Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Active as of 2022-02-22 |
<Measure xmlns="http://hl7.org/fhir">
<id value="EXMLogic-FHIR"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">EXMLogic-FHIR</td>
</tr>
<tr>
<th scope="row"><b>Download cql: </b></th>
<td style="padding-left: 4px;"><a href="Library-EXMLogic-FHIR.cql">EXMLogic-FHIR.cql</a></td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Measure-EXMLogic-FHIR.html">EXM Measure</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">2.0.0</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>value: </b> <span>EXM</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">MeasureEXM</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">EXM Measure</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">active</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">true</td>
</tr>
<tr>
<th scope="row"><b>Scoring: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>Proportion </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>Increased score indicates improvement </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>process </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2022-02-22</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">Clinical Quality Information WG</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>An example FHIR-based measure</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Use Context: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>code</b></th><th><b>value</b></th></tr>
<tr>
<td>program</td>
<td>eligible-provider</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 25px;">US</td>
</tr>
<tr>
<th scope="row"><b>Topic: </b></th>
<td style="padding-left: 25px;">57024-2</td>
</tr>
<tr>
<th scope="row"><b>Purpose: </b></th>
<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>
</div></td>
</tr>
<tr>
<th scope="row"><b>Guidance (Usage): </b></th>
<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>
</tr>
<tr>
<th scope="row"><b>Copyright: </b></th>
<td style="padding-left: 25px;"><div><p>Example Copyright Statement</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Disclaimer: </b></th>
<td style="padding-left: 25px;"><div><p>Example disclaimer</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Approval Date: </b></th>
<td style="padding-left: 4px;">2019-02-17</td>
</tr>
<tr>
<th scope="row"><b>Last Review Date: </b></th>
<td style="padding-left: 4px;">2019-02-17</td>
</tr>
<tr>
<th scope="row"><b>Effective Period: </b></th>
<td style="padding-left: 4px;">2018-01-01..2018-12-31</td>
</tr>
<tr>
<th scope="row"><b> Supplemental Data Elements: </b></th>
<td style="padding-left: 4px;">
SDE Ethnicity
SDE Race
SDE Payer
SDE Sex
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><td><a href="Library-EXMLogic-FHIR.html">Example Logic Library</a></td></tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifact Dependencies: </b></th>
<td style="padding-left: 4px;">
<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>
<li><a href="http://terminology.hl7.org/5.2.0/CodeSystem-diagnosis-role.html">Diagnosis Role</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a></li>
<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>
</td>
</tr>
<tr>
<th scope="row"><b>Parameters:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>name</b></th><th><b>use</b></th><th><b>min</b></th><th><b>max</b></th><th><b>type</b></th></tr>
<tr>
<td>Measurement Period</td>
<td>in</td>
<td>0</td>
<td>1</td>
<td>Period</td>
</tr>
<tr>
<td>SDE Sex</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>Coding</td>
</tr>
<tr>
<td>Stratifier 3</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Stratifier 4</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>SDE Payer</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Resource</td>
</tr>
<tr>
<td>Initial Population</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>SDE Ethnicity</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>SDE Race</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>Stratifier 1</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Stratifier 2</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>DataRequirements:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Type</b></th><th><b>Must Support</b></th><th><b>Valueset Name</b></th><th><b>Valueset</b></th></tr>
<tr>
<td>Patient</td>
<td>
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Patient</td>
<td>
url
extension
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Patient</td>
<td>
url
extension
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Encounter</td>
<td>
period
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Coverage</td>
<td>
type
period
</td>
<td>
Payer
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Direct Reference Codes:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>
<tr>
<td>Billing</td>
<td>billing</td>
<td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-diagnosis-role.html">Diagnosis Role</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Logic Definitions:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<th><b>Group</b></th><th><b>Scoring</b></th><th><b>Population Criteria</b></th><th><b>Expression</b></th>
</tr>
<tr>
<td> group-1 </td>
<td>
<b>Measure scoring:</b>
<p style="margin-bottom: 5px;">
<span>Proportion</span>
</p>
</td>
<tr>
<td/>
<td/>
<td>Initial Population</td>
<td>
<pre><code class="language-cql">define "Initial Population" :
"Inpatient Encounter" Encounter</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Numerator</td>
<td>
<pre><code class="language-cql"></code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator</td>
<td>
<pre><code class="language-cql"></code></pre>
</td>
</tr>
</tr>
</table>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>SDE Sex</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Sex":
case
when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
else null
end</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>Inpatient Encounter</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Inpatient Encounter" :
["Encounter"] Encounter
where LengthInDays(Encounter.period) <= 120
and Encounter.period ends during "Measurement Period"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>Stratifier 3</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Stratifier 3" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic</td>
<td>Stratifier 4</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Stratifier 4" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>SDE Payer</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic</td>
<td>Initial Population</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Initial Population" :
"Inpatient Encounter" Encounter</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>SDE Ethnicity</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Ethnicity":
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic</td>
<td>SDE Race</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Race":
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>Stratifier 1</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Stratifier 1" :
"Inpatient Encounter" Encounter
where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>EXMLogic-FHIR</td>
<td>Stratifier 2</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Stratifier 2" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"</code></pre></td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
<code value="billing"/>
<display value="Billing"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="SDE Sex"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Sex":
case
when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
else null
end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="Inpatient Encounter"/>
</extension>
<extension url="statement">
<valueString
value="define "Inpatient Encounter" :
["Encounter"] Encounter
where LengthInDays(Encounter.period) <= 120
and Encounter.period ends during "Measurement Period""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="Stratifier 3"/>
</extension>
<extension url="statement">
<valueString
value="define "Stratifier 3" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic"/>
</extension>
<extension url="name">
<valueString value="Stratifier 4"/>
</extension>
<extension url="statement">
<valueString
value="define "Stratifier 4" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="SDE Payer"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="define "Initial Population" :
"Inpatient Encounter" Encounter"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="SDE Ethnicity"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Ethnicity":
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic"/>
</extension>
<extension url="name">
<valueString value="SDE Race"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Race":
(flatten (
Patient.extension Extension
where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
return Extension.extension
)) E
where E.url = 'ombCategory'
or E.url = 'detailed'
return E.value as Coding"/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="Stratifier 1"/>
</extension>
<extension url="statement">
<valueString
value="define "Stratifier 1" :
"Inpatient Encounter" Encounter
where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="EXMLogic-FHIR"/>
</extension>
<extension url="name">
<valueString value="Stratifier 2"/>
</extension>
<extension url="statement">
<valueString
value="define "Stratifier 2" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient""/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system Diagnosis Role"/>
<resource
value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Payer"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Psychiatric/Mental Health Patient"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="SDE Sex"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Stratifier 3"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Stratifier 4"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="SDE Payer"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="SDE Ethnicity"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="SDE Race"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Stratifier 1"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<parameter>
<name value="Stratifier 2"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</parameter>
<dataRequirement>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern">
<valueString value="Patient?_id={{context.patientId}}"/>
</extension>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</dataRequirement>
<dataRequirement>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern">
<valueString value="Patient?_id={{context.patientId}}"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-valueFilter">
<extension url="path">
<valueString value="url"/>
</extension>
<extension url="comparator">
<valueCode value="eq"/>
</extension>
<extension url="value">
<valueString
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"/>
</extension>
</extension>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="url"/>
<mustSupport value="extension"/>
<mustSupport value="value"/>
</dataRequirement>
<dataRequirement>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern">
<valueString value="Patient?_id={{context.patientId}}"/>
</extension>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="url"/>
<mustSupport value="extension"/>
<mustSupport value="value"/>
<codeFilter>
<path value="url"/>
<code>
<system value="urn:ietf:rfc:3986"/>
<code
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern">
<valueString
value="Encounter?subject=Patient/{{context.patientId}}"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isSelective">
<valueBoolean value="true"/>
</extension>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="period"/>
<dateFilter>
<path value="period"/>
<valuePeriod>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<language value="text/cql-identifier"/>
<expression value="Measurement Period"/>
</valueExpression>
</extension>
</valuePeriod>
</dateFilter>
</dataRequirement>
<dataRequirement>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern">
<valueString
value="Coverage?policy-holder=Patient/{{context.patientId}}&type:in=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</extension>
<type value="Coverage"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
<mustSupport value="type"/>
<mustSupport value="period"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</codeFilter>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment">
<extension url="type">
<valueCode value="documentation"/>
</extension>
<extension url="text">
<valueMarkdown value="This illustrates an example comment"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
<valueReference>
<reference value="Device/software-system-example"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
<valueReference>
<reference value="#effective-data-requirements"/>
</valueReference>
</extension>
<url value="http://hl7.org/fhir/us/cqfmeasures/Measure/EXMLogic-FHIR"/>
<identifier>
<system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
<value value="EXM"/>
</identifier>
<version value="2.0.0"/>
<name value="MeasureEXM"/>
<title value="EXM Measure"/>
<status value="active"/>
<experimental value="true"/>
<date value="2022-02-22"/>
<publisher value="Clinical Quality Information WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description value="An example FHIR-based measure"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="program"/>
</code>
<valueCodeableConcept>
<text value="eligible-provider"/>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<purpose
value="The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented."/>
<usage
value="Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure."/>
<copyright value="Example Copyright Statement"/>
<approvalDate value="2019-02-17"/>
<lastReviewDate value="2019-02-17"/>
<effectivePeriod>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor">
<valueDateTime value="2018-01-01"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration">
<valueDuration>
<value value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueDuration>
</extension>
<start value="2018-01-01"/>
<end value="2018-12-31"/>
</effectivePeriod>
<topic>
<coding>
<system value="http://loinc.org"/>
<code value="57024-2"/>
</coding>
<text value="Health Quality Measure Document"/>
</topic>
<author>
<name value="Example Measure Content Developer"/>
</author>
<library value="http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic-FHIR"/>
<disclaimer value="Example disclaimer"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
<display value="Proportion"/>
</coding>
</scoring>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</type>
<riskAdjustment
value="Risk adjustment for this measure is performed by..."/>
<rateAggregation
value="Rate aggregation for this measure is performed by..."/>
<rationale value="Rationale for this measure is..."/>
<clinicalRecommendationStatement
value="The clinical recommendation statement for this measure is..."/>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<definition>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm">
<extension url="term">
<valueString value="Term"/>
</extension>
<extension url="definition">
<valueMarkdown
value="A term used in the measure that bears clearly definition to communicate the measure intent"/>
</extension>
</extension>
</definition>
<guidance
value="Additional guidance provided to help communicate the intent of the measure"/>
<group id="group-1">
<code>
<coding>
<display value="group-1"/>
</coding>
</code>
<population id="initial-population-1">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator"/>
</criteria>
</population>
<population id="denominator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator"/>
</criteria>
</population>
<stratifier id="stratifier-1">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
</coding>
<text value="initial-population"/>
</valueCodeableConcept>
</extension>
<code>
<text value="Stratifier 1"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Stratifier 1"/>
</criteria>
</stratifier>
<stratifier id="stratifier-2">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
</coding>
<text value="initial-population"/>
</valueCodeableConcept>
</extension>
<code>
<text value="Stratifier 2"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Stratifier 2"/>
</criteria>
</stratifier>
<stratifier id="stratifier-3">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
</coding>
<text value="initial-population"/>
</valueCodeableConcept>
</extension>
<code>
<text value="Stratifier 3"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Stratifier 3"/>
</criteria>
</stratifier>
<stratifier id="stratifier-4">
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
</coding>
<text value="initial-population"/>
</valueCodeableConcept>
</extension>
<code>
<text value="Stratifier 4"/>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Stratifier 4"/>
</criteria>
</stratifier>
</group>
<supplementalData id="sde-ethnicity">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Ethnicity"/>
</criteria>
</supplementalData>
<supplementalData id="sde-race">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Race"/>
</criteria>
</supplementalData>
<supplementalData id="sde-payer">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Payer"/>
</criteria>
</supplementalData>
<supplementalData id="sde-sex">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Sex"/>
</criteria>
</supplementalData>
</Measure>
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
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