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


<Measure xmlns="http://hl7.org/fhir">
  <id value="measure-exm55-FHIR"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2019-03-12T02:36:02.766-06:00"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
  </extension>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="55"/>
  </identifier>
  <version value="5.0.0"/>
  <name value="EXM55"/>
  <title value="Median ED Visit Duration"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2019-02-21"/>
  <publisher
             value="Health Level 7 International - Clinical Quality Information Work Group"/>
  <description
               value="This example illustrates a continuous variable measure represented as a FHIR eCQM"/>
  <approvalDate value="2019-03-08"/>
  <lastReviewDate value="2019-03-08"/>
  <effectivePeriod>
    <start value="2018-01-01"/>
    <end value="2018-12-31"/>
  </effectivePeriod>
  <useContext>
    <code>
      <code value="program"/>
    </code>
    <valueCodeableConcept>
      <text value="eligible-hospital"/>
    </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"/>
      <display value="Health Quality Measure Document"/>
    </coding>
  </topic>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
    </telecom>
  </contact>
  <library>
    <reference value="Library/library-exm55-FHIR"/>
  </library>
  <scoring>
    <coding>
      <system value="http://hl7.org/fhir/measure-scoring"/>
      <code value="continuous-variable"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation value="decrease"/>
  <group>
    <identifier>
      <value value="group-1"/>
    </identifier>
    <population>
      <identifier>
        <value value="initial-population-identifier"/>
      </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"/>
    </population>
    <population>
      <identifier>
        <value value="measure-population-identifier"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-population"/>
          <display value="Measure Population"/>
        </coding>
      </code>
      <criteria value="Measure Population"/>
    </population>
    <population>
      <identifier>
        <value value="measure-population-exclusion-identifier"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-population-exclusion"/>
          <display value="Measure Population Exclusion"/>
        </coding>
      </code>
      <criteria value="Measure Population Exclusion"/>
    </population>
    <population>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="measure-population-identifier"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
        <valueCode value="median"/>
      </extension>
      <identifier>
        <value value="measure-observation-identifier"/>
      </identifier>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-observation"/>
          <display value="Measure Observation"/>
        </coding>
      </code>
      <criteria value="Measure Observation"/>
    </population>
    <stratifier>
      <identifier>
        <value value="stratifier-1-identifier"/>
      </identifier>
      <criteria value="Stratification 1"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier-2-identifier"/>
      </identifier>
      <criteria value="Stratification 2"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier-3-identifier"/>
      </identifier>
      <criteria value="Stratification 3"/>
    </stratifier>
  </group>
</Measure>