Quality Measure STU2 for FHIR R4 Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.0.0: STU 2) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

EXM55

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "measure-exm55-FHIR"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: measure-exm55-FHIR</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR</a></p><p><b>identifier</b>: 55 (OFFICIAL)</p><p><b>version</b>: 5.0.0</p><p><b>name</b>: EXM55</p><p><b>title</b>: Median ED Visit Duration</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2019-02-21</p><p><b>publisher</b>: Health Level 7 International - Clinical Quality Information Work Group</p><p><b>contact</b>: http://www.hl7.org/Special/committees/cqi/index.cfm</p><p><b>description</b>: This example illustrates a continuous variable measure represented as a FHIR eCQM</p><p><b>useContext</b>: </p><p><b>jurisdiction</b>: <span title=\"Codes: {urn:iso:std:iso:3166 US}\">United States of America</span></p><p><b>approvalDate</b>: 2019-03-08</p><p><b>lastReviewDate</b>: 2019-03-08</p><p><b>effectivePeriod</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>topic</b>: <span title=\"Codes: {http://loinc.org 57024-2}\">Health Quality Measure Document</span></p><p><b>library</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/Library/EXM55\">http://hl7.org/fhir/us/cqfmeasures/Library/EXM55</a></p><p><b>scoring</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</span></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">Measure Population</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population measure-population-exclusion}\">Measure Population Exclusion</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population measure-observation}\">Measure Observation</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">Stratification 1</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">Stratification 2</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes: \">Stratification 3</span></p><p><b>criteria</b>: </p></blockquote></blockquote></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
     fhir:Extension.valueCode [ fhir:value "Encounter" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Device/software-system-example" ]     ]
  ];
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR"];
  fhir:Measure.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
     fhir:Identifier.value [ fhir:value "55" ]
  ];
  fhir:Measure.version [ fhir:value "5.0.0"];
  fhir:Measure.name [ fhir:value "EXM55"];
  fhir:Measure.title [ fhir:value "Median ED Visit Duration"];
  fhir:Measure.status [ fhir:value "active"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2019-02-21"^^xsd:date];
  fhir:Measure.publisher [ fhir:value "Health Level 7 International - Clinical Quality Information Work Group"];
  fhir:Measure.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi/index.cfm" ]     ]
  ];
  fhir:Measure.description [ fhir:value "This example illustrates a continuous variable measure represented as a FHIR eCQM"];
  fhir:Measure.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "program" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs" ];
         fhir:Coding.code [ fhir:value "eh-cah" ];
         fhir:Coding.display [ fhir:value "EH/CAH" ]       ]     ]
  ];
  fhir:Measure.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  fhir:Measure.approvalDate [ fhir:value "2019-03-08"^^xsd:date];
  fhir:Measure.lastReviewDate [ fhir:value "2019-03-08"^^xsd:date];
  fhir:Measure.effectivePeriod [
     fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
  ];
  fhir:Measure.topic [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:57024-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "57024-2" ];
       fhir:Coding.display [ fhir:value "Health Quality Measure Document" ]     ]
  ];
  fhir:Measure.library [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXM55>
  ];
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
       fhir:Coding.code [ fhir:value "continuous-variable" ];
       fhir:Coding.display [ fhir:value "Continuous Variable" ]     ]
  ];
  fhir:Measure.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
       fhir:Coding.code [ fhir:value "process" ]     ]
  ];
  fhir:Measure.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "decrease" ];
       fhir:Coding.display [ fhir:value "Decreased score indicates improvement" ]     ]
  ];
  fhir:Measure.group [
     fhir:index 0;
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population" ];
           fhir:Coding.display [ fhir:value "Measure Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Measure Population" ]       ]     ], [
       fhir:index 2;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population-exclusion" ];
           fhir:Coding.display [ fhir:value "Measure Population Exclusion" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Measure Population Exclusion" ]       ]     ], [
       fhir:index 3;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference" ];
         fhir:Extension.valueString [ fhir:value "measure-population-identifier" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "median" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-observation" ];
           fhir:Coding.display [ fhir:value "Measure Observation" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Measure Observation" ]       ]     ];
     fhir:Measure.group.stratifier [
       fhir:index 0;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.display [ fhir:value "Stratification 1" ]         ]       ];
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Stratification 1" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.display [ fhir:value "Stratification 2" ]         ]       ];
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Stratification 2" ]       ]     ], [
       fhir:index 2;
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.display [ fhir:value "Stratification 3" ]         ]       ];
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Stratification 3" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.