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


<Measure xmlns="http://hl7.org/fhir">
  <id value="measure-exm55-FHIR"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/software-system-example"/>
    </valueReference>
  </extension>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="55"/>
  </identifier>
  <version value="5.0.0"/>
  <name value="EXM55"/>
  <title value="Median ED Visit Duration"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2019-02-21"/>
  <publisher
             value="Health Level 7 International - Clinical Quality Information Work Group"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
    </telecom>
  </contact>
  <description
               value="This example illustrates a continuous variable measure represented as a FHIR eCQM"/>
  <useContext>
    <code>
      <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="program"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"/>
        <code value="eh-cah"/>
        <display value="EH/CAH"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <approvalDate value="2019-03-08"/>
  <lastReviewDate value="2019-03-08"/>
  <effectivePeriod>
    <start value="2018-01-01"/>
    <end value="2018-12-31"/>
  </effectivePeriod>
  <topic>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57024-2"/>
      <display value="Health Quality Measure Document"/>
    </coding>
  </topic>
  <library value="http://hl7.org/fhir/us/cqfmeasures/Library/EXM55"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="continuous-variable"/>
      <display value="Continuous Variable"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="decrease"/>
      <display value="Decreased score indicates improvement"/>
    </coding>
  </improvementNotation>
  <group>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-population"/>
          <display value="Measure Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Measure Population"/>
      </criteria>
    </population>
    <population>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-population-exclusion"/>
          <display value="Measure Population Exclusion"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Measure Population Exclusion"/>
      </criteria>
    </population>
    <population>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="measure-population-identifier"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
        <valueCode value="median"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-observation"/>
          <display value="Measure Observation"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Measure Observation"/>
      </criteria>
    </population>
    <stratifier>
      <code>
        <coding>
          <display value="Stratification 1"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Stratification 1"/>
      </criteria>
    </stratifier>
    <stratifier>
      <code>
        <coding>
          <display value="Stratification 2"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Stratification 2"/>
      </criteria>
    </stratifier>
    <stratifier>
      <code>
        <coding>
          <display value="Stratification 3"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql.identifier"/>
        <expression value="Stratification 3"/>
      </criteria>
    </stratifier>
  </group>
</Measure>