Quality Measure Implementation Guide (STU4)
4.0.0-ballot - ballot
US
Quality Measure Implementation Guide (STU4)
4.0.0-ballot - ballot
US
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0-ballot: STU 4 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 
| Active as of 2019-09-03 |
<Library xmlns="http://hl7.org/fhir">
<id value="EXMComputableLibrary"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">EXMComputableLibrary</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="http://hl7.org/fhir/us/cqfmeasures/Library/EXMComputableLibrary">http://hl7.org/fhir/us/cqfmeasures/Library/EXMComputableLibrary</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">2.0.0</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>value: </b> <span>EXMComputableLogic</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">EXMComputableLibrary</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">Example Computable Library</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">active</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">true</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span><a href="http://terminology.hl7.org/CodeSystem/library-type">http://terminology.hl7.org/CodeSystem/library-type</a></span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>logic-library</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2019-09-03</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">Clinical Quality Information WG</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>This library is used as an example in the FHIR Quality Measure Implementation Guide</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Use Context: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>
<tr>
<td>program</td>
<td>eh-cah</td>
<td>EH/CAH</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 4px;">US</td>
</tr>
<tr>
<th scope="row"><b>Approval Date: </b></th>
<td style="padding-left: 4px;">2019-08-03</td>
</tr>
<tr>
<th scope="row"><b>Last Review Date: </b></th>
<td style="padding-left: 4px;">2019-08-03</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>Dependencies</b></p>
<ul>
<li><a href="http://fhir.org/guides/common/Library/FHIR-ModelInfo|4.0.1">http://fhir.org/guides/common/Library/FHIR-ModelInfo|4.0.1</a></li>
<li><a href="http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1">http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1</a></li>
<li><a href="http://terminology.hl7.org/CodeSystem/diagnosis-role">http://terminology.hl7.org/CodeSystem/diagnosis-role</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837</a></li>
<li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</a></li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Parameters: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>
<tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>in</th></tr>
<tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>out</th></tr>
<tr><th>Inpatient Encounter</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Initial Population</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Measure Population</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Stratifier 1</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Stratifier 2</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Stratifier 3</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>Stratifier 4</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>SDE Ethnicity</th><th>Coding</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>SDE Payer</th><th>Resource</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>SDE Race</th><th>Coding</th><th>0</th><th>*</th><th>out</th></tr>
<tr><th>SDE Sex</th><th>Coding</th><th>0</th><th>1</th><th>out</th></tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Data Requirements:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>
<tr>
<th>Encounter</th>
<th>http://hl7.org/fhir/StructureDefinition/Encounter</th>
<th/>
<th>
</th>
</tr>
<tr>
<th>Encounter</th>
<th>http://hl7.org/fhir/StructureDefinition/Encounter</th>
<th/>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>type</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</span>
</span>
</th>
</tr>
<tr>
<th>Condition</th>
<th>http://hl7.org/fhir/StructureDefinition/Condition</th>
<th/>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>id</span>
</span>
</th>
</tr>
<tr>
<th>Coverage</th>
<th>http://hl7.org/fhir/StructureDefinition/Coverage</th>
<th/>
<th>
<b>code filter: </b>
<br/>
<span style="padding-left: 4px;">
<b>path: </b><span>type</span>
</span>
<br/>
<span style="padding-left: 4px;">
<b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</span>
</span>
</th>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="2">
<table>
<tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
<tr><td><pre><code class="language-cql">library EXMComputableLibrary version '2.0.0'
/*
This example is purely for illustration purposes to show how all the elements of a
FHIR-based quality measure are represented. It is intentionally simplified to show
specific aspects of a measure, and is not intended as an example of a clinically
meaningful measure.
*/
/*
NOTE: This is the same library as EXMLogic, being used to illustrate the different flavors of profiles:
* Computable: Focusing on computable/design-time aspects
* Executable: Focusing on run-time aspects
* Publishable: Focusing on knowledge management aspects
*/
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
codesystem &quot;Diagnosis Role&quot;: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'
valueset &quot;Emergency Department Visit&quot; : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292'
valueset &quot;Psychiatric/Mental Health Patient&quot; : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299'
valueset &quot;Hospital Settings&quot; : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126'
valueset &quot;ONC Administrative Sex&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1'
valueset &quot;Race&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836'
valueset &quot;Ethnicity&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837'
valueset &quot;Payer&quot;: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'
code &quot;Billing&quot;: 'billing' from &quot;Diagnosis Role&quot; display 'Billing'
parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;
context Patient
define &quot;Initial Population&quot; :
&quot;Inpatient Encounter&quot; Encounter
define &quot;Measure Population&quot; :
&quot;Initial Population&quot;
define function &quot;Measure Observation&quot; (Encounter &quot;Encounter&quot; ) :
duration in minutes of &quot;Related ED Visit&quot;(Encounter).period
define &quot;Stratifier 1&quot; :
&quot;Inpatient Encounter&quot; Encounter
where not (PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;)
define &quot;Stratifier 2&quot; :
&quot;Inpatient Encounter&quot; Encounter
where PrincipalDiagnosis(Encounter).code in &quot;Psychiatric/Mental Health Patient&quot;
define &quot;Stratifier 3&quot; :
&quot;Inpatient Encounter&quot; Encounter
where PrincipalDiagnosis(Encounter) is null
define &quot;Stratifier 4&quot; :
&quot;Inpatient Encounter&quot; Encounter
where PrincipalDiagnosis(Encounter) is null
define &quot;Inpatient Encounter&quot; :
[&quot;Encounter&quot;] Encounter
where LengthInDays(Encounter.period) &lt;= 120
and Encounter.period ends during &quot;Measurement Period&quot;
define function &quot;PrincipalDiagnosis&quot;(Encounter Encounter):
(singleton from (Encounter.diagnosis D where D.use ~ ToConcept(&quot;Billing&quot;) and D.rank.value = 1)) PD
return singleton from ([Condition: id in &quot;GetId&quot;(PD.condition.reference)])
define function &quot;LengthInDays&quot;(Value Interval&lt;DateTime&gt;):
difference in days between start of Value and end of Value
define function &quot;GetId&quot;(uri String):
Last(Split(uri, '/'))
//Measure Observation
define function &quot;Related ED Visit&quot; (Encounter &quot;Encounter&quot; ) :
Last([&quot;Encounter&quot; : &quot;Emergency Department Visit&quot;] ED
where ED.status = 'finished'
and ED.period ends 1 hour or less before start of Encounter.period
sort by start of period )
define &quot;SDE Ethnicity&quot;:
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding
define &quot;SDE Payer&quot;:
[Coverage: type in &quot;Payer&quot;] Payer
return {
code: Payer.type,
period: Payer.period
}
define &quot;SDE Race&quot;:
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding
define &quot;SDE Sex&quot;:
case
when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
else null
end
</code></pre></td></tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<url
value="http://hl7.org/fhir/us/cqfmeasures/Library/EXMComputableLibrary"/>
<identifier>
<use value="official"/>
<system value="http://example.org/fhir/cqi/ecqm/Library/Identifier"/>
<value value="EXMComputableLogic"/>
</identifier>
<version value="2.0.0"/>
<name value="EXMComputableLibrary"/>
<title value="Example Computable Library"/>
<status value="active"/>
<experimental value="true"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="logic-library"/>
</coding>
</type>
<date value="2019-09-03"/>
<publisher value="Clinical Quality Information WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description
value="This library is used as an example in the FHIR Quality Measure Implementation Guide"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="program"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"/>
<code value="eh-cah"/>
<display value="EH/CAH"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<approvalDate value="2019-08-03"/>
<lastReviewDate value="2019-08-03"/>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://fhir.org/guides/common/Library/FHIR-ModelInfo|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="Patient"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Patient"/>
</parameter>
<parameter>
<name value="Inpatient Encounter"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Measure Population"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Stratifier 1"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Stratifier 2"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Stratifier 3"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Stratifier 4"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="SDE Ethnicity"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="SDE Payer"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="SDE Race"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="SDE Sex"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<codeFilter>
<path value="id"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Coverage"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</codeFilter>
</dataRequirement>
<content>
<contentType value="text/cql"/>
<language value="AllLanguages"/>
<data
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</Library>
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0-ballot based on FHIR 4.0.1. Generated 2022-12-04
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