Quality Measure Implementation Guide (STU5)
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This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0-ballot2: STU5 (v5.0.0) Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

: Module Definition Library - EXM55 - JSON Representation

Active as of 2022-02-22

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{
  "resourceType" : "Library",
  "id" : "effective-data-requirements-exm55",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Module Definition Library - EXM55</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">effective-data-requirements-exm55</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"Library-effective-data-requirements-exm55.html\">Module Definition Library - EXM55</a></td>\n        </tr>\n        \n\n        \n\n        \n\n        \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        \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/5.5.0/CodeSystem-library-type.html\">LibraryType</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>module-definition</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2022-02-22 10:37:03-0700</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">HL7 International / Clinical Quality Information</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>This library is used as an example module definition in the FHIR Quality Measure Implementation Guide</p>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">US</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li><a href=\"http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1\">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a></li>\n                  \n                    <li><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-diagnosis-role.html\">Diagnosis Role</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.299/expansion\">Psychiatric/Mental Health Diagnosis</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.292/expansion\">Emergency Department Visit</a></li>\n                  \n                    <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1111.126/expansion\">Hospital Settings</a></li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Parameters: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <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>\n              \n                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>in</th></tr>\n              \n                <tr><th>Stratification 3</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n                <tr><th>Stratification 2</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n                <tr><th>Measure Population Exclusion</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n                <tr><th>Stratification 1</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n                <tr><th>Initial Population</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n                <tr><th>Measure Population</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\n                  <th>;;;;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\n                  <th>;</th>\n                  <th>\n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Condition</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Condition</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>id</span>\n                      </span>\n                      \n                      \n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n    </table>\n</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
      "valueCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
        "code" : "billing",
        "display" : "Billing"
      }
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Inpatient Encounter"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Inpatient Encounter\" :\n  [\"Encounter\"] Encounter\n    where LengthInDays(Encounter.period) <= 120\n      and Encounter.period ends during \"Measurement Period\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 0
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Stratification 3"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Stratification 3\" :\n  \"Inpatient Encounter\" Encounter\n    where PrincipalDiagnosis(Encounter) is null"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 1
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Stratification 2"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Stratification 2\" :\n  \"Inpatient Encounter\" Encounter\n    where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 2
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Measure Population Exclusion"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Measure Population Exclusion\" :\n  \"Inpatient Encounter\" Encounter\n    with [\"Encounter\" : \"Emergency Department Visit\"] ED\n      such that ED.period ends 1 hour or less before start of Encounter.period\n        and ED.status = 'finished'\n        and ED.hospitalization.admitSource in \"Hospital Settings\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 3
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Stratification 1"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Stratification 1\" :\n  \"Inpatient Encounter\" Encounter\n    where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 4
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Initial Population"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Initial Population\" :\n  \"Inpatient Encounter\" Encounter\n    with [\"Encounter\" : \"Emergency Department Visit\"] ED\n     such that ED.status = 'finished'\n       and ED.period ends 1 hour or less before start of Encounter.period"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 5
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "EXM55-FHIR"
        },
        {
          "url" : "name",
          "valueString" : "Measure Population"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Measure Population\" :\n  \"Initial Population\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 6
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    }
  ],
  "url" : "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm55",
  "version" : "1.0.0",
  "name" : "ModuleDefinitionLibraryEXM55",
  "title" : "Module Definition Library - EXM55",
  "status" : "active",
  "experimental" : true,
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "module-definition"
      }
    ]
  },
  "date" : "2022-02-22T10:37:03-07:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "relatedArtifact" : [
    {
      "type" : "depends-on",
      "display" : "Library FHIRHelpers",
      "resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
    },
    {
      "type" : "depends-on",
      "display" : "Code system Diagnosis Role",
      "resource" : "http://terminology.hl7.org/CodeSystem/diagnosis-role"
    },
    {
      "type" : "depends-on",
      "display" : "Value set Psychiatric/Mental Health Patient",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"
    },
    {
      "type" : "depends-on",
      "display" : "Value set Emergency Department Visit",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
    },
    {
      "type" : "depends-on",
      "display" : "Value set Hospital Settings",
      "resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"
    }
  ],
  "parameter" : [
    {
      "name" : "Measurement Period",
      "use" : "in",
      "min" : 0,
      "max" : "1",
      "type" : "Period"
    },
    {
      "name" : "Stratification 3",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Encounter"
    },
    {
      "name" : "Stratification 2",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Encounter"
    },
    {
      "name" : "Measure Population Exclusion",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Encounter"
    },
    {
      "name" : "Stratification 1",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Encounter"
    },
    {
      "name" : "Initial Population",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Encounter"
    },
    {
      "name" : "Measure Population",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Encounter"
    }
  ],
  "dataRequirement" : [
    {
      "type" : "Encounter",
      "profile" : [
        🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
      ],
      "mustSupport" : [
        "period",
        "hospitalization",
        "hospitalization.admitSource",
        "type",
        "status"
      ],
      "codeFilter" : [
        {
          "path" : "type",
          "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
        }
      ]
    },
    {
      "type" : "Encounter",
      "profile" : [
        🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
      ],
      "mustSupport" : [
        "period"
      ]
    },
    {
      "type" : "Condition",
      "profile" : [
        🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
      ],
      "mustSupport" : [
        "id"
      ],
      "codeFilter" : [
        {
          "path" : "id"
        }
      ]
    }
  ]
}