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

EXM55

@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-exm55-FHIR"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "2" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-03-12T02:36:02.766-06:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-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\"><table class=\"grid dict\"><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Measure/measure-exm55-FHIR</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Type: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><span><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://hl7.org/fhir/measure-type</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>process</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Identifier: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>system: </b><span>http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm</span><br/><b>value: </b><span>55</span></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Title: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Median ED Visit Duration</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Description: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">This example illustrates a continuous variable measure represented as a FHIR eCQM</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Use Context: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"padding-left: 25px; margin-bottom: 5px;\"><b>code: </b><span>program</span></p><p style=\"padding-left: 25px; margin-bottom: 5px;\"><b>value: </b><br/><span><span style=\"padding-left: 25px;\"><b>text: </b><span>eligible-hospital</span></span></span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Topic: </b></th><td style=\"padding-right: 25px;\"><span><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://loinc.org</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>57024-2</span><br/></span><span style=\"padding-left: 25px;\"><b>display: </b><span>Health Quality Measure Document</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Library: </b></th><td><p style=\"padding-left: 25px; padding-right: 25px;\"><b>reference: </b><span>Library/library-exm55-FHIR</span></p></td></tr><tr><th scope=\"row\"><b>Scoring: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><span><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://hl7.org/fhir/measure-scoring</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>continuous-variable</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Group:</b></th><td><p style=\"padding-left: 25px; padding-right: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>group-1</span><br/></span></p></td></tr><tr style=\"vertical-align: top;\"><td colspan=\"2\"><table style=\"margin-bottom: 5px; width: 100%\"><tr style=\"vertical-align: top;\"><th rowspan=\"4\" scope=\"row\" style=\"padding-left: 25px;\"><b>Population:</b></th><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>initial-population-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Initial Population</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>measure-population-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Measure Population</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>measure-population-exclusion-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Measure Population Exclusion</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>measure-observation-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Measure Observation</span></p></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"3\" scope=\"row\" style=\"padding-left: 25px;\"><b>Stratifier:</b></th><td><p style=\"padding-left: 25px; margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>stratifier-1-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Stratification 1</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"padding-left: 25px; margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>stratifier-2-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Stratification 2</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"padding-left: 25px; margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>stratifier-3-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Stratification 3</span></p></td></tr></table></td></tr></table></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
     fhir:Extension.valueCode [ fhir:value "Encounter" ]
  ];
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR"];
  fhir:Measure.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
     fhir:Identifier.value [ fhir:value "55" ]
  ];
  fhir:Measure.version [ fhir:value "5.0.0"];
  fhir:Measure.name [ fhir:value "EXM55"];
  fhir:Measure.title [ fhir:value "Median ED Visit Duration"];
  fhir:Measure.status [ fhir:value "active"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2019-02-21"^^xsd:date];
  fhir:Measure.publisher [ fhir:value "Health Level 7 International - Clinical Quality Information Work Group"];
  fhir:Measure.description [ fhir:value "This example illustrates a continuous variable measure represented as a FHIR eCQM"];
  fhir:Measure.approvalDate [ fhir:value "2019-03-08"^^xsd:date];
  fhir:Measure.lastReviewDate [ fhir:value "2019-03-08"^^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-hospital" ]     ]
  ];
  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:Coding.display [ fhir:value "Health Quality Measure Document" ]     ]
  ];
  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.hl7.org/Special/committees/cqi/index.cfm" ]     ]
  ];
  fhir:Measure.library [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Library/library-exm55-FHIR" ]
  ];
  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 "continuous-variable" ]     ]
  ];
  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.improvementNotation [ fhir:value "decrease"];
  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-identifier" ]       ];
       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" ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "measure-population-identifier" ]       ];
       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 "measure-population" ];
           fhir:Coding.display [ fhir:value "Measure Population" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Measure Population" ]     ], [
       fhir:index 2;
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "measure-population-exclusion-identifier" ]       ];
       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 "measure-population-exclusion" ];
           fhir:Coding.display [ fhir:value "Measure Population Exclusion" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Measure Population Exclusion" ]     ], [
       fhir:index 3;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference" ];
         fhir:Extension.valueString [ fhir:value "measure-population-identifier" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "median" ]       ];
       fhir:Measure.group.population.identifier [
         fhir:Identifier.value [ fhir:value "measure-observation-identifier" ]       ];
       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 "measure-observation" ];
           fhir:Coding.display [ fhir:value "Measure Observation" ]         ]       ];
       fhir:Measure.group.population.criteria [ fhir:value "Measure Observation" ]     ];
     fhir:Measure.group.stratifier [
       fhir:index 0;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier-1-identifier" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratification 1" ]     ], [
       fhir:index 1;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier-2-identifier" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratification 2" ]     ], [
       fhir:index 2;
       fhir:Measure.group.stratifier.identifier [
         fhir:Identifier.value [ fhir:value "stratifier-3-identifier" ]       ];
       fhir:Measure.group.stratifier.criteria [ fhir:value "Stratification 3" ]     ]
  ].

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

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