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 
{
"resourceType" : "Measure",
"id" : "measure-terminology-FHIR",
"meta" : {
"versionId" : "9",
"lastUpdated" : "2019-11-06T19:36:37.453-05:00",
"profile" : [
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cohort-measure-cqfm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"width: 60%; border-bottom: none;\" class=\"header_table\"> <!-- <tr th:if=\"${resource.hasId()}\" style=\"vertical-align: top;\"><th style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Id: </span></th><td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.id}\"></td></tr> --><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\">Terminology FHIR</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\">Terminology_FHIR</h1></td></tr> <!-- <th:block th:each=\"ident, iter : ${resource.identifier}\"><tr th:if=\"${ident.type.coding[0].code == 'CMS'}\" style=\"vertical-align: top;\"><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">eCQM Identifier (Measure Authoring Tool)</span></td><td style=\"width:30%\" th:narrative=\"${ident.value}\"></td><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">eCQM Version number</span></td><td style=\"width:30%\" th:narrative=\"${resource.version}\"></td></tr></th:block><th:block th:each=\"ident, iter : ${resource.identifier}\"><tr th:if=\"${ident.type.coding[0].code == 'NQF'}\" style=\"vertical-align: top;\"><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">NQF Number</span></td><td style=\"width:30%\" th:narrative=\"${ident.value}\"></td><td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">GUID</span></td><td style=\"width:30%\" th:narrative=\"${resource.url}\"></td></tr></th:block> --><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>This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM</p>\n</pre>\n </div>\n </td>\n </tr>\n <tr>\n <td scope=\"row\" style=\"background-color:#656565; width:20%\"><span class=\"td_label\">Measurement Period</span></td>\n <td colspan=\"3\" style=\"width:80%\">January 1 - December 31</td>\n </tr>\n <!-- <tr>\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Measure Steward</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.publisher}\"></td>\n </tr>\n <tr>\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Measure Developer</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.publisher}\"></td>\n </tr> -->\n <!-- <tr th:if=\"${resource.hasDisclaimer()}\">\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Disclaimer</span></td>\n <td style=\"width:80%\" colspan=\"3\">\n <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n <pre th:text=\"${resource.disclaimer}\"></pre>\n </div>\n </td>\n </tr> -->\n \n \n \n <tr>\n <td colspan=\"4\" scope=\"row\" style=\"background-color:#656565; width:100%\"><span class=\"td_label\">Characteristics</span></td>\n </tr>\n <tr>\n <td scope=\"row\" style=\"width:20%\"><span>Scoring</span></td>\n <td colspan=\"3\" style=\"width:80%\">Cohort</td>\n </tr>\n <!-- <tr th:if=\"${resource.hasCompositeScoring()}\">\n <td style=\"width:20%\" scope=\"row\"><span class=\"td_label\">Composite Scoring</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.compositeScoring.getText().substring(0, 1).toUpperCase() + resource.compositeScoring.getText().substring(1)}\"></td>\n </tr> -->\n \n <tr style=\"vertical-align: top;\">\n <td rowspan=\"1\" scope=\"row\" style=\"width:20%\"><span>Type</span></td>\n <td colspan=\"3\" style=\"width:80%\">Process</td>\n </tr>\n \n <!-- <tr th:if=\"${resource.hasStatus()}\" style=\"vertical-align: top;\">\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Status</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.status.toString().substring(0, 1).toUpperCase() + resource.status.toString().substring(1).toLowerCase()}\"></td>\n </tr>\n <tr th:if=\"${resource.hasPurpose()}\" style=\"vertical-align: top;\">\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Purpose</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.purpose}\"></td>\n </tr>\n <tr th:if=\"${resource.hasUsage()}\" style=\"vertical-align: top;\" >\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Usage</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${resource.usage}\"></td>\n </tr>\n <th:block th:each=\"context, iter : ${resource.useContext}\" >\n <tr style=\"vertical-align: top;\">\n <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Use Context</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${context}\"></td>\n </tr>\n </th:block>\n <th:block th:each=\"topics, iter : ${resource.topic}\" >\n <tr style=\"vertical-align: top;\">\n <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Topic</span></td>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${topics}\"></td>\n </tr>\n </th:block>\n <th:block th:each=\"cont, iter : ${resource.contributor}\" >\n <tr style=\"vertical-align: top;\">\n <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Contributor</span></td>\n <td style=\"width:80%\" colspan=\"3\">\n <b><span th:narrative=\"${cont.type.toCode()}\"></span>: </b><span th:narrative=\"${cont.name}\"></span>\n </td>\n </tr>\n </th:block> -->\n <!-- <th:block th:each=\"lib, iter : ${resource.library}\" >\n <tr style=\"vertical-align: top;\">\n <td th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Library</span></td>\n <td style=\"width:80%\" colspan=\"3\">\n <p th:if=\"${lib.hasIdentifier()}\"><b>identifier: </b><span th:narrative=\"${lib.identifier}\"></span></p>\n <p th:if=\"${lib.hasReference()}\"><b>reference: </b><span th:narrative=\"${lib.reference}\"></span></p>\n <p th:if=\"${lib.hasDisplay()}\"><b>display: </b><span th:narrative=\"${lib.display}\"></span></p>\n </td>\n </tr>\n </th:block> -->\n \n <!-- <tr th:if=\"${resource.hasRateAggregation()}\" >\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Rate Aggregation</span></td>\n <td style=\"width:80%\" colspan=\"3\">\n <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n <pre th:text=\"${resource.rateAggregation}\"></pre>\n </div>\n </td>\n </tr>\n <tr th:if=\"${resource.hasRationale()}\">\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Rationale</span></td>\n <td style=\"width:80%\" colspan=\"3\">\n <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n <pre th:text=\"${resource.rationale}\"></pre>\n </div>\n </td>\n </tr> -->\n <tr>\n <td scope=\"row\" style=\"width:20%\"><span>Improvement Notation</span></td>\n \n <td colspan=\"3\" style=\"width:80%\">A lower rate indicates better performance.</td>\n </tr>\n \n <tr>\n <td colspan=\"4\" scope=\"row\" style=\"background-color:#656565; width:100%\"><span class=\"td_label\">Definitions</span></td>\n </tr>\n \n \n <!-- <th:block th:each=\"groups, iter : ${resource.uniquePopulationGroup}\" >\n <tr style=\"vertical-align: top;\">\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\" th:text=\"${groups.identifier.value}\"></span></td>\n <td style=\"width:80%\" colspan=\"3\">\n <div style=\"width:660px;overflow-x:hidden;overflow-y:auto\">\n <pre th:text=\"${pops.description}\"></pre>\n </div>\n </td>\n </tr>\n </th:block> -->\n </table>\n <table style=\"width: 60%; border-top: none; border-bottom: none\" class=\"header_table\">\n \n </table>\n <table style=\"width: 60%; border-top: none;\" class=\"header_table\">\n <!-- <th:block th:each=\"supples, iter : ${resource.supplementalData}\">\n <tr>\n <th th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" scope=\"row\"><b>Supplemental Data:</b></th>\n <td style=\"width:80%\" colspan=\"3\" >\n <p style=\"margin-bottom: 5px;\" th:narrative=\"${supples.identifier}\"></p>\n <p style=\"margin-bottom: 5px;\" th:each=\"uses : ${supples.usage}\">\n <b>usage: </b>\n <span th:narrative=\"${uses}\"></span>\n </p>\n <p style=\"margin-bottom: 5px;\" th:if=\"${supples.hasCriteria()}\">\n <b>criteria: </b>\n <span th:narrative=\"${supples.criteria}\"></span>\n </p>\n <p style=\"margin-bottom: 5px;\" th:if=\"${supples.hasPath()}\">\n <b>path: </b>\n <span th:narrative=\"${supples.path}\"></span>\n </p>\n </td>\n </tr>\n </th:block> -->\n <!-- <th:block th:each=\"param, iter : ${resource.parameter}\">\n <tr style=\"vertical-align: top;\">\n <th th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" scope=\"row\"><b>Parameter: </b></th>\n <td style=\"width:80%\" colspan=\"3\" >\n <span th:if=\"${param.hasName()}\">\n <b>name: </b>\n <span th:narrative=\"${param.name}\"></span>\n <br/>\n </span>\n <b>use: </b>\n <span th:narrative=\"${param.use.toCode()}\"></span>\n <br/>\n <span th:if=\"${param.hasMin()}\">\n <b>minimum cardinality: </b>\n <span th:narrative=\"${param.min}\"></span>\n <br/>\n </span>\n <span th:if=\"${param.hasMax()}\">\n <b>maximum cardinality: </b>\n <span th:narrative=\"${param.max}\"></span>\n <br/>\n </span>\n <b>type: </b>\n <span th:narrative=\"${param.type}\"></span>\n <br/>\n <span th:if=\"${param.hasDocumentation()}\">\n <b>documentation: </b>\n <span th:narrative=\"${param.documentation}\"></span>\n <br/>\n </span>\n <span th:if=\"${param.hasProfile()}\">\n <b>profile: </b>\n <span th:narrative=\"${param.profile}\"></span>\n <br/>\n </span>\n <p style=\"margin-bottom: 5px;\"></p>\n </td>\n </tr>\n </th:block> -->\n <!-- <th:block th:each=\"dataReq, iter : ${resource.dataRequirement}\">\n <tr style=\"vertical-align: top;\">\n <th th:if=\"${iter.index == 0}\" th:rowspan=\"${iter.size}\" scope=\"row\" ><b>Data Requirements: </b></th>\n <td style=\"width:80%\" colspan=\"3\" th:narrative=\"${dataReq}\"></td>\n </tr>\n </th:block> -->\n </table>\n <h2><a name=\"toc\">Table of Contents</a></h2>\n <ul style=\"padding-left: 50px;\">\n <li><a href=\"#d1e405\">Population Criteria</a></li>\n <li><a href=\"#d1e649\">Definitions</a></li>\n <li><a href=\"#d1e650\">Functions</a></li>\n <li><a href=\"#d1e555\">Terminology</a></li>\n <li><a href=\"#d1e647\">Data Criteria (QDM Data Elements)</a></li>\n <li><a href=\"#d1e767\">Supplemental Data Elements</a></li>\n <li><a href=\"#d1e879\">Risk Adjustment Variables</a></li>\n </ul>\n <div style=\"float:left; background:teal; height:3px; width:80%\"/>\n \n <pre><br/></pre>\n <h3><a name=\"d1e405\" href=\"#toc\">Population Criteria</a></h3>\n <div>\n <ul style=\"list-style:none;padding-left:10px;\">\n <li style=\"list-style:none;padding-left:0px;\" class=\"list-unstyled\">\n \n <div class=\"treeview hover p-l-10\">\n \n </div>\n \n \n </li>\n </ul>\n </div>\n\n <h3><a name=\"d1e649\" href=\"#toc\">Definitions</a></h3>\n <div>\n <ul style=\"list-style:none;padding-left: 10px;\">\n <li style=\"list-style:none;\" class=\"list-unstyled\">\n <div>\n <ul style=\"list-style:none;padding-left:0;\" class=\"list-unstyled\">\n <li class=\"list-unstyled\">\n <div class=\"treeview hover p-l-10\">\n <input id=\"Inpatient Encounter\" type=\"checkbox\"/>\n <label for=\"Inpatient Encounter\" class=\"list-header\"><strong>Inpatient Encounter</strong></label>\n <ul style=\"margin-right: 20%; opacity: 1;\" class=\"code\">\n <li class=\"list-unstyled\">\n <div>\n <ul style=\"padding-left: 0px;\">\n <li style=\"padding-left: 0px;\" class=\"list-unstyled\">\n <div>\n <pre class=\"cql-definition-body\"> ["Encounter": type in "Encounter Inpatient SNOMEDCT Value Set"] E\r\n where E.status = 'finished'</pre>\n </div></li>\n </ul> \n </div></li>\n </ul>\n </div></li>\n </ul>\n </div></li>\n </ul>\n </div>\n <div>\n <ul style=\"list-style:none;padding-left: 10px;\">\n <li style=\"list-style:none;\" class=\"list-unstyled\">\n <div>\n <ul style=\"list-style:none;padding-left:0;\" class=\"list-unstyled\">\n <li class=\"list-unstyled\">\n <div class=\"treeview hover p-l-10\">\n <input id=\"Venous Foot Pumps Applied\" type=\"checkbox\"/>\n <label for=\"Venous Foot Pumps Applied\" class=\"list-header\"><strong>Venous Foot Pumps Applied</strong></label>\n <ul style=\"margin-right: 20%; opacity: 1;\" class=\"code\">\n <li class=\"list-unstyled\">\n <div>\n <ul style=\"padding-left: 0px;\">\n <li style=\"padding-left: 0px;\" class=\"list-unstyled\">\n <div>\n <pre class=\"cql-definition-body\"> ["DeviceUseStatement": code in "Venous foot pump, device (physical object)"] D\r\n where D.status = 'completed'\r\n and D.bodySite ~ ToConcept("Right foot")</pre>\n </div></li>\n </ul> \n </div></li>\n </ul>\n </div></li>\n </ul>\n </div></li>\n </ul>\n </div>\n <h3><a name=\"d1e650\" href=\"#toc\">Functions</a></h3>\n \n <h3><a name=\"d1e555\" href=\"#toc\">Terminology</a></h3>\n <div>\n <ul style=\"padding-left: 50px;\">\n <li style=\"width:80%\">codesystem "SNOMED CT:2017-09" : 'http://snomed.info/sct' version "http://snomed.info/sct/731000124108/version/201709"</li>\n <li style=\"width:80%\">code "Right foot" : '7769000' from "SNOMED CT:2017-09"</li>\n <li style=\"width:80%\">code "Venous foot pump, device (physical object)" : '442023007' from "SNOMED CT:2017-09"</li>\n <li style=\"width:80%\">valueset "Encounter Inpatient SNOMEDCT Value Set" : 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929'</li>\n </ul>\n </div>\n <h3><a name=\"d1e647\" href=\"#toc\">Data Criteria (QDM Data Elements)</a></h3>\n <div>\n <ul style=\"padding-left: 50px;\">\n <li style=\"width:80%\">"Encounter: Encounter Inpatient SNOMEDCT Value Set" using "Encounter Inpatient SNOMEDCT Value Set (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929)</li>\n </ul>\n </div>\n <h3><a name=\"d1e767\" href=\"#toc\">Supplemental Data Elements</a></h3>\n \n <div>\n <ul style=\"list-style:none;padding-left: 25px;\">\n <li>None</li>\n </ul>\n </div>\n <h3><a name=\"d1e879\" href=\"#toc\">Risk Adjustment Variables</a></h3>\n <div>\n <ul style=\"list-style:none;padding-left: 25px;\">\n <li>None</li>\n </ul>\n </div>\n <div style=\"float:left; background:teal; height:3px; width:80%\"/>\n <table>\n \n <!-- <th:block th:each=\"con, iter : ${resource.content}\">\n <tr th:if=\"${con.contentType == 'text/cql'}\" style=\"vertical-align: top;\">\n <td style=\"background-color:#656565; width:20%\" scope=\"row\"><span class=\"td_label\">Content</span></td>\n <td style=\"width:80%\" ><b>type: </b><span th:text=\"${con.contentType}\"></span></td>\n </tr>\n <tr th:if=\"${con.contentType == 'text/cql'}\">\n <td style=\"width:100%\" colspan=\"2\" >\n <th:block th:if=\"${con.getData() != null }\" >\n <pre><code th:class=\"${con.contentType == 'text/cql' ? 'language-cql' : 'language-xml'}\" th:text=\"${new java.lang.String(con.getData())}\"></code></pre>\n </th:block>\n <th:block th:if=\"${con.getData() == null }\" >\n <span><i><content is empty></i></span>\n </th:block>\n </td>\n </tr>\n </th:block > -->\n </table>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "Encounter"
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-terminology-FHIR",
"identifier" : [
{
"use" : "official",
"system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
"value" : "Terminology_FHIR"
}
],
"version" : "1.0.0",
"name" : "Terminology_FHIR",
"title" : "Terminology FHIR",
"status" : "active",
"experimental" : true,
"date" : "2019-02-21T00:00:00-05:00",
"publisher" : "Health Level 7 International - Clinical Quality Information Work Group",
"description" : "This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM",
"approvalDate" : "2019-03-08",
"lastReviewDate" : "2019-03-08",
"effectivePeriod" : {
"start" : "2018-01-01T00:00:00-05:00",
"end" : "2018-12-31T00:00:00-05:00"
},
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi/index.cfm"
}
]
}
],
"relatedArtifact" : [
{
"type" : "depends-on",
"resource" : {
"reference" : "Library/fhirhelpers"
}
}
],
"library" : [
{
"reference" : "Library/terminology-fhir"
}
],
"scoring" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-scoring",
"code" : "cohort"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/measure-type",
"code" : "process"
}
]
}
],
"improvementNotation" : "decrease",
"group" : [
{
"identifier" : {
"value" : "group-1"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"criteria" : "Initial Population"
}
]
}
]
}
© HL7.org (Clinical Quality Information WG). hl7.fhir.us.cqfmeasures#1.0.0 based on FHIR v3.0.2 generated 20/11/2019.
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