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 2022-02-22 |
@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-exm"]; #
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm> ], [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm";
fhir:index 1;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm> ], [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm";
fhir:index 2;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm> ]
]; #
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">measure-exm</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm</a></td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">2.0.0</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Identifier: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>value: </b> <span>EXM</span>\n </p>\n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">MeasureEXM</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">EXM Measure</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">active</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-scoring\">http://terminology.hl7.org/CodeSystem/measure-scoring</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>proportion</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Proportion</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-improvement-notation\">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>increase</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Increased score indicates improvement</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-type\">http://terminology.hl7.org/CodeSystem/measure-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2022-02-22</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>An example FHIR-based measure</p>\n</div></td>\n </tr>\n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Supplemental Data: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>expression</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>SDE Ethnicity</td>\n <td><a href=\"http://terminology.hl7.org/CodeSystem/measure-data-usage\">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>\n </tr>\n \n <tr>\n <td>SDE Race</td>\n <td><a href=\"http://terminology.hl7.org/CodeSystem/measure-data-usage\">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>\n </tr>\n \n <tr>\n <td>SDE Payer</td>\n <td><a href=\"http://terminology.hl7.org/CodeSystem/measure-data-usage\">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>\n </tr>\n \n <tr>\n <td>SDE Sex</td>\n <td><a href=\"http://terminology.hl7.org/CodeSystem/measure-data-usage\">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>code</b></th><th><b>value</b></th></tr>\n \n <tr>\n <td>program</td>\n <td>eligible-provider</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">US</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Topic: </b></th>\n <td style=\"padding-left: 25px;\">57024-2</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Purpose: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>The purpose of this measure is to...</p>\n</div></td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Usage: </b></th>\n <td style=\"padding-left: 4px;\">Users of this measure should be aware of...</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Copyright: </b></th>\n <td style=\"padding-left: 25px;\"><div><p>Example Copyright Statement</p>\n</div></td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Disclaimer: </b></th>\n <td style=\"padding-left: 25px;\"><div><p>Example disclaimer</p>\n</div></td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Approval Date: </b></th>\n <td style=\"padding-left: 4px;\">2019-02-17</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Last Review Date: </b></th>\n <td style=\"padding-left: 4px;\">2019-02-17</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2018-01-01..2018-12-31</td>\n </tr>\n \n \n \n \n \n \n </table>\n</div>"
]; #
fhir:DomainResource.contained [
a fhir:Library;
fhir:index 0;
fhir:Resource.id [ fhir:value "effective-data-requirements" ];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ];
fhir:Coding.code [ fhir:value "billing" ];
fhir:Coding.display [ fhir:value "Billing" ] ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Sex" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Inpatient Encounter" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Inpatient Encounter\" :\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratifier 3" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratifier 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratifier 4" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratifier 4\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Payer" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Initial Population" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 8;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "SDE Race" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"SDE Race\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 9;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratifier 1" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratifier 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 10;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMLogic" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratifier 2" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratifier 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ];
fhir:Library.name [ fhir:value "EffectiveDataRequirements" ];
fhir:Library.status [ fhir:value "active" ];
fhir:Library.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
fhir:Coding.code [ fhir:value "module-definition" ] ] ];
fhir:Library.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
fhir:RelatedArtifact.resource [
fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ] ], [
fhir:index 1;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Code system Diagnosis Role" ];
fhir:RelatedArtifact.resource [
fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role";
fhir:link <http://terminology.hl7.org/CodeSystem/diagnosis-role> ] ], [
fhir:index 2;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Payer" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591> ] ], [
fhir:index 3;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Psychiatric/Mental Health Patient" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299> ] ];
fhir:Library.parameter [
fhir:index 0;
fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
fhir:ParameterDefinition.use [ fhir:value "in" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "Period" ] ], [
fhir:index 1;
fhir:ParameterDefinition.name [ fhir:value "SDE Sex" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "Coding" ] ], [
fhir:index 2;
fhir:ParameterDefinition.name [ fhir:value "Stratifier 3" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ], [
fhir:index 3;
fhir:ParameterDefinition.name [ fhir:value "Stratifier 4" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ], [
fhir:index 4;
fhir:ParameterDefinition.name [ fhir:value "SDE Payer" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Resource" ] ], [
fhir:index 5;
fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ], [
fhir:index 6;
fhir:ParameterDefinition.name [ fhir:value "SDE Ethnicity" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Coding" ] ], [
fhir:index 7;
fhir:ParameterDefinition.name [ fhir:value "SDE Race" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Coding" ] ], [
fhir:index 8;
fhir:ParameterDefinition.name [ fhir:value "Stratifier 1" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ], [
fhir:index 9;
fhir:ParameterDefinition.name [ fhir:value "Stratifier 2" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ];
fhir:Library.dataRequirement [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern" ];
fhir:Extension.valueString [ fhir:value "Patient?_id={{context.patientId}}" ] ];
fhir:DataRequirement.type [ fhir:value "Patient" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern" ];
fhir:Extension.valueString [ fhir:value "Patient?_id={{context.patientId}}" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "path" ];
fhir:Extension.valueString [ fhir:value "url" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "comparator" ];
fhir:Extension.valueCode [ fhir:value "eq" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "value" ];
fhir:Extension.valueString [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-valueFilter" ] ];
fhir:DataRequirement.type [ fhir:value "Patient" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ];
fhir:DataRequirement.mustSupport [
fhir:value "url";
fhir:index 0 ], [
fhir:value "extension";
fhir:index 1 ], [
fhir:value "value";
fhir:index 2 ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern" ];
fhir:Extension.valueString [ fhir:value "Patient?_id={{context.patientId}}" ] ];
fhir:DataRequirement.type [ fhir:value "Patient" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ];
fhir:DataRequirement.mustSupport [
fhir:value "url";
fhir:index 0 ], [
fhir:value "extension";
fhir:index 1 ], [
fhir:value "value";
fhir:index 2 ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "url" ];
fhir:DataRequirement.codeFilter.code [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Coding.code [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ] ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern" ];
fhir:Extension.valueString [ fhir:value "Encounter?subject=Patient/{{context.patientId}}" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isSelective" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.mustSupport [
fhir:value "period";
fhir:index 0 ];
fhir:DataRequirement.dateFilter [
fhir:index 0;
fhir:DataRequirement.dateFilter.path [ fhir:value "period" ];
fhir:DataRequirement.dateFilter.valuePeriod [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ];
fhir:Extension.valueExpression [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Measurement Period" ] ] ] ] ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern" ];
fhir:Extension.valueString [ fhir:value "Coverage?policy-holder=Patient/{{context.patientId}}&type:in=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" ] ];
fhir:DataRequirement.type [ fhir:value "Coverage" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage> ];
fhir:DataRequirement.mustSupport [
fhir:value "type";
fhir:index 0 ], [
fhir:value "period";
fhir:index 1 ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591> ] ] ]
]; #
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "type" ];
fhir:Extension.valueCode [ fhir:value "documentation" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueMarkdown [ fhir:value "This illustrates an example comment" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
fhir:Extension.valueCode [ fhir:value "Encounter" ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation" ];
fhir:Extension.valueMarkdown [ fhir:value "Additional guidance for allocation" ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Device/software-system-example" ] ]
], [
fhir:index 4;
fhir:Element.id [ fhir:value "effective-data-requirements" ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#effective-data-requirements" ] ]
]; #
fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm"]; #
fhir:Measure.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
fhir:Identifier.value [ fhir:value "EXM" ]
]; #
fhir:Measure.version [ fhir:value "2.0.0"]; #
fhir:Measure.name [ fhir:value "MeasureEXM"]; #
fhir:Measure.title [ fhir:value "EXM Measure"]; #
fhir:Measure.status [ fhir:value "active"]; #
fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean]; #
fhir:Measure.date [ fhir:value "2022-02-22"^^xsd:date]; #
fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"]; #
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" ] ]
]; #
fhir:Measure.description [ fhir:value "An example FHIR-based measure"]; #
fhir:Measure.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "program" ] ];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.text [ fhir:value "eligible-provider" ] ]
]; #
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.purpose [ fhir:value "The purpose of this measure is to..."]; #
fhir:Measure.usage [ fhir:value "Users of this measure should be aware of..."]; #
fhir:Measure.copyright [ fhir:value "Example Copyright Statement"]; #
fhir:Measure.approvalDate [ fhir:value "2019-02-17"^^xsd:date]; #
fhir:Measure.lastReviewDate [ fhir:value "2019-02-17"^^xsd:date]; #
fhir:Measure.effectivePeriod [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor" ];
fhir:Extension.valueDateTime [ fhir:value "2018-01-01"^^xsd:date ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration" ];
fhir:Extension.valueDuration [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "a" ] ] ];
fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
]; #
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:CodeableConcept.text [ fhir:value "Health Quality Measure Document" ]
]; #
fhir:Measure.author [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Example Measure Content Developer" ]
]; #
fhir:Measure.library [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic>
]; #
fhir:Measure.disclaimer [ fhir:value "Example disclaimer"]; #
fhir:Measure.scoring [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
fhir:Coding.code [ fhir:value "proportion" ];
fhir:Coding.display [ fhir:value "Proportion" ] ]
]; #
fhir:Measure.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
fhir:Coding.code [ fhir:value "process" ] ]
]; #
fhir:Measure.riskAdjustment [ fhir:value "Risk adjustment for this measure is performed by..."]; #
fhir:Measure.rateAggregation [ fhir:value "Rate aggregation for this measure is performed by..."]; #
fhir:Measure.rationale [ fhir:value "Rationale for this measure is..."]; #
fhir:Measure.clinicalRecommendationStatement [ fhir:value "The clinical recommendation statement for this measure is..."]; #
fhir:Measure.improvementNotation [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
fhir:Coding.code [ fhir:value "increase" ];
fhir:Coding.display [ fhir:value "Increased score indicates improvement" ] ]
]; #
fhir:Measure.definition [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "term" ];
fhir:Extension.valueString [ fhir:value "Term" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "definition" ];
fhir:Extension.valueMarkdown [ fhir:value "A term used in the measure that bears clearly definition to communicate the measure intent" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm" ] ]
]; #
fhir:Measure.guidance [ fhir:value "Additional guidance provided to help communicate the intent of the measure"]; #
fhir:Measure.group [
fhir:index 0;
fhir:Element.id [ fhir:value "group-1" ];
fhir:Measure.group.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.display [ fhir:value "group-1" ] ] ];
fhir:Measure.group.population [
fhir:index 0;
fhir:Element.id [ fhir:value "initial-population-1" ];
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:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Initial Population" ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "numerator" ];
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 "numerator" ];
fhir:Coding.display [ fhir:value "Numerator" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Numerator" ] ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "denominator" ];
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 "denominator" ];
fhir:Coding.display [ fhir:value "Denominator" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Denominator" ] ] ];
fhir:Measure.group.stratifier [
fhir:index 0;
fhir:Element.id [ fhir:value "stratifier-1" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ];
fhir:CodeableConcept.text [ fhir:value "initial-population" ] ] ];
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.text [ fhir:value "Stratifier 1" ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Stratifier 1" ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "stratifier-2" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ];
fhir:CodeableConcept.text [ fhir:value "initial-population" ] ] ];
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.text [ fhir:value "Stratifier 2" ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Stratifier 2" ] ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "stratifier-3" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ];
fhir:CodeableConcept.text [ fhir:value "initial-population" ] ] ];
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.text [ fhir:value "Stratifier 3" ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Stratifier 3" ] ] ], [
fhir:index 3;
fhir:Element.id [ fhir:value "stratifier-4" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ] ];
fhir:CodeableConcept.text [ fhir:value "initial-population" ] ] ];
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.text [ fhir:value "Stratifier 4" ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Stratifier 4" ] ] ]
]; #
fhir:Measure.supplementalData [
fhir:index 0;
fhir:Element.id [ fhir:value "sde-ethnicity" ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "SDE Ethnicity" ] ]
], [
fhir:index 1;
fhir:Element.id [ fhir:value "sde-race" ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "SDE Race" ] ]
], [
fhir:index 2;
fhir:Element.id [ fhir:value "sde-payer" ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "SDE Payer" ] ]
], [
fhir:index 3;
fhir:Element.id [ fhir:value "sde-sex" ];
fhir:Measure.supplementalData.usage [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
fhir:Coding.code [ fhir:value "supplemental-data" ] ] ];
fhir:Measure.supplementalData.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "SDE Sex" ] ]
]. #
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
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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