{ "resourceType": "Measure", "id": "measure-exm-default", "meta": { "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-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
Id: measure-exm-default
Url: http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm-default
Version: 5.0.0
Identifier: \n \n \n

\n value: 55\n

\n \n
Name: EXM55
Title: Measure with default value measurement period
Status: active
Experimental: true
Scoring: \n \n \n \n

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

\n \n \n

\n code: continuous-variable\n

\n \n \n

\n display: Continuous Variable\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: decrease\n

\n \n \n

\n display: Decreased 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: This example illustrates a continuous variable measure represented as a FHIR eCQM
Use Context: \n \n \n \n \n \n \n \n \n
codevalue
program
\n
Jurisdiction: US
Topic: 57024-2
Approval Date: 2019-03-08
Last Review Date: 2019-03-08
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": "EXM55" }, { "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": 0 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXM55" }, { "url": "name", "valueString": "Stratification 3" }, { "url": "statement", "valueString": "define \"Stratification 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" }, { "url": "displaySequence", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXM55" }, { "url": "name", "valueString": "Stratification 2" }, { "url": "statement", "valueString": "define \"Stratification 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"" }, { "url": "displaySequence", "valueInteger": 2 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXM55" }, { "url": "name", "valueString": "Measure Population Exclusion" }, { "url": "statement", "valueString": "define \"Measure Population Exclusion\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in \"Hospital Settings\"" }, { "url": "displaySequence", "valueInteger": 3 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXM55" }, { "url": "name", "valueString": "Stratification 1" }, { "url": "statement", "valueString": "define \"Stratification 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")" }, { "url": "displaySequence", "valueInteger": 4 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXM55" }, { "url": "name", "valueString": "Initial Population" }, { "url": "statement", "valueString": "define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period" }, { "url": "displaySequence", "valueInteger": 5 } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension": [ { "url": "libraryName", "valueString": "EXM55" }, { "url": "name", "valueString": "Measure Population" }, { "url": "statement", "valueString": "define \"Measure Population\" :\n \"Initial Population\"" }, { "url": "displaySequence", "valueInteger": 6 } ], "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" } ] }, "date": "2022-02-22T10:37:03-07:00", "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 Psychiatric/Mental Health Patient", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299" }, { "type": "depends-on", "display": "Value set Emergency Department Visit", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" }, { "type": "depends-on", "display": "Value set Hospital Settings", "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126" } ], "parameter": [ { "name": "Measurement Period", "use": "in", "min": 0, "max": "1", "type": "Period" }, { "name": "Stratification 3", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Stratification 2", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Measure Population Exclusion", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Stratification 1", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Initial Population", "use": "out", "min": 0, "max": "*", "type": "Encounter" }, { "name": "Measure Population", "use": "out", "min": 0, "max": "*", "type": "Encounter" } ], "dataRequirement": [ { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "mustSupport": [ "period", "hospitalization", "hospitalization.admitSource", "type", "status" ], "codeFilter": [ { "path": "type", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292" } ] }, { "type": "Encounter", "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ], "mustSupport": [ "period" ] }, { "type": "Condition", "profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ], "mustSupport": [ "id" ], "codeFilter": [ { "path": "id" } ] } ] } ], "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode": "Encounter" }, { "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-default", "identifier": [ { "use": "official", "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm", "value": "55" } ], "version": "5.0.0", "name": "EXM55", "title": "Measure with default value measurement period", "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": "This example illustrates a continuous variable measure represented as a FHIR eCQM", "useContext": [ { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "program" }, "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs", "code": "eh-cah", "display": "EH/CAH" } ] } } ], "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US" } ] } ], "approvalDate": "2019-03-08", "lastReviewDate": "2019-03-08", "effectivePeriod": { "start": "2018-01-01", "end": "2018-12-31" }, "topic": [ { "coding": [ { "system": "http://loinc.org", "code": "57024-2", "display": "Health Quality Measure Document" } ] } ], "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55" ], "scoring": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-scoring", "code": "continuous-variable", "display": "Continuous Variable" } ] }, "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-type", "code": "process" } ] } ], "improvementNotation": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code": "decrease", "display": "Decreased score indicates improvement" } ] }, "group": [ { "population": [ { "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Initial Population" } }, { "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "measure-population", "display": "Measure Population" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Measure Population" } }, { "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "measure-population-exclusion", "display": "Measure Population Exclusion" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Measure Population Exclusion" } }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference", "valueString": "measure-population-identifier" }, { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod", "valueCode": "median" } ], "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "measure-observation", "display": "Measure Observation" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Measure Observation" } } ], "stratifier": [ { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] } } ], "code": { "coding": [ { "display": "Stratification 1" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Stratification 1" } }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] } } ], "code": { "coding": [ { "display": "Stratification 2" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Stratification 2" } }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] } } ], "code": { "coding": [ { "display": "Stratification 3" } ] }, "criteria": { "language": "text/cql-identifier", "expression": "Stratification 3" } } ] } ] }