Quality Measure Implementation Guide (STU5)
5.0.0-ballot2 - ballot
Quality Measure Implementation Guide (STU5)
5.0.0-ballot2 - ballot
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
| Active as of 2022-02-22 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://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:id [ fhir:v "EXMLogic-FHIR"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm> ] [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm> ] [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\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\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-EXMLogic-FHIR.html\">EXM Measure</a></td>\n </tr>\n \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 \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Measure-EXMLogic-FHIR.html\">EXM Measure</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n \n \n </b>\n </th>\n\n <td style=\"padding-left: 4px;\">\n \n <p style=\"margin-bottom: 5px;\">\n <span>EXM</span>\n </p>\n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2018-01-01\n ..2018-12-31</td>\n </tr>\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>Date: </b></th>\n <td style=\"padding-left: 4px;\">2022-02-22</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>Author: </b></th>\n <td style=\"padding-left: 4px;\">Example Measure Content Developer</td>\n </tr>\n \n\n \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>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr>\n <th><b>code</b></th>\n <th><b>value</b></th>\n </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 \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 4px;\">US</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Topic: </b></th>\n <td style=\"padding-left: 4px;\">57024-2</td>\n </tr>\n \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 show how all the elements of a FHIR-based quality measure are represented.</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Copyright: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>Example Copyright Statement</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Disclaimer: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>Example disclaimer</p>\n</div></td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Basis: </b></th>\n <td style=\"padding-left: 4px;\">\n Encounter\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>Proportion </span>\n </p>\n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>process </span>\n </p>\n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Risk Adjustment: </b></th>\n <td style=\"padding-left: 4px;\">Risk adjustment for this measure is performed by...</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Rate Aggregation: </b></th>\n <td style=\"padding-left: 4px;\">Rate aggregation for this measure is performed by...</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Rationale: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>Rationale for this measure is...</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Clinical recommendation statement: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>The clinical recommendation statement for this measure is...</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <span>Increased score indicates improvement </span>\n </p>\n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Guidance (Usage): </b></th>\n <td style=\"padding-left: 4px;\">Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure.</td>\n </tr>\n \n\n \n \n \n\n \n <tr>\n <th scope=\"row\"><b> Supplemental Data Elements: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n \n <p>SDE Ethnicity</p>\n \n \n \n \n \n \n \n <p>SDE Race</p>\n \n \n \n \n \n \n \n <p>SDE Payer</p>\n \n \n \n \n \n \n \n <p>SDE Sex</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><a href=\"Library-EXMLogic-FHIR.html\">Example Logic Library</a></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n\n \n \n \n\n </table>\n</div>" ] ; # fhir:extension ( [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ fhir:v "documentation" ] ] [ fhir:url [ fhir:v "text"^^xsd:anyURI ] ; fhir:value [ fhir:v "This illustrates an example comment" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"^^xsd:anyURI ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ] ; fhir:value [ fhir:v "Encounter" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Device/software-system-example" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ] ; fhir:value [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exmlogic"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exmlogic> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision"^^xsd:anyURI ] ; fhir:value [ fhir:v "2"^^xsd:positiveInteger ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/EXMLogic-FHIR"^^xsd:anyURI] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM" ] ] ) ; # fhir:version [ fhir:v "2.0.0"] ; # fhir:name [ fhir:v "MeasureEXM"] ; # fhir:title [ fhir:v "EXM Measure"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # fhir:date [ fhir:v "2022-02-22"^^xsd:date] ; # fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ] ] ) ] ) ; # fhir:description [ fhir:v "An example FHIR-based measure"] ; # fhir:useContext ( [ fhir:code [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "program" ] ] ; fhir:value [ a fhir:CodeableConcept ; fhir:text [ fhir:v "eligible-provider" ] ] ] ) ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ; fhir:code [ fhir:v "US" ] ] ) ] ) ; # fhir:purpose [ fhir:v "The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented."] ; # fhir:usage [ fhir:v "Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure."] ; # fhir:copyright [ fhir:v "Example Copyright Statement"] ; # fhir:approvalDate [ fhir:v "2019-02-17"^^xsd:date] ; # fhir:lastReviewDate [ fhir:v "2019-02-17"^^xsd:date] ; # fhir:effectivePeriod [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor"^^xsd:anyURI ] ; fhir:value [ fhir:v "2018-01-01"^^xsd:date ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration"^^xsd:anyURI ] ; fhir:value [ a fhir:Duration ; fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "a" ] ] ] ) ; fhir:start [ fhir:v "2018-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2018-12-31"^^xsd:date ] ] ; # fhir:topic ( [ ( fhir:coding [ a loinc:57024-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "57024-2" ] ] ) ; fhir:text [ fhir:v "Health Quality Measure Document" ] ] ) ; # fhir:author ( [ fhir:name [ fhir:v "Example Measure Content Developer" ] ] ) ; # fhir:library ( [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic-FHIR"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic-FHIR> ] ) ; # fhir:disclaimer [ fhir:v "Example disclaimer"] ; # fhir:scoring [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ; fhir:code [ fhir:v "proportion" ] ; fhir:display [ fhir:v "Proportion" ] ] ) ] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "process" ] ] ) ] ) ; # fhir:riskAdjustment [ fhir:v "Risk adjustment for this measure is performed by..."] ; # fhir:rateAggregation [ fhir:v "Rate aggregation for this measure is performed by..."] ; # fhir:rationale [ fhir:v "Rationale for this measure is..."] ; # fhir:clinicalRecommendationStatement [ fhir:v "The clinical recommendation statement for this measure is..."] ; # fhir:improvementNotation [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ; fhir:code [ fhir:v "increase" ] ; fhir:display [ fhir:v "Increased score indicates improvement" ] ] ) ] ; # fhir:guidance [ fhir:v "Additional guidance provided to help communicate the intent of the measure"] ; # fhir:group ( [ fhir:id [ fhir:v "group-1" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://example.org/group"^^xsd:anyURI ] ; fhir:code [ fhir:v "group" ] ; fhir:display [ fhir:v "group-1" ] ] ) ] ; ( fhir:population [ fhir:id [ fhir:v "initial-population-1" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Initial Population" ] ] ] [ fhir:id [ fhir:v "numerator" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "numerator" ] ; fhir:display [ fhir:v "Numerator" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Numerator" ] ] ] [ fhir:id [ fhir:v "denominator" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "denominator" ] ; fhir:display [ fhir:v "Denominator" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Denominator" ] ] ] ) ; ( fhir:stratifier [ fhir:id [ fhir:v "stratifier-1" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ; fhir:text [ fhir:v "initial-population" ] ] ] ) ; fhir:code [ fhir:text [ fhir:v "Stratifier 1" ] ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Stratifier 1" ] ] ] [ fhir:id [ fhir:v "stratifier-2" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ; fhir:text [ fhir:v "initial-population" ] ] ] ) ; fhir:code [ fhir:text [ fhir:v "Stratifier 2" ] ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Stratifier 2" ] ] ] [ fhir:id [ fhir:v "stratifier-3" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ; fhir:text [ fhir:v "initial-population" ] ] ] ) ; fhir:code [ fhir:text [ fhir:v "Stratifier 3" ] ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Stratifier 3" ] ] ] [ fhir:id [ fhir:v "stratifier-4" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ; fhir:text [ fhir:v "initial-population" ] ] ] ) ; fhir:code [ fhir:text [ fhir:v "Stratifier 4" ] ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Stratifier 4" ] ] ] ) ] ) ; # fhir:supplementalData ( [ fhir:id [ fhir:v "sde-ethnicity" ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "SDE Ethnicity" ] ] ] [ fhir:id [ fhir:v "sde-race" ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "SDE Race" ] ] ] [ fhir:id [ fhir:v "sde-payer" ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "SDE Payer" ] ] ] [ fhir:id [ fhir:v "sde-sex" ] ; ( fhir:usage [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ; fhir:code [ fhir:v "supplemental-data" ] ] ) ] ) ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "SDE Sex" ] ] ] ) . #
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.cqfmeasures#5.0.0-ballot2 based on FHIR 4.0.1. Generated 2024-04-09
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