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-risk-adjustment-FHIR2"/> <meta> <versionId value="3"/> <lastUpdated value="2019-03-12T17:08:24.461+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 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-risk-adjustment-FHIR2</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><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/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>RiskAdjustment_FHIR2</span></td></tr><tr style="vertical-align: top;"><th scope="row"><b>Title: </b></th><td style="padding-left: 25px; padding-right: 25px;">Risk Adjustment FHIR DSTU2</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 the use of risk adjustment variables within a measure represented as a FHIR eCQM</td></tr><tr style="vertical-align: top;"><th rowspan="1" scope="row"><b>Topic: </b></th><td style="padding-right: 25px;"><span><br/><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-risk-adjustment-FHIR2</span></p></td></tr><tr><th scope="row"><b>Scoring: </b></th><td style="padding-left: 25px; padding-right: 25px;"><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-scoring</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>proportion</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="3" 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>numerator-identifier</span><br/></span></p><p style="margin-bottom: 5px; padding-left: 25px;"><b>criteria: </b><span>Numerator</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>denominator-identifier</span><br/></span></p><p style="margin-bottom: 5px; padding-left: 25px;"><b>criteria: </b><span>Denominator</span></p></td></tr></table></td></tr><tr><th rowspan="8" scope="row"><b>Supplemental Data:</b></th><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-ethnicity</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Ethnicity</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-payer</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Payer</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-race</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Race</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-sex</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Sex</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>hepatic-failure</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Hepatic Failure</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>cirrhosis-dx</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Cirrhosis Dx</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>bilirubin-test</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Bilirubin Test</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>serum-albumin-test</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Serum Albumin Test</span></p></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-risk-adjustment-FHIR2"/> <identifier> <use value="official"/> <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/> <value value="RiskAdjustment_FHIR2"/> </identifier> <version value="1.1.0"/> <name value="RiskAdjustment_FHIR2"/> <title value="Risk Adjustment FHIR DSTU2"/> <status value="active"/> <experimental value="true"/> <date value="2019-02-21T00:00:00+00:00"/> <publisher value="Health Level 7 International - Clinical Quality Information Work Group"/> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/> </telecom> </contact> <description value="This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM"/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States of America"/> </coding> </jurisdiction> <approvalDate value="2019-03-08"/> <lastReviewDate value="2019-03-08"/> <effectivePeriod> <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"/> <display value="Health Quality Measure Document"/> </coding> </topic> <library value="Library/library-risk-adjustment-FHIR2"/> <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> <improvementNotation> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/> <code value="decrease"/> <display value="Decreased score indicates improvement"/> </coding> </improvementNotation> <group> <population> <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"/> </criteria> </population> <population> <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"/> </criteria> </population> <population> <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"/> </criteria> </population> </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-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-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-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> <supplementalData id="hepatic-failure"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="risk-adjustment-factor"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="Hepatic Failure"/> </criteria> </supplementalData> <supplementalData id="cirrhosis-dx"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="risk-adjustment-factor"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="Cirrhosis Dx"/> </criteria> </supplementalData> <supplementalData id="bilirubin-test"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="risk-adjustment-factor"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="Bilirubin Test"/> </criteria> </supplementalData> <supplementalData id="serum-albumin-test"> <usage> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/> <code value="risk-adjustment-factor"/> </coding> </usage> <criteria> <language value="text/cql"/> <expression value="Serum Albumin Test"/> </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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