{ "resourceType": "Measure", "id": "measure-exm", "meta": { "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm" ] }, "text": { "status": "extensions", "div": "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
Id: measure-exm
Url: http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm
Version: 2.0.0
Identifier: \n \n \n

\n value: EXM\n

\n \n
Name: MeasureEXM
Title: EXM Measure
Status: active
Experimental: true
Scoring: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-scoring\n

\n \n \n

\n code: proportion\n

\n \n \n

\n display: Proportion\n

\n \n \n \n \n
Improvement Notation: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-improvement-notation\n

\n \n \n

\n code: increase\n

\n \n \n

\n display: Increased score indicates improvement\n

\n \n \n \n \n
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-type\n

\n \n \n

\n code: process\n

\n \n \n \n \n \n
Date: 2022-02-22
Publisher: Clinical Quality Information WG
Description: An example FHIR-based measure
Supplemental Data: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
expressionsystem
SDE Ethnicityhttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Racehttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Payerhttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Sexhttp://terminology.hl7.org/CodeSystem/measure-data-usage
\n
Use Context: \n \n \n \n \n \n \n \n \n
codevalue
programeligible-provider
\n
Jurisdiction: US
Topic: 57024-2
Purpose: The purpose of this measure is to...
Usage: Users of this measure should be aware of...
Copyright: Example Copyright Statement
Disclaimer: Example disclaimer
Approval Date: 2019-02-17
Last Review Date: 2019-02-17
Effective Period: 2018-01-01..2018-12-31
\n
" }, "contained": [ { "resourceType": "Library", "id": "effective-data-requirements", "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding": { "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code": "billing", "display": "Billing" } }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "SDE Sex" }, { "url": "statement", "valueString": "define \"SDE Sex\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end" }, { "url": "displaySequence", "valueInteger": 0 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "Inpatient Encounter" }, { "url": "statement", "valueString": "define \"Inpatient Encounter\" :\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\"" }, { "url": "displaySequence", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "Stratifier 3" }, { "url": "statement", "valueString": "define \"Stratifier 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" }, { "url": "displaySequence", "valueInteger": 2 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "Stratifier 4" }, { "url": "statement", "valueString": "define \"Stratifier 4\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" }, { "url": "displaySequence", "valueInteger": 3 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "SDE Payer" }, { "url": "statement", "valueString": "define \"SDE Payer\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }" }, { "url": "displaySequence", "valueInteger": 4 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "Initial Population" }, { "url": "statement", "valueString": "define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter" }, { "url": "displaySequence", "valueInteger": 5 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "SDE Ethnicity" }, { "url": "statement", "valueString": "define \"SDE Ethnicity\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" }, { "url": "displaySequence", "valueInteger": 6 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "SDE Race" }, { "url": "statement", "valueString": "define \"SDE Race\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding" }, { "url": "displaySequence", "valueInteger": 7 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "Stratifier 1" }, { "url": "statement", "valueString": "define \"Stratifier 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")" }, { "url": "displaySequence", "valueInteger": 8 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXMLogic" }, { "url": "name", "valueString": "Stratifier 2" }, { "url": "statement", "valueString": "define \"Stratifier 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"" }, { "url": "displaySequence", "valueInteger": 9 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" } ], "name": "EffectiveDataRequirements", "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/library-type", "code": "module-definition" } ] }, "relatedArtifact": [ { "type": "depends-on", "display": "Library FHIRHelpers", "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1" }, { "type": "depends-on", "display": "Code system Diagnosis Role", "resource": "http://terminology.hl7.org/CodeSystem/diagnosis-role" }, { "type": "depends-on", "display": "Value set Payer", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" }, { "type": "depends-on", "display": "Value set Psychiatric/Mental Health Patient", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299" } ], "parameter": [ { "name": "Measurement Period", "use": "in", "min": 0, "max": "1", "type": "Period" }, { "name": "SDE Sex", "use": "out", "min": 0, "max": "1", "type": "Coding" }, { "name": "Stratifier 3", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Stratifier 4", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "SDE Payer", "use": "out", "min": 0, "max": "*", "type": "Any" }, { "name": "Initial Population", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "SDE Ethnicity", "use": "out", "min": 0, "max": "*", "type": "Coding" }, { "name": "SDE Race", "use": "out", "min": 0, "max": "*", "type": "Coding" }, { "name": "Stratifier 1", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Stratifier 2", "use": "out", "min": 0, "max": "*", "type": "Encounter" } ], "dataRequirement": [ { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern", "valueString": "Patient?_id={{context.patientId}}" } ], "type": "Patient", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern", "valueString": "Patient?_id={{context.patientId}}" }, { "extension": [ { "url": "path", "valueString": "url" }, { "url": "comparator", "valueCode": "eq" }, { "url": "value", "valueString": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-valueFilter" } ], "type": "Patient", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ], "mustSupport": [ "url", "extension", "value" ] }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern", "valueString": "Patient?_id={{context.patientId}}" } ], "type": "Patient", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ], "mustSupport": [ "url", "extension", "value" ], "codeFilter": [ { "path": "url", "code": [ { "system": "urn:ietf:rfc:3986", "code": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern", "valueString": "Encounter?subject=Patient/{{context.patientId}}" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isSelective", "valueBoolean": true } ], "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "mustSupport": [ "period" ], "dateFilter": [ { "path": "period", "valuePeriod": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression", "valueExpression": { "language": "text/cql-identifier", "expression": "Measurement Period" } } ] } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-fhirQueryPattern", "valueString": "Coverage?policy-holder=Patient/{{context.patientId}}&type:in=http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" } ], "type": "Coverage", "profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ], "mustSupport": [ "type", "period" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" } ] } ] } ], "extension": [ { "extension": [ { "url": "type", "valueCode": "documentation" }, { "url": "text", "valueString": "This illustrates an example comment" } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode": "Encounter" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation", "valueMarkdown": "Additional guidance for allocation" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem", "valueReference": { "reference": "Device/software-system-example" } }, { "id": "effective-data-requirements", "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements", "valueReference": { "reference": "#effective-data-requirements" } } ], "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm", "identifier": [ { "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm", "value": "EXM" } ], "version": "2.0.0", "name": "MeasureEXM", "title": "EXM Measure", "status": "active", "experimental": true, "date": "2022-02-22", "publisher": "Clinical Quality Information WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/cqi" } ] } ], "description": "An example FHIR-based measure", "useContext": [ { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "program" }, "valueCodeableConcept": { "text": "eligible-provider" } } ], "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US" } ] } ], "purpose": "The purpose of this measure is to...", "usage": "Users of this measure should be aware of...", "copyright": "Example Copyright Statement", "approvalDate": "2019-02-17", "lastReviewDate": "2019-02-17", "effectivePeriod": { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor", "valueDateTime": "2018-01-01" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration", "valueDuration": { "value": 1, "system": "http://unitsofmeasure.org", "code": "a" } } ], "start": "2018-01-01", "end": "2018-12-31" }, "topic": [ { "coding": [ { "system": "http://loinc.org", "code": "57024-2" } ], "text": "Health Quality Measure Document" } ], "author": [ { "name": "Example Measure Content Developer" } ], "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic" ], "disclaimer": "Example disclaimer", "scoring": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-scoring", "code": "proportion", "display": "Proportion" } ] }, "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-type", "code": "process" } ] } ], "riskAdjustment": "Risk adjustment for this measure is performed by...", "rateAggregation": "Rate aggregation for this measure is performed by...", "rationale": "Rationale for this measure is...", "clinicalRecommendationStatement": "The clinical recommendation statement for this measure is...", "improvementNotation": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code": "increase", "display": "Increased score indicates improvement" } ] }, "_definition": [ { "extension": [ { "extension": [ { "url": "term", "valueString": "Term" }, { "url": "definition", "valueMarkdown": "A term used in the measure that bears clearly definition to communicate the measure intent" } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm" } ] } ], "guidance": "Additional guidance provided to help communicate the intent of the measure", "group": [ { "id": "group-1", "code": { "coding": [ { "display": "group-1" } ] }, "population": [ { "id": "initial-population-1", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Initial Population" } }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator", "display": "Numerator" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Numerator" } }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator", "display": "Denominator" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Denominator" } } ], "stratifier": [ { "id": "stratifier-1", "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population" } ], "text": "initial-population" } } ], "code": { "text": "Stratifier 1" }, "criteria": { "language": "text/cql-identifier", "expression": "Stratifier 1" } }, { "id": "stratifier-2", "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population" } ], "text": "initial-population" } } ], "code": { "text": "Stratifier 2" }, "criteria": { "language": "text/cql-identifier", "expression": "Stratifier 2" } }, { "id": "stratifier-3", "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population" } ], "text": "initial-population" } } ], "code": { "text": "Stratifier 3" }, "criteria": { "language": "text/cql-identifier", "expression": "Stratifier 3" } }, { "id": "stratifier-4", "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population" } ], "text": "initial-population" } } ], "code": { "text": "Stratifier 4" }, "criteria": { "language": "text/cql-identifier", "expression": "Stratifier 4" } } ] } ], "supplementalData": [ { "id": "sde-ethnicity", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql-identifier", "expression": "SDE Ethnicity" } }, { "id": "sde-race", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql-identifier", "expression": "SDE Race" } }, { "id": "sde-payer", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql-identifier", "expression": "SDE Payer" } }, { "id": "sde-sex", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql-identifier", "expression": "SDE Sex" } } ] }