Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "bundle-example",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"type" : "transaction",
"entry" : [
{
"fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "47709cc7-b3ec-4abc-9d26-3df3d3d57904",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/test-case-cqfm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport "47709cc7-b3ec-4abc-9d26-3df3d3d57904" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-test-case-cqfm.html\">CQFM Test Case</a></p></div><p><b>CQFM Input Parameters</b>: <a name=\"testcase-example-parameters\"> </a></p><blockquote><p/><p><a name=\"testcase-example-parameters\"> </a></p><h3>Parameters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>subject</td><td>123</td></tr></table></blockquote><p><b>CQFM Test Case Description</b>: Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.</p><blockquote><p><b>modifierExtension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isTestCase]</b></p></blockquote><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57906\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57905\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905)</a></p><p><b>period</b>: 2018-12-31 --> 2019-01-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#group-1)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57905\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905)</a></li><li><a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57906\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906)</a></li><li><a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57907\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907)</a></li><li><a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57908\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908)</a></li></ul><hr/><blockquote><h2>Parameters</h2><table class=\"grid\"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Parameters",
"id" : "testcase-example-parameters",
"parameter" : [
{
"name" : "subject",
"valueString" : "123"
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-inputParameters",
"valueReference" : {
"reference" : "#testcase-example-parameters"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-testCaseDescription",
"valueMarkdown" : "Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources."
}
],
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isTestCase",
"valueBoolean" : true
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR",
"subject" : {
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
},
"date" : "2019-03-14",
"reporter" : {
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"
},
"period" : {
"start" : "2018-12-31",
"end" : "2019-01-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "group-1",
"display" : "group-1"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 0
}
],
"measureScore" : {
"value" : 1
}
}
],
"evaluatedResource" : [
{
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"
},
{
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
},
{
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"
},
{
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123456789\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.4",
"value" : "123456789",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "DaVinciHospital01",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 401-555-1212"
}
],
"address" : [
{
"line" : [
"73 Lakewood Street"
],
"city" : "Warwick",
"state" : "RI",
"postalCode" : "02886",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906",
"resource" : {
"resourceType" : "Patient",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 67890\u00a0(use:\u00a0USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style=\"display: none\">*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"extension" : [
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
]
},
"system" : "http://hospital.davinci.org",
"value" : "67890"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Webster",
"given" : [
"Thelma"
]
}
],
"gender" : "female",
"birthDate" : "1948-04-28",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"line" : [
"7496 Beaver Ridge Ave"
],
"city" : "Thornton",
"state" : "NJ",
"postalCode" : "07003",
"country" : "USA"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
}
]
},
"preferred" : true
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907",
"resource" : {
"resourceType" : "Practitioner",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number: 123456789\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: female</p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider number"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "123456789"
}
],
"active" : true,
"name" : [
{
"family" : "Akers",
"given" : [
"Nia"
],
"suffix" : [
"MD"
]
}
],
"gender" : "female"
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
},
{
"fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908",
"resource" : {
"resourceType" : "Observation",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-observation.html\">QICore Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#77353-1)</span></p><p><b>subject</b>: <a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57906\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906)</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href=\"#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57907\">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907)</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "77353-1",
"display" : "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
}
]
},
"subject" : {
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
},
"effectiveDateTime" : "2018-06-22",
"performer" : [
{
"reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"
}
]
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
}
]
}
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change