Quality Measure STU2 for FHIR R4 Implementation Guide
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
<Measure xmlns="http://hl7.org/fhir"> <id value="measure-exm"/> <meta> <versionId value="2"/> <lastUpdated value="2019-11-06T23:55:48.200+00:00"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table style="width: 60%; border-bottom: none;" class="header_table"> <tr style="vertical-align: top;"> <td scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Measure Title</span> </td> <td colspan="1" style="width:60%"> <h1 style="font-size:10px">EXM Measure</h1> </td> <td scope="row" style="background-color:#656565; width:10%"> <span class="td_label">Measure ID</span> </td> <td colspan="1" style="width:10%"> <h1 style="font-size:10px">MeasureEXM</h1> </td> </tr> <tr style="vertical-align: top;"> <td scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Description</span> </td> <td colspan="3" style="width:80%"> <div style="width:660px;overflow-x:hidden;overflow-y:auto"> <pre> <p>An example FHIR-based measure</p> </pre> </div> </td> </tr> <tr> <td scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Measurement Period</span> </td> <td colspan="3" style="width:80%">January 1 - December 31</td> </tr> <tr> <td scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Copyright and Disclaimer Notice</span> </td> <td colspan="3" style="width:80%"> <div style="width:660px;overflow-x:hidden;overflow-y:auto"> <pre>Example disclaimer</pre> <br/> <pre>Example Copyright Statement</pre> </div> </td> </tr> <tr> <td scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Clinical Recommendation Statement</span> </td> <td colspan="3" style="width:80%"> <div style="width:660px;overflow-x:hidden;overflow-y:auto"> <p>The clinical recommendation statement for this measure is...</p> </div> </td> </tr> <tr> <td colspan="4" scope="row" style="background-color:#656565; width:100%"> <span class="td_label">Characteristics</span> </td> </tr> <tr> <td scope="row" style="width:20%"> <span>Scoring</span> </td> <td colspan="3" style="width:80%">Proportion</td> </tr> <tr style="vertical-align: top;"> <td rowspan="1" scope="row" style="width:20%"> <span>Type</span> </td> <td colspan="3" style="width:80%">Process</td> </tr> <tr> <td scope="row" style="width:20%"> <span>Risk Adjustment</span> </td> <td colspan="3" style="width:80%"> <div style="width:660px;overflow-x:hidden;overflow-y:auto"> <pre>Risk adjustment for this measure is performed by...</pre> </div> </td> </tr> <tr> <td scope="row" style="width:20%"> <span>Improvement Notation</span> </td> <td colspan="3" style="width:80%">A higher rate indicates better performance.</td> </tr> <tr> <td scope="row" style="width:20%"> <span>Guidance</span> </td> <td colspan="3" style="width:80%"> <div style="width:660px;overflow-x:hidden;overflow-y:auto"> <p>Additional guidance provided to help communicate the intent of the measure</p> </div> </td> </tr> <tr> <td colspan="4" scope="row" style="background-color:#656565; width:100%"> <span class="td_label">Definitions</span> </td> </tr> <tr> <td colspan="4" style="width:100%"> <div style="width:880px;overflow-x:hidden;overflow-y:auto"> <p>A term used in the measure that bears clearly defining to communicate the measure intent</p> </div> </td> </tr> </table> <table style="width: 60%; border-top: none; border-bottom: none" class="header_table"> <tr style="vertical-align: top;"> <td rowspan="3" scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Population Criteria 1</span> </td> <td style="width:20%;"> <span style="font-size:10px; font-weight: bold;">Initial Population</span> </td> <td colspan="2" style="width:60%;"> <div style="overflow-x:hidden;overflow-y:auto"> <pre/> </div> </td> </tr> <tr style="vertical-align: top;"> <td style="width:20%;"> <span style="font-size:10px; font-weight: bold;">Numerator</span> </td> <td colspan="2" style="width:60%;"> <div style="overflow-x:hidden;overflow-y:auto"> <pre/> </div> </td> </tr> <tr style="vertical-align: top;"> <td style="width:20%;"> <span style="font-size:10px; font-weight: bold;">Denominator</span> </td> <td colspan="2" style="width:60%;"> <div style="overflow-x:hidden;overflow-y:auto"> <pre/> </div> </td> </tr> <tr style="vertical-align: top;"> <td rowspan="3" scope="row" style="background-color:#656565; width:20%"> <span class="td_label">Population Criteria 2</span> </td> <td style="width:20%;"> <span style="font-size:10px; font-weight: bold;">Initial Population</span> </td> <td colspan="2" style="width:60%;"> <div style="overflow-x:hidden;overflow-y:auto"> <pre/> </div> </td> </tr> <tr style="vertical-align: top;"> <td style="width:20%;"> <span style="font-size:10px; font-weight: bold;">Numerator</span> </td> <td colspan="2" style="width:60%;"> <div style="overflow-x:hidden;overflow-y:auto"> <pre/> </div> </td> </tr> <tr style="vertical-align: top;"> <td style="width:20%;"> <span style="font-size:10px; font-weight: bold;">Denominator</span> </td> <td colspan="2" style="width:60%;"> <div style="overflow-x:hidden;overflow-y:auto"> <pre/> </div> </td> </tr> </table> <table style="width: 60%; border-top: none;" class="header_table"> </table> <h2> <a name="toc">Table of Contents</a> </h2> <ul style="padding-left: 50px;"> <li> <a href="#d1e405">Population Criteria</a> </li> <li> <a href="#d1e649">Definitions</a> </li> <li> <a href="#d1e650">Functions</a> </li> <li> <a href="#d1e555">Terminology</a> </li> <li> <a href="#d1e647">Data Criteria (QDM Data Elements)</a> </li> <li> <a href="#d1e767">Supplemental Data Elements</a> </li> <li> <a href="#d1e879">Risk Adjustment Variables</a> </li> </ul> <div style="float:left; background:teal; height:3px; width:80%"/> <pre> <br/> </pre> <h3> <a name="d1e405" href="#toc">Population Criteria 1</a> </h3> <div> <ul style="list-style:none;padding-left:10px;"> <li style="list-style:none;padding-left:0px;" class="list-unstyled"> <div class="treeview hover p-l-10"> </div> <div class="treeview hover p-l-10"> </div> <div class="treeview hover p-l-10"> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 1</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 1</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 2</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 2</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 3</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 3</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 4</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 4</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> </li> </ul> </div> <pre> <br/> </pre> <h3> <a name="d1e405" href="#toc">Population Criteria 2</a> </h3> <div> <ul style="list-style:none;padding-left:10px;"> <li style="list-style:none;padding-left:0px;" class="list-unstyled"> <div class="treeview hover p-l-10"> </div> <div class="treeview hover p-l-10"> </div> <div class="treeview hover p-l-10"> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 1</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 1</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 2</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 2</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 3</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 3</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> <div class="treeview hover p-l-10"> <ul class="list-unstyled"> <li class="list-unstyled"> <strong>Stratifier 4</strong> <ul class="code"> <li class="list-unstyled"> <div class="treeview hover p-l-10"> <ul> <li style="padding-left: 0px;"> <div> <pre class="cql-definition-body">Stratifier 4</pre> </div> </li> </ul> </div> </li> </ul> </li> </ul> </div> </li> </ul> </div> <h3> <a name="d1e649" href="#toc">Definitions</a> </h3> <h3> <a name="d1e650" href="#toc">Functions</a> </h3> <h3> <a name="d1e555" href="#toc">Terminology</a> </h3> <div> <ul style="padding-left: 50px;"> </ul> </div> <h3> <a name="d1e647" href="#toc">Data Criteria (QDM Data Elements)</a> </h3> <div> <ul style="padding-left: 50px;"> </ul> </div> <h3> <a name="d1e767" href="#toc">Supplemental Data Elements</a> </h3> <div> <ul style="list-style:none;padding-left: 25px;"> <li>None</li> </ul> </div> <h3> <a name="d1e879" href="#toc">Risk Adjustment Variables</a> </h3> <div> <ul style="list-style:none;padding-left: 25px;"> <li>None</li> </ul> </div> <div style="float:left; background:teal; height:3px; width:80%"/> <table> </table> </div> </text> <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> <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"> <valueCode value="boolean"/> </extension> <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation"> <valueMarkdown value="Additional guidance for allocation"/> </extension> <url value="http://example.org/fhir/measures/measure-exm"/> <identifier> <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/> <value value="EXM"/> </identifier> <version value="1.1.0"/> <name value="MeasureEXM"/> <title value="EXM Measure"/> <status value="active"/> <experimental value="true"/> <date value="2019-02-17T00:00:00+00:00"/> <publisher value="Example Measure Publisher"/> <contact> <telecom> <system value="url"/> <value value="http://www.example.org/"/> </telecom> </contact> <description value="An example FHIR-based measure"/> <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"/> <display value="United States of America"/> </coding> </jurisdiction> <purpose value="The purpose of this measure is to..."/> <usage value="Users of this measure should be aware of..."/> <copyright value="Example Copyright Statement"/> <approvalDate value="2019-02-17"/> <lastReviewDate value="2019-02-17"/> <effectivePeriod> <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor"> <valueDateTime value="2018-01-01T00:00:00+00:00"/> </extension> <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration"> <valueDuration> <value value="1"/> <system value="http://unitsofmeasure.org"/> <code value="a"/> </valueDuration> </extension> <start value="2018-01-01T00:00:00+00:00"/> <end value="2018-12-31T00:00:00+00:00"/> </effectivePeriod> <topic> <coding> <system value="http://loinc.org"/> <code value="57024-2"/> </coding> <text value="Health Quality Measure Document"/> </topic> <author> <name value="Example Measure Content Developer"/> </author> <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. "Antibiotic treatment of children with sore throat." 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. "Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.""/> </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. "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."/> </relatedArtifact> <library value="http://hl7.org/fhir/us/cqfmeasures/Library/exm-logic"/> <disclaimer value="Example disclaimer"/> <scoring> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/> <code value="proportion"/> <display value="Proportion"/> </coding> </scoring> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/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> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/> <code value="increase"/> <display value="Increased score indicates improvement"/> </coding> </improvementNotation> <definition> <extension url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm"> <extension url="term"> <valueString value="Term"/> </extension> <extension url="definition"> <valueMarkdown value="A term used in the measure that bears clearly definition to communicate the measure intent"/> </extension> </extension> </definition> <guidance value="Additional guidance provided to help communicate the intent of the measure"/> <group id="group-1"> <population id="initial-population-1"> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="initial-population"/> <display value="Initial Population"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Initial Population 1"/> </criteria> </population> <population id="numerator-1"> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="numerator"/> <display value="Numerator"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Numerator 1"/> </criteria> </population> <population id="denominator-1"> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="denominator"/> <display value="Denominator"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Denominator 1"/> </criteria> </population> <stratifier id="stratifier-1-1"> <criteria> <language value="text/cql"/> <expression value="Stratifier 1-1"/> </criteria> </stratifier> <stratifier id="stratifier-1-2"> <criteria> <language value="text/cql"/> <expression value="Stratifier 1-2"/> </criteria> </stratifier> <stratifier id="stratifier-1-3"> <criteria> <language value="text/cql"/> <expression value="Stratifier 1-3"/> </criteria> </stratifier> <stratifier id="stratifier-1-4"> <criteria> <language value="text/cql"/> <expression value="Stratifier 1-4"/> </criteria> </stratifier> </group> <group id="group-2"> <population id="initial-population-2"> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="initial-population"/> <display value="Initial Population"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Initial Population 2"/> </criteria> </population> <population id="numerator-2"> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="numerator"/> <display value="Numerator"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Numerator 2"/> </criteria> </population> <population id="denominator-2"> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="denominator"/> <display value="Denominator"/> </coding> </code> <criteria> <language value="text/cql"/> <expression value="Denominator 2"/> </criteria> </population> <stratifier id="stratifier-2-1"> <criteria> <language value="text/cql"/> <expression value="Stratifier 2-1"/> </criteria> </stratifier> <stratifier id="stratifier-2-2"> <criteria> <language value="text/cql"/> <expression value="Stratifier 2-2"/> </criteria> </stratifier> <stratifier id="stratifier-2-3"> <criteria> <language value="text/cql"/> <expression value="Stratifier 2-3"/> </criteria> </stratifier> <stratifier id="stratifier-2-4"> <criteria> <language value="text/cql"/> <expression value="Stratifier 2-4"/> </criteria> </stratifier> </group> <supplementalData id="sde-ethnicity"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="supplemental-data"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="SDE Ethnicity"/> </criteria> </supplementalData> <supplementalData id="sde-race"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="supplemental-data"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="SDE Race"/> </criteria> </supplementalData> <supplementalData id="sde-payer"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="supplemental-data"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="SDE Payer"/> </criteria> </supplementalData> <supplementalData id="sde-sex"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="supplemental-data"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="SDE Sex"/> </criteria> </supplementalData> </Measure>
© HL7.org (Clinical Quality Information WG). hl7.fhir.us.cqfmeasures#1.1.0 based on FHIR v4.0.1 generated 24/12/2019.
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