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

RiskAdjustment_FHIR2


<Measure xmlns="http://hl7.org/fhir">
  <id value="measure-risk-adjustment-FHIR2"/>
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    <lastUpdated value="2019-03-12T13:08:24.461-04:00"/>
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    <div xmlns="http://www.w3.org/1999/xhtml"><table class="grid dict"><tr style="vertical-align: top;"><th scope="row"><b>Id: </b></th><td style="padding-left: 25px; padding-right: 25px;">Measure/measure-risk-adjustment-FHIR2</td></tr><tr style="vertical-align: top;"><th rowspan="1" scope="row"><b>Type: </b></th><td style="padding-left: 25px; padding-right: 25px;"><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-type</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>process</span></span></span></span></td></tr><tr style="vertical-align: top;"><th rowspan="1" scope="row"><b>Identifier: </b></th><td style="padding-left: 25px; padding-right: 25px;"><b>system: </b><span>http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm</span><br/><b>value: </b><span>RiskAdjustment_FHIR2</span></td></tr><tr style="vertical-align: top;"><th scope="row"><b>Title: </b></th><td style="padding-left: 25px; padding-right: 25px;">Risk Adjustment FHIR DSTU2</td></tr><tr style="vertical-align: top;"><th scope="row"><b>Status: </b></th><td style="padding-left: 25px; padding-right: 25px;">active</td></tr><tr style="vertical-align: top;"><th scope="row"><b>Description: </b></th><td style="padding-left: 25px; padding-right: 25px;">This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM</td></tr><tr style="vertical-align: top;"><th rowspan="1" scope="row"><b>Topic: </b></th><td style="padding-right: 25px;"><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://loinc.org</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>57024-2</span><br/></span><span style="padding-left: 25px;"><b>display: </b><span>Health Quality Measure Document</span></span></span></span></td></tr><tr style="vertical-align: top;"><th rowspan="1" scope="row"><b>Library: </b></th><td><p style="padding-left: 25px; padding-right: 25px;"><b>reference: </b><span>Library/library-risk-adjustment-FHIR2</span></p></td></tr><tr><th scope="row"><b>Scoring: </b></th><td style="padding-left: 25px; padding-right: 25px;"><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-scoring</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>proportion</span></span></span></span></td></tr><tr style="vertical-align: top;"><th scope="row"><b>Group:</b></th><td><p style="padding-left: 25px; padding-right: 25px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>group-1</span><br/></span></p></td></tr><tr style="vertical-align: top;"><td colspan="2"><table style="margin-bottom: 5px; width: 100%"><tr style="vertical-align: top;"><th rowspan="3" scope="row" style="padding-left: 25px;"><b>Population:</b></th><td><p style="margin-bottom: 5px; padding-left: 25px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>initial-population-identifier</span><br/></span></p><p style="margin-bottom: 5px; padding-left: 25px;"><b>criteria: </b><span>Initial Population</span></p></td></tr><tr style="vertical-align: top;"><td><p style="margin-bottom: 5px; padding-left: 25px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>numerator-identifier</span><br/></span></p><p style="margin-bottom: 5px; padding-left: 25px;"><b>criteria: </b><span>Numerator</span></p></td></tr><tr style="vertical-align: top;"><td><p style="margin-bottom: 5px; padding-left: 25px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>denominator-identifier</span><br/></span></p><p style="margin-bottom: 5px; padding-left: 25px;"><b>criteria: </b><span>Denominator</span></p></td></tr></table></td></tr><tr><th rowspan="8" scope="row"><b>Supplemental Data:</b></th><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-ethnicity</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Ethnicity</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-payer</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Payer</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-race</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Race</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>sde-sex</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>SDE Sex</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>hepatic-failure</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Hepatic Failure</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>cirrhosis-dx</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Cirrhosis Dx</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>bilirubin-test</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Bilirubin Test</span></p></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><p style="margin-bottom: 5px;"><b>Identifier:</b><br/><span style="padding-left: 25px;"><b>value: </b><span>serum-albumin-test</span><br/></span></p><p style="margin-bottom: 5px;"><b>usage: </b><span><span><br/><span><span style="padding-left: 25px;"><b>system: </b><span>http://hl7.org/fhir/measure-data-usage</span><br/></span><span style="padding-left: 25px;"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style="margin-bottom: 5px;"><b>criteria: </b><span>Serum Albumin Test</span></p></td></tr></table></div>
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             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
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  <url
       value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-risk-adjustment-FHIR2"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="RiskAdjustment_FHIR2"/>
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  <version value="1.0.0"/>
  <name value="RiskAdjustment_FHIR2"/>
  <title value="Risk Adjustment FHIR DSTU2"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2019-02-21T00:00:00-05:00"/>
  <publisher
             value="Health Level 7 International - Clinical Quality Information Work Group"/>
  <description
               value="This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM"/>
  <approvalDate value="2019-03-08"/>
  <lastReviewDate value="2019-03-08"/>
  <effectivePeriod>
    <start value="2018-01-01T00:00:00-05:00"/>
    <end value="2018-12-31T00:00:00-05:00"/>
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  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
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  <contact>
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      <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
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  <library>
    <reference value="Library/library-risk-adjustment-FHIR2"/>
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  <scoring>
    <coding>
      <system value="http://hl7.org/fhir/measure-scoring"/>
      <code value="proportion"/>
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  <type>
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      <system value="http://hl7.org/fhir/measure-type"/>
      <code value="process"/>
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  <improvementNotation value="decrease"/>
  <group>
    <identifier>
      <value value="group-1"/>
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    <population>
      <code>
        <coding>
          <system
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          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
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      <criteria value="Initial Population"/>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
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      <criteria value="Numerator"/>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
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      <criteria value="Denominator"/>
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