Quality Measure STU1 for FHIR STU3 Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

MeasureEXM


<Measure xmlns="http://hl7.org/fhir">
  <id value="measure-exm"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2019-11-06T18:55:48.200-05:00"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            <table style="width: 60%; border-bottom: none;" class="header_table">
                
            <tr style="vertical-align: top;">
                <td scope="row" style="background-color:#656565; width:20%">
                    <span class="td_label">Measure Title</span>
                </td>
                <td colspan="1" style="width:60%">
                    <h1 style="font-size:10px">EXM Measure</h1>
                </td>
                <td scope="row" style="background-color:#656565; width:10%">
                    <span class="td_label">Measure ID</span>
                </td>
                <td colspan="1" style="width:10%">
                    <h1 style="font-size:10px">MeasureEXM</h1>
                </td>
            </tr>
            
<tr style="vertical-align: top;">
    <td scope="row" style="background-color:#656565; width:20%">
        <span class="td_label">Description</span>
    </td>
    <td colspan="3" style="width:80%">
        <div style="width:660px;overflow-x:hidden;overflow-y:auto">
            <pre>
                <p>An example FHIR-based measure</p>
            </pre>
        </div>
    </td>
</tr>
<tr>
    <td scope="row" style="background-color:#656565; width:20%">
        <span class="td_label">Measurement Period</span>
    </td>
    <td colspan="3" style="width:80%">January 1 - December 31</td>
</tr>


<tr>
    <td scope="row" style="background-color:#656565; width:20%">
        <span class="td_label">Copyright and Disclaimer Notice</span>
    </td>
    <td colspan="3" style="width:80%">
        <div style="width:660px;overflow-x:hidden;overflow-y:auto">
            <pre>Example disclaimer</pre>
            <br/>
            <pre>Example Copyright Statement</pre>
        </div>
    </td>
</tr>
<tr>
    <td scope="row" style="background-color:#656565; width:20%">
        <span class="td_label">Clinical Recommendation Statement</span>
    </td>
    <td colspan="3" style="width:80%">
        <div style="width:660px;overflow-x:hidden;overflow-y:auto">
            <p>The clinical recommendation statement for this measure is...</p>
        </div>
    </td>
</tr>
<tr>
    <td colspan="4" scope="row" style="background-color:#656565; width:100%">
        <span class="td_label">Characteristics</span>
    </td>
</tr>
<tr>
    <td scope="row" style="width:20%">
        <span>Scoring</span>
    </td>
    <td colspan="3" style="width:80%">Proportion</td>
</tr>

<tr style="vertical-align: top;">
    <td rowspan="1" scope="row" style="width:20%">
        <span>Type</span>
    </td>
    <td colspan="3" style="width:80%">Process</td>
</tr>


<tr>
    <td scope="row" style="width:20%">
        <span>Risk Adjustment</span>
    </td>
    <td colspan="3" style="width:80%">
        <div style="width:660px;overflow-x:hidden;overflow-y:auto">
            <pre>Risk adjustment for this measure is performed by...</pre>
        </div>
    </td>
</tr>

<tr>
    <td scope="row" style="width:20%">
        <span>Improvement Notation</span>
    </td>
    <td colspan="3" style="width:80%">A higher rate indicates better performance.</td>
</tr>
<tr>
    <td scope="row" style="width:20%">
        <span>Guidance</span>
    </td>
    <td colspan="3" style="width:80%">
        <div style="width:660px;overflow-x:hidden;overflow-y:auto">
            <p>Additional guidance provided to help communicate the intent of the measure</p>
        </div>
    </td>
</tr>
<tr>
    <td colspan="4" scope="row" style="background-color:#656565; width:100%">
        <span class="td_label">Definitions</span>
    </td>
</tr>
<tr>
    
    <td colspan="4" style="width:100%">
        <div style="width:880px;overflow-x:hidden;overflow-y:auto">
            <p>A term used in the measure that bears clearly defining to communicate the measure intent</p>
        </div>
    </td>
</tr>


</table>
<table style="width: 60%; border-top: none; border-bottom: none" class="header_table">
    <tr style="vertical-align: top;">
        <td rowspan="3" scope="row" style="background-color:#656565; width:20%">
            <span class="td_label">Population Criteria 1</span>
        </td>
        <td style="width:20%;">
            <span style="font-size:10px; font-weight: bold;">Initial Population</span>
        </td>
        <td colspan="2" style="width:60%;">
            <div style="overflow-x:hidden;overflow-y:auto">
                <pre/>
            </div>
        </td>
    </tr>
    <tr style="vertical-align: top;">
        <td style="width:20%;">
            <span style="font-size:10px; font-weight: bold;">Numerator</span>
        </td>
        <td colspan="2" style="width:60%;">
            <div style="overflow-x:hidden;overflow-y:auto">
                <pre/>
            </div>
        </td>
    </tr>
    <tr style="vertical-align: top;">
        <td style="width:20%;">
            <span style="font-size:10px; font-weight: bold;">Denominator</span>
        </td>
        <td colspan="2" style="width:60%;">
            <div style="overflow-x:hidden;overflow-y:auto">
                <pre/>
            </div>
        </td>
    </tr>
    <tr style="vertical-align: top;">
        <td rowspan="3" scope="row" style="background-color:#656565; width:20%">
            <span class="td_label">Population Criteria 2</span>
        </td>
        <td style="width:20%;">
            <span style="font-size:10px; font-weight: bold;">Initial Population</span>
        </td>
        <td colspan="2" style="width:60%;">
            <div style="overflow-x:hidden;overflow-y:auto">
                <pre/>
            </div>
        </td>
    </tr>
    <tr style="vertical-align: top;">
        <td style="width:20%;">
            <span style="font-size:10px; font-weight: bold;">Numerator</span>
        </td>
        <td colspan="2" style="width:60%;">
            <div style="overflow-x:hidden;overflow-y:auto">
                <pre/>
            </div>
        </td>
    </tr>
    <tr style="vertical-align: top;">
        <td style="width:20%;">
            <span style="font-size:10px; font-weight: bold;">Denominator</span>
        </td>
        <td colspan="2" style="width:60%;">
            <div style="overflow-x:hidden;overflow-y:auto">
                <pre/>
            </div>
        </td>
    </tr>
</table>
<table style="width: 60%; border-top: none;" class="header_table">
    


</table>
<h2>
    <a name="toc">Table of Contents</a>
</h2>
<ul style="padding-left: 50px;">
    <li>
        <a href="#d1e405">Population Criteria</a>
    </li>
    <li>
        <a href="#d1e649">Definitions</a>
    </li>
    <li>
        <a href="#d1e650">Functions</a>
    </li>
    <li>
        <a href="#d1e555">Terminology</a>
    </li>
    <li>
        <a href="#d1e647">Data Criteria (QDM Data Elements)</a>
    </li>
    <li>
        <a href="#d1e767">Supplemental Data Elements</a>
    </li>
    <li>
        <a href="#d1e879">Risk Adjustment Variables</a>
    </li>
</ul>
<div style="float:left; background:teal; height:3px; width:80%"/>
<pre>
    <br/>
</pre>
<h3>
    <a name="d1e405" href="#toc">Population Criteria 1</a>
</h3>
<div>
    <ul style="list-style:none;padding-left:10px;">
        <li style="list-style:none;padding-left:0px;" class="list-unstyled">
            <div class="treeview hover p-l-10"> </div>
            <div class="treeview hover p-l-10"> </div>
            <div class="treeview hover p-l-10"> </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 1" type="checkbox"/>
                        <label for="stratifier 1" class="list-header">
                            <strong>Stratifier 1</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 1</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 2" type="checkbox"/>
                        <label for="stratifier 2" class="list-header">
                            <strong>Stratifier 2</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 2</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 3" type="checkbox"/>
                        <label for="stratifier 3" class="list-header">
                            <strong>Stratifier 3</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 3</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 4" type="checkbox"/>
                        <label for="stratifier 4" class="list-header">
                            <strong>Stratifier 4</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 4</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
        </li>
    </ul>
</div>
<pre>
    <br/>
</pre>
<h3>
    <a name="d1e405" href="#toc">Population Criteria 2</a>
</h3>
<div>
    <ul style="list-style:none;padding-left:10px;">
        <li style="list-style:none;padding-left:0px;" class="list-unstyled">
            <div class="treeview hover p-l-10"> </div>
            <div class="treeview hover p-l-10"> </div>
            <div class="treeview hover p-l-10"> </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 1" type="checkbox"/>
                        <label for="stratifier 1" class="list-header">
                            <strong>Stratifier 1</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 1</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 2" type="checkbox"/>
                        <label for="stratifier 2" class="list-header">
                            <strong>Stratifier 2</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 2</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 3" type="checkbox"/>
                        <label for="stratifier 3" class="list-header">
                            <strong>Stratifier 3</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 3</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
            <div class="treeview hover p-l-10">
                <ul class="list-unstyled">
                    <li class="list-unstyled">
                        <input id="stratifier 4" type="checkbox"/>
                        <label for="stratifier 4" class="list-header">
                            <strong>Stratifier 4</strong>
                        </label>
                        <ul class="code">
                            <li class="list-unstyled">
                                <div class="treeview hover p-l-10">
                                    <ul>
                                        <li style="padding-left: 0px;">
                                            <div>
                                                <pre class="cql-definition-body">Stratifier 4</pre>
                                            </div>
                                        </li>
                                    </ul>
                                </div>
                            </li>
                        </ul>
                    </li>
                </ul>
            </div>
        </li>
    </ul>
</div>
<h3>
    <a name="d1e649" href="#toc">Definitions</a>
</h3>
<h3>
    <a name="d1e650" href="#toc">Functions</a>
</h3>
<h3>
    <a name="d1e555" href="#toc">Terminology</a>
</h3>
<div>
    <ul style="padding-left: 50px;"> </ul>
</div>
<h3>
    <a name="d1e647" href="#toc">Data Criteria (QDM Data Elements)</a>
</h3>
<div>
    <ul style="padding-left: 50px;"> </ul>
</div>
<h3>
    <a name="d1e767" href="#toc">Supplemental Data Elements</a>
</h3>
<div>
    <ul style="list-style:none;padding-left: 25px;">
        <li>None</li>
    </ul>
</div>
<h3>
    <a name="d1e879" href="#toc">Risk Adjustment Variables</a>
</h3>
<div>
    <ul style="list-style:none;padding-left: 25px;">
        <li>None</li>
    </ul>
</div>
<div style="float:left; background:teal; height:3px; width:80%"/>
<table>
    
</table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment">
    <extension url="type">
      <valueCode value="documentation"/>
    </extension>
    <extension url="text">
      <valueString value="This illustrates an example comment"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="boolean"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation">
    <valueMarkdown value="Additional guidance for allocation"/>
  </extension>
  <url value="http://example.org/fhir/measures/measure-exm"/>
  <identifier>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="EXM"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="MeasureEXM"/>
  <title value="EXM Measure"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2019-02-17T00:00:00-05:00"/>
  <publisher value="Example Measure Publisher"/>
  <description value="An example FHIR-based measure"/>
  <purpose value="The purpose of this measure is to..."/>
  <usage value="Users of this measure should be aware of..."/>
  <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="2018-01-01T00:00:00-05:00"/>
    <end value="2018-12-31T00:00:00-05:00"/>
  </effectivePeriod>
  <useContext>
    <code>
      <code value="program"/>
    </code>
    <valueCodeableConcept>
      <text value="eligible-provider"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <contributor>
    <type value="author"/>
    <name value="Example Measure Content Developer"/>
  </contributor>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.example.org/"/>
    </telecom>
  </contact>
  <copyright value="Example Copyright Statement"/>
  <relatedArtifact>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
      <valueBoolean value="true"/>
    </extension>
    <type value="documentation"/>
    <citation
              value="Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. &quot;Antibiotic treatment       of children with sore throat.&quot; JAMA 294(18):2315-2322."/>
  </relatedArtifact>
  <relatedArtifact>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
      <valueBoolean value="true"/>
    </extension>
    <type value="documentation"/>
    <citation
              value="Infectious Diseases Society of America. 2012. &quot;Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.&quot;"/>
  </relatedArtifact>
  <relatedArtifact>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
      <valueBoolean value="true"/>
    </extension>
    <type value="documentation"/>
    <citation
              value="Roberts, R.R., B. Hota, I. Ahmad, et al. &quot;Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.&quot; Clin Infect Dis. Oct 2009; 49(8):1175-84."/>
  </relatedArtifact>
  <library>
    <reference value="Library/exm-logic"/>
  </library>
  <disclaimer value="Example disclaimer"/>
  <scoring>
    <coding>
      <system value="http://hl7.org/fhir/measure-scoring"/>
      <code value="proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/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 value="increase"/>
  <definition
              value="A term used in the measure that bears clearly defining to communicate the measure intent"/>
  <guidance
            value="Additional guidance provided to help communicate the intent of the measure"/>
  <group>
    <identifier>
      <value value="group-1"/>
    </identifier>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria value="Initial Population 1"/>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria value="Numerator 1"/>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria value="Denominator 1"/>
    </population>
    <stratifier>
      <identifier>
        <value value="stratifier 1"/>
      </identifier>
      <criteria value="Stratifier 1"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 2"/>
      </identifier>
      <criteria value="Stratifier 2"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 3"/>
      </identifier>
      <criteria value="Stratifier 3"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 4"/>
      </identifier>
      <criteria value="Stratifier 4"/>
    </stratifier>
  </group>
  <group>
    <identifier>
      <value value="group-2"/>
    </identifier>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria value="Initial Population 2"/>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria value="Numerator 2"/>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria value="Denominator 2"/>
    </population>
    <stratifier>
      <identifier>
        <value value="stratifier 1"/>
      </identifier>
      <criteria value="Stratifier 1"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 2"/>
      </identifier>
      <criteria value="Stratifier 2"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 3"/>
      </identifier>
      <criteria value="Stratifier 3"/>
    </stratifier>
    <stratifier>
      <identifier>
        <value value="stratifier 4"/>
      </identifier>
      <criteria value="Stratifier 4"/>
    </stratifier>
  </group>
</Measure>