example Measure Content Developer"/>
  </contributor>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.example.org/"/>
    </telecom>
  </contact>
  <copyright value="Example Copyright Statement"/>
  <relatedArtifact>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
      <valueBoolean value="true"/>
    </extension>
    <type value="documentation"/>
    <citation
              value="Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. &quot;Antibiotic treatment       of children with sore throat.&quot; JAMA 294(18):2315-2322."/>
  </relatedArtifact>
  <relatedArtifact>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
      <valueBoolean value="true"/>
    </extension>
    <type value="documentation"/>
    <citation
              value="Infectious Diseases Society of America. 2012. &quot;Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.&quot;"/>
  </relatedArtifact>
  <relatedArtifact>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
      <valueBoolean value="true"/>
    </extension>
    <type value="documentation"/>
    <citation
              value="Roberts, R.R., B. Hota, I. Ahmad, et al. &quot;Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.&quot; Clin Infect Dis. Oct 2009; 49(8):1175-84."/>
  </relatedArtifact>
  <library>
    <reference value="Library/library-exm-logic"/>
  </library>
  <disclaimer value="Example disclaimer"/>
  <scoring>
    <coding>
      <system value="http://hl7.org/fhir/measure-scoring"/>
      <code value="proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <riskAdjustment value="Risk adjustment for this measure is performed by..."/>
  <rateAggregation value="Rate aggregation for this measure is performed by..."/>
  <rationale value="Rationale for this measure is..."/>
  <clinicalRecommendationStatement
                                   value="The clinical recommendation statement for this measure is..."/>
  <improvementNotation value="increase"/>
  <definition
              value="A term used in the measure that bears clearly defining to communicate the measure intent">
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm">
      <valueString value="Term"/>
    </extension>
  </definition>
  <guidance
            value="Additional guidance provided to help communicate the intent of the measure"/>
  <group>
    <identifier>
      <value value="group-1"/>
    </identifier>
    <population>
      <identifier>
        <value value="initial-population 1"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria value="Initial Population 1"/>
    </population>
    <population>
      <identifier>
        <value value="numerator 1"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria value="Numerator 1"/>
    </population>
    <population>
      <identifier>
        <value value="denominator 1"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria value="Denominator 1"/>
    </population>
    <stratifier>
      <identifier>
        <value value="stratifier 1"/>
      </identifier>
      <criteria value="Stratifier 1"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 2"/>
      </identifier>
      <criteria value="Stratifier 2"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 3"/>
      </identifier>
      <criteria value="Stratifier 3"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 4"/>
      </identifier>
      <criteria value="Stratifier 4"/>
    </stratifier>
  </group>
  <group>
    <identifier>
      <value value="group-2"/>
    </identifier>
    <population>
      <identifier>
        <value value="initial-population 2"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria value="Initial Population 2"/>
    </population>
    <population>
      <identifier>
        <value value="numerator 2"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria value="Numerator 2"/>
    </population>
    <population>
      <identifier>
        <value value="denominator 2"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria value="Denominator 2"/>
    </population>
    <stratifier>
      <identifier>
        <value value="stratifier 1"/>
      </identifier>
      <criteria value="Stratifier 1"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 2"/>
      </identifier>
      <criteria value="Stratifier 2"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 3"/>
      </identifier>
      <criteria value="Stratifier 3"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 4"/>
      </identifier>
      <criteria value="Stratifier 4"/>
    </stratifier>
  </group>
  <supplementalData>
    <identifier>
      <value value="sde-ethnicity"/>
    </identifier>
    <usage>
      <coding>
        <system value="http://hl7.org/fhir/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria value="SDE Ethnicity"/>
  </supplementalData>
  <supplementalData>
    <identifier>
      <value value="sde-race"/>
    </identifier>
    <usage>
      <coding>
        <system value="http://hl7.org/fhir/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria value="SDE Race"/>
  </supplementalData>
  <supplementalData>
    <identifier>
      <value value="sde-payer"/>
    </identifier>
    <usage>
      <coding>
        <system value="http://hl7.org/fhir/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria value="SDE Payer"/>
  </supplementalData>
  <supplementalData>
    <identifier>
      <value value="sde-sex"/>
    </identifier>
    <usage>
      <coding>
        <system value="http://hl7.org/fhir/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria value="SDE Sex"/>
  </supplementalData>
</Measure>