Quality Measure Implementation Guide
5.0.0 - STU5
Quality Measure Implementation Guide
5.0.0 - STU5
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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">
<div>
<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;">MultiRateExample-FHIR</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>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>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>venue</td>
<td/>
</tr>
</table>
</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>
<tr>
<th scope="row"><b>Terminology and Other Dependencies: </b></th>
<td style="padding-left: 4px;">
<li><code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code></li>
<li><code>http://example.org/fhir/ValueSet/TBD</code></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>Practitioners</td>
<td>Out</td>
<td>0</td>
<td>*</td>
<td>PractitionerRole</td>
</tr>
<tr>
<td>Numerator</td>
<td>Out</td>
<td>0</td>
<td>*</td>
<td>Patient</td>
</tr>
<tr>
<td>Denominator</td>
<td>Out</td>
<td>0</td>
<td>*</td>
<td>Patient</td>
</tr>
<tr>
<td>Initial Population</td>
<td>Out</td>
<td>0</td>
<td>*</td>
<td>Patient</td>
</tr>
<tr>
<td>Patients</td>
<td>Out</td>
<td>0</td>
<td>*</td>
<td>Patient</td>
</tr>
<tr>
<td>Beds</td>
<td>Out</td>
<td>0</td>
<td>*</td>
<td>Device</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>Resource Type</b></th>
<th><b>Resource Elements</b></th>
<th><b>Valueset Name</b></th>
<th><b>Valueset</b></th>
</tr>
<tr>
<td>Patient(<a href="http://hl7.org/fhir/R4/patient.html">Patient</a>)</td>
<td>
gender
id
</td>
<td>
</td>
<td/>
</tr>
<tr>
<td>Device(<a href="http://hl7.org/fhir/R4/device.html">Device</a>)</td>
<td>
type
</td>
<td>
Screening Procedure Types
</td>
<td><code>http://example.org/fhir/ValueSet/TBD</code></td>
</tr>
<tr>
<td>Procedure(<a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a>)</td>
<td>
code
subject
subject.reference
</td>
<td>
Screening Procedure Types
</td>
<td><code>http://example.org/fhir/ValueSet/TBD</code></td>
</tr>
<tr>
<td>PractitionerRole(<a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a>)</td>
<td>
</td>
<td>
</td>
<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 colspan="3" style="padding-left: 4px;">
<b>Group scoring:</b>
<span> continuous-variable </span>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>structure </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Risk Adjustment: </b></th>
<td style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Rate Aggregation: </b></th>
<td colspan="3" style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
</td>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Number of patients
define "Patients":
[Patient]</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Number of patients
define "Patients":
[Patient]</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql"/></pre>
</td>
</tr>
<td> group-2 </td>
<td colspan="3" style="padding-left: 4px;">
<b>Group scoring:</b>
<span> continuous-variable </span>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>structure </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Risk Adjustment: </b></th>
<td style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Rate Aggregation: </b></th>
<td colspan="3" style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
</td>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Number of practitioners
define "Practitioners":
[PractitionerRole]</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Number of practitioners
define "Practitioners":
[PractitionerRole]</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql"/></pre>
</td>
</tr>
<td> group-3 </td>
<td colspan="3" style="padding-left: 4px;">
<b>Group scoring:</b>
<span> continuous-variable </span>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>structure </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Risk Adjustment: </b></th>
<td style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Rate Aggregation: </b></th>
<td colspan="3" style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
</td>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Number of beds
define "Beds":
[Device: "Bed Device Types"]</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Number of beds
define "Beds":
[Device: "Bed Device Types"]</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql"/></pre>
</td>
</tr>
<td> group-4 </td>
<td colspan="3" style="padding-left: 4px;">
<b>Group scoring:</b>
<span> continuous-variable </span>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>structure </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Risk Adjustment: </b></th>
<td style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Rate Aggregation: </b></th>
<td colspan="3" style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
</td>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql"/></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql"/></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql"/></pre>
</td>
</tr>
<td> group-5 </td>
<td colspan="3" style="padding-left: 4px;">
<b>Group scoring:</b>
<span> proportion </span>
<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>Risk Adjustment: </b></th>
<td style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Rate Aggregation: </b></th>
<td colspan="3" style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
</td>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">// Percentage of patients who received screening
define "Initial Population":
"Patients"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">define "Denominator":
"Patients" P
where P.gender = 'female'</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td>
<pre><code class="language-cql">define "Numerator":
"Patients" P
with "Screening Procedures" SP
such that P.id = Last(Split(SP.subject.reference, '/'))</code></pre>
</td>
</tr>
<td> group-6 </td>
<td colspan="3" style="padding-left: 4px;">
<b>Group scoring:</b>
<span> composite </span>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>structure </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Risk Adjustment: </b></th>
<td style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Rate Aggregation: </b></th>
<td colspan="3" style="padding-left: 4px;">N/A</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
</td>
</tr>
</table>
<table class="grid-dict">
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Practitioners</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">// Number of practitioners
define "Practitioners":
[PractitionerRole]</code></pre>
</td>
</tr>
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Patients</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">// Number of patients
define "Patients":
[Patient]</code></pre>
</td>
</tr>
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Screening Procedures</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">// Number of screening procedures
define "Screening Procedures":
[Procedure: "Screening Procedure Types"]</code></pre>
</td>
</tr>
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Numerator</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">define "Numerator":
"Patients" P
with "Screening Procedures" SP
such that P.id = Last(Split(SP.subject.reference, '/'))</code></pre>
</td>
</tr>
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Denominator</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">define "Denominator":
"Patients" P
where P.gender = 'female'</code></pre>
</td>
</tr>
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Initial Population</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">// Percentage of patients who received screening
define "Initial Population":
"Patients"</code></pre>
</td>
</tr>
<tr>
<th><b>Library Name</b></th>
<th><b>Name</b></th>
</tr>
<tr>
<td>MultiRateExample-FHIR</td>
<td>Beds</td>
</tr>
<tr>
<td/>
<td>
<pre class="highlight language-cql"><code class="language-cql">// Number of beds
define "Beds":
[Device: "Bed Device Types"]</code></pre>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements-mre"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"/>
</meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Practitioners"/>
</extension>
<extension url="statement">
<valueString
value="// Number of practitioners
define "Practitioners":
[PractitionerRole]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Patients"/>
</extension>
<extension url="statement">
<valueString
value="// Number of patients
define "Patients":
[Patient]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Screening Procedures"/>
</extension>
<extension url="statement">
<valueString
value="// Number of screening procedures
define "Screening Procedures":
[Procedure: "Screening Procedure Types"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Numerator"/>
</extension>
<extension url="statement">
<valueString
value="define "Numerator":
"Patients" P
with "Screening Procedures" SP
such that P.id = Last(Split(SP.subject.reference, '/'))"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Denominator"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator":
"Patients" P
where P.gender = 'female'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="// Percentage of patients who received screening
define "Initial Population":
"Patients""/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
<extension url="libraryName">
<valueString value="MultiRateExample-FHIR"/>
</extension>
<extension url="name">
<valueString value="Beds"/>
</extension>
<extension url="statement">
<valueString
value="// Number of beds
define "Beds":
[Device: "Bed Device Types"]"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<url
value="http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-mre"/>
<version value="1.0.0"/>
<name value="EffectiveDataRequirements"/>
<title value="Module Definition Library - MultiRateExample"/>
<status value="active"/>
<experimental value="true"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<date value="2022-02-22T10:37:03-07:00"/>
<description
value="This library is used as an example module definition in the FHIR Quality Measure Implementation Guide"/>
<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="Value set Screening Procedure Types"/>
<resource value="http://example.org/fhir/ValueSet/TBD"/>
</relatedArtifact>
<parameter>
<name value="Practitioners"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="PractitionerRole"/>
</parameter>
<parameter>
<name value="Numerator"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Patient"/>
</parameter>
<parameter>
<name value="Denominator"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Patient"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Patient"/>
</parameter>
<parameter>
<name value="Patients"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Patient"/>
</parameter>
<parameter>
<name value="Beds"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Device"/>
</parameter>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="gender"/>
<mustSupport value="id"/>
</dataRequirement>
<dataRequirement>
<type value="Device"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet value="http://example.org/fhir/ValueSet/TBD"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Procedure"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
<mustSupport value="code"/>
<mustSupport value="subject"/>
<mustSupport value="subject.reference"/>
<codeFilter>
<path value="code"/>
<valueSet value="http://example.org/fhir/ValueSet/TBD"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="PractitionerRole"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
</dataRequirement>
</Library>
</contained>
<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="#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"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="venue"/>
<display value="Venue"/>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes"/>
<code value="ec"/>
<display value="EC"/>
</coding>
</valueCodeableConcept>
</useContext>
<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 based on FHIR 4.0.1. Generated 2024-11-04
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