MeasureEXM

{
  "resourceType" : "Measure",
  "id" : "measure-exm",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: measure-exm</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://example.org/fhir/measures/measure-exm\">http://example.org/fhir/measures/measure-exm</a></p><p><b>identifier</b>: EXM</p><p><b>version</b>: 2.0.0</p><p><b>name</b>: MeasureEXM</p><p><b>title</b>: EXM Measure</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2019-02-17</p><p><b>publisher</b>: Example Measure Publisher</p><p><b>contact</b>: http://www.example.org/</p><p><b>description</b>: An example FHIR-based measure</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>purpose</b>: The purpose of this measure is to...</p><p><b>usage</b>: Users of this measure should be aware of...</p><p><b>copyright</b>: Example Copyright Statement</p><p><b>approvalDate</b>: 2019-02-17</p><p><b>lastReviewDate</b>: 2019-02-17</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>author</b>: Example Measure Content Developer: </p><p><b>relatedArtifact</b>: , , , , </p><p><b>library</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic\">http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic</a></p><p><b>disclaimer</b>: Example disclaimer</p><p><b>scoring</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></p><p><b>riskAdjustment</b>: Risk adjustment for this measure is performed by...</p><p><b>rateAggregation</b>: Rate aggregation for this measure is performed by...</p><p><b>rationale</b>: Rationale for this measure is...</p><p><b>clinicalRecommendationStatement</b>: The clinical recommendation statement for this measure is...</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><p><b>definition</b>: </p><p><b>guidance</b>: Additional guidance provided to help communicate the intent of the measure</p><blockquote><p><b>group</b></p><p><b>id</b>: group-1</p><p><b>code</b>: <span title=\"Codes: \">group-1</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population-1</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>id</b>: numerator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: denominator</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>id</b>: stratifier-1</p><p><b>code</b>: <span title=\"Codes: \">Stratifier 1</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>id</b>: stratifier-2</p><p><b>code</b>: <span title=\"Codes: \">Stratifier 2</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>id</b>: stratifier-3</p><p><b>code</b>: <span title=\"Codes: \">Stratifier 3</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>stratifier</b></p><p><b>id</b>: stratifier-4</p><p><b>code</b>: <span title=\"Codes: \">Stratifier 4</span></p><p><b>criteria</b>: </p></blockquote></blockquote><blockquote><p><b>supplementalData</b></p><p><b>id</b>: sde-ethnicity</p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>id</b>: sde-race</p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>id</b>: sde-payer</p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>criteria</b>: </p></blockquote><blockquote><p><b>supplementalData</b></p><p><b>id</b>: sde-sex</p><p><b>usage</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span></p><p><b>criteria</b>: </p></blockquote></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "type",
          "valueCode" : "documentation"
        },
        {
          "url" : "text",
          "valueString" : "This illustrates an example comment"
        }
      ],
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment"
    },
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode" : "Encounter"
    },
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation",
      "valueMarkdown" : "Additional guidance for allocation"
    }
  ],
  "url" : "http://example.org/fhir/measures/measure-exm",
  "identifier" : [
    {
      "system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
      "value" : "EXM"
    }
  ],
  "version" : "2.0.0",
  "name" : "MeasureEXM",
  "title" : "EXM Measure",
  "status" : "active",
  "experimental" : true,
  "date" : "2019-02-17",
  "publisher" : "Example Measure Publisher",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.example.org/"
        }
      ]
    }
  ],
  "description" : "An example FHIR-based measure",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "program"
      },
      "valueCodeableConcept" : {
        "text" : "eligible-provider"
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "purpose" : "The purpose of this measure is to...",
  "usage" : "Users of this measure should be aware of...",
  "copyright" : "Example Copyright Statement",
  "approvalDate" : "2019-02-17",
  "lastReviewDate" : "2019-02-17",
  "effectivePeriod" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor",
        "valueDateTime" : "2018-01-01"
      },
      {
        "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration",
        "valueDuration" : {
          "value" : 1,
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    ],
    "start" : "2018-01-01",
    "end" : "2018-12-31"
  },
  "topic" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "57024-2"
        }
      ],
      "text" : "Health Quality Measure Document"
    }
  ],
  "author" : [
    {
      "name" : "Example Measure Content Developer"
    }
  ],
  "relatedArtifact" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
          "valueBoolean" : true
        }
      ],
      "type" : "documentation",
      "citation" : "Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. \"Antibiotic treatment       of children with sore throat.\" JAMA 294(18):2315-2322."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
          "valueBoolean" : true
        }
      ],
      "type" : "documentation",
      "citation" : "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\""
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
          "valueBoolean" : true
        }
      ],
      "type" : "documentation",
      "citation" : "Roberts, R.R., B. Hota, I. Ahmad, et al. \"Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.\" Clin Infect Dis. Oct 2009; 49(8):1175-84."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus",
          "valueCode" : "draft"
        }
      ],
      "type" : "composed-of"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate",
          "valueDate" : "2019-01-01"
        }
      ],
      "type" : "composed-of"
    }
  ],
  "library" : [
    "http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic"
  ],
  "disclaimer" : "Example disclaimer",
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "proportion",
        "display" : "Proportion"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process"
        }
      ]
    }
  ],
  "riskAdjustment" : "Risk adjustment for this measure is performed by...",
  "rateAggregation" : "Rate aggregation for this measure is performed by...",
  "rationale" : "Rationale for this measure is...",
  "clinicalRecommendationStatement" : "The clinical recommendation statement for this measure is...",
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase",
        "display" : "Increased score indicates improvement"
      }
    ]
  },
  "_definition" : [
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "term",
              "valueString" : "Term"
            },
            {
              "url" : "definition",
              "valueMarkdown" : "A term used in the measure that bears clearly definition to communicate the measure intent"
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm"
        }
      ]
    }
  ],
  "guidance" : "Additional guidance provided to help communicate the intent of the measure",
  "group" : [
    {
      "id" : "group-1",
      "code" : {
        "coding" : [
          {
            "display" : "group-1"
          }
        ]
      },
      "population" : [
        {
          "id" : "initial-population-1",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population",
                "display" : "Initial Population"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Initial Population"
          }
        },
        {
          "id" : "numerator",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator",
                "display" : "Numerator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Numerator"
          }
        },
        {
          "id" : "denominator",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator",
                "display" : "Denominator"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Denominator"
          }
        }
      ],
      "stratifier" : [
        {
          "id" : "stratifier-1",
          "code" : {
            "coding" : [
              {
                "display" : "Stratifier 1"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Stratifier 1"
          }
        },
        {
          "id" : "stratifier-2",
          "code" : {
            "coding" : [
              {
                "display" : "Stratifier 2"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Stratifier 2"
          }
        },
        {
          "id" : "stratifier-3",
          "code" : {
            "coding" : [
              {
                "display" : "Stratifier 3"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Stratifier 3"
          }
        },
        {
          "id" : "stratifier-4",
          "code" : {
            "coding" : [
              {
                "display" : "Stratifier 4"
              }
            ]
          },
          "criteria" : {
            "language" : "text/cql.identifier",
            "expression" : "Stratifier 4"
          }
        }
      ]
    }
  ],
  "supplementalData" : [
    {
      "id" : "sde-ethnicity",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "criteria" : {
        "language" : "text/cql.identifier",
        "expression" : "SDE Ethnicity"
      }
    },
    {
      "id" : "sde-race",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "criteria" : {
        "language" : "text/cql.identifier",
        "expression" : "SDE Race"
      }
    },
    {
      "id" : "sde-payer",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "criteria" : {
        "language" : "text/cql.identifier",
        "expression" : "SDE Payer"
      }
    },
    {
      "id" : "sde-sex",
      "usage" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code" : "supplemental-data"
            }
          ]
        }
      ],
      "criteria" : {
        "language" : "text/cql.identifier",
        "expression" : "SDE Sex"
      }
    }
  ]
}