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
| Draft as of 2022-02-22 |
<Measure xmlns="http://hl7.org/fhir">
<id value="MultiRateExample-FHIR"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">Multi-Rate Example Measure</td>
</tr>
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;"><a href="Measure-MultiRateExample-FHIR.html">Multi-Rate Example Measure</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.1.0</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Measure-MultiRateExample-FHIR.html">Multi-Rate Example Measure</a></td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">true</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2022-02-22 10:37:03-0700</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">HL7 International / Clinical Quality Information</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 4px;">US</td>
</tr>
<tr>
<th scope="row"><b>Subject: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>Location (http://hl7.org/fhir/resource-types)</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Basis: </b></th>
<td style="padding-left: 4px;">
Patient
</td>
</tr>
<tr>
<th scope="row"><b>Population Criteria: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<th><b>group-1</b></th>
</tr>
<tr>
<td>:</td>
<td>Total number of patients</td>
</tr>
<tr>
<td>:</td>
<td>Total number of patients</td>
</tr>
<tr>
<td>:</td>
<td>Total number of patients</td>
</tr>
</table>
<table class="grid-dict">
<tr>
<th><b>group-2</b></th>
</tr>
<tr>
<td>:</td>
<td>Total number of practitioners</td>
</tr>
<tr>
<td>:</td>
<td>Total number of practitioners</td>
</tr>
<tr>
<td>:</td>
<td>Total number of practitioners</td>
</tr>
</table>
<table class="grid-dict">
<tr>
<th><b>group-3</b></th>
</tr>
<tr>
<td>:</td>
<td>Total number of beds</td>
</tr>
<tr>
<td>:</td>
<td>Total number of beds</td>
</tr>
<tr>
<td>:</td>
<td>Total number of beds</td>
</tr>
</table>
<table class="grid-dict">
<tr>
<th><b>group-4</b></th>
</tr>
<tr>
<td>:</td>
<td>Total number of screening procedures</td>
</tr>
<tr>
<td>:</td>
<td>Total number of screening procedures</td>
</tr>
<tr>
<td>:</td>
<td>Total number of screening procedures</td>
</tr>
</table>
<table class="grid-dict">
<tr>
<th><b>group-5</b></th>
</tr>
<tr>
<td>:</td>
<td>Patients</td>
</tr>
<tr>
<td>:</td>
<td>Eligible patients</td>
</tr>
<tr>
<td>:</td>
<td>Patients with screening</td>
</tr>
</table>
<table class="grid-dict">
<tr>
<th><b>group-6</b></th>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<td><a href="Library-MultiRateExample-FHIR.html">Multi Rate Example Logic Library</a></td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Patient"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
<valueCanonical
value="http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-mre"/>
</extension>
<url
value="http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"/>
<version value="0.1.0"/>
<name value="MultiRateExample"/>
<title value="Multi-Rate Example Measure"/>
<status value="draft"/>
<experimental value="true"/>
<subjectCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Location"/>
</coding>
</subjectCodeableConcept>
<date value="2022-02-22T10:37:03-07:00"/>
<publisher value="HL7 International / Clinical Quality Information"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description
value="This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<library
value="http://hl7.org/fhir/us/cqfmeasures/Library/MultiRateExample-FHIR"/>
<group id="group-1">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Patient"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<text value="Patients"/>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<description value="Total number of patients"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Patients"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<description value="Total number of patients"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Patients"/>
</criteria>
</population>
<population>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
<valueCode value="sum"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
</coding>
</code>
<description value="Total number of patients"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="ToNumber"/>
</criteria>
</population>
</group>
<group id="group-2">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="PractitionerRole"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<text value="Practitioners"/>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<description value="Total number of practitioners"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Practitioners"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<description value="Total number of practitioners"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Practitioners"/>
</criteria>
</population>
<population>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
<valueCode value="sum"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
</coding>
</code>
<description value="Total number of practitioners"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="ToNumber"/>
</criteria>
</population>
</group>
<group id="group-3">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Device"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<text value="Beds"/>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<description value="Total number of beds"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Beds"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<description value="Total number of beds"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Beds"/>
</criteria>
</population>
<population>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
<valueCode value="sum"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
</coding>
</code>
<description value="Total number of beds"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="ToNumber"/>
</criteria>
</population>
</group>
<group id="group-4">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Procedure"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<text value="Screening Procedures"/>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<description value="Total number of screening procedures"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Procedures"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<description value="Total number of screening procedures"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Procedures"/>
</criteria>
</population>
<population>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
<valueCode value="sum"/>
</extension>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
</coding>
</code>
<description value="Total number of screening procedures"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="ToNumber"/>
</criteria>
</population>
</group>
<group id="group-5">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Patient"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<text value="Patients that recevied screenings"/>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<description value="Patients"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<description value="Eligible patients"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<description value="Patients with screening"/>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
</group>
<group id="group-6">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/composite-measure-scoring"/>
<code value="weighted"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="composite"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation">
<valueString value="N/A"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component">
<valueRelatedArtifact>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId">
<valueString value="group-1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight">
<valueDecimal value="1.0"/>
</extension>
<type value="composed-of"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"/>
</valueRelatedArtifact>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component">
<valueRelatedArtifact>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId">
<valueString value="group-2"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight">
<valueDecimal value="5.0"/>
</extension>
<type value="composed-of"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"/>
</valueRelatedArtifact>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component">
<valueRelatedArtifact>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId">
<valueString value="group-3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight">
<valueDecimal value="2.5"/>
</extension>
<type value="composed-of"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"/>
</valueRelatedArtifact>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component">
<valueRelatedArtifact>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId">
<valueString value="group-4"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight">
<valueDecimal value="1.0"/>
</extension>
<type value="composed-of"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"/>
</valueRelatedArtifact>
</extension>
<code>
<text value="Weighted Average capacity"/>
</code>
</group>
</Measure>
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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