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 
@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-exm"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-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-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 --> 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>" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "type" ]; fhir:Extension.valueCode [ fhir:value "documentation" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "text" ]; fhir:Extension.valueString [ fhir:value "This illustrates an example comment" ] ]; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ]; fhir:Extension.valueCode [ fhir:value "Encounter" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation" ]; fhir:Extension.valueMarkdown [ fhir:value "Additional guidance for allocation" ] ]; fhir:Measure.url [ fhir:value "http://example.org/fhir/measures/measure-exm"]; fhir:Measure.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ]; fhir:Identifier.value [ fhir:value "EXM" ] ]; fhir:Measure.version [ fhir:value "2.0.0"]; fhir:Measure.name [ fhir:value "MeasureEXM"]; fhir:Measure.title [ fhir:value "EXM Measure"]; fhir:Measure.status [ fhir:value "active"]; fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean]; fhir:Measure.date [ fhir:value "2019-02-17"^^xsd:date]; fhir:Measure.publisher [ fhir:value "Example Measure Publisher"]; 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.example.org/" ] ] ]; fhir:Measure.description [ fhir:value "An example FHIR-based measure"]; 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.text [ fhir:value "eligible-provider" ] ] ]; 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.purpose [ fhir:value "The purpose of this measure is to..."]; fhir:Measure.usage [ fhir:value "Users of this measure should be aware of..."]; fhir:Measure.copyright [ fhir:value "Example Copyright Statement"]; fhir:Measure.approvalDate [ fhir:value "2019-02-17"^^xsd:date]; fhir:Measure.lastReviewDate [ fhir:value "2019-02-17"^^xsd:date]; fhir:Measure.effectivePeriod [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor" ]; fhir:Extension.valueDateTime [ fhir:value "2018-01-01"^^xsd:date ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration" ]; fhir:Extension.valueDuration [ fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "a" ] ] ]; 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:CodeableConcept.text [ fhir:value "Health Quality Measure Document" ] ]; fhir:Measure.author [ fhir:index 0; fhir:ContactDetail.name [ fhir:value "Example Measure Content Developer" ] ]; fhir:Measure.relatedArtifact [ fhir:index 0; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:RelatedArtifact.type [ fhir:value "documentation" ]; fhir:RelatedArtifact.citation [ fhir:value "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." ] ], [ fhir:index 1; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:RelatedArtifact.type [ fhir:value "documentation" ]; fhir:RelatedArtifact.citation [ fhir:value "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"" ] ], [ fhir:index 2; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:RelatedArtifact.type [ fhir:value "documentation" ]; fhir:RelatedArtifact.citation [ fhir:value "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." ] ], [ fhir:index 3; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus" ]; fhir:Extension.valueCode [ fhir:value "draft" ] ]; fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ], [ fhir:index 4; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate" ]; fhir:Extension.valueDate [ fhir:value "2019-01-01"^^xsd:date ] ]; fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ]; fhir:Measure.library [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXMLogic> ]; fhir:Measure.disclaimer [ fhir:value "Example disclaimer"]; 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 "proportion" ]; fhir:Coding.display [ fhir:value "Proportion" ] ] ]; 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.riskAdjustment [ fhir:value "Risk adjustment for this measure is performed by..."]; fhir:Measure.rateAggregation [ fhir:value "Rate aggregation for this measure is performed by..."]; fhir:Measure.rationale [ fhir:value "Rationale for this measure is..."]; fhir:Measure.clinicalRecommendationStatement [ fhir:value "The clinical recommendation statement for this measure is..."]; 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 "increase" ]; fhir:Coding.display [ fhir:value "Increased score indicates improvement" ] ] ]; fhir:Measure.definition [ fhir:index 0; fhir:Element.extension [ fhir:index 0; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "term" ]; fhir:Extension.valueString [ fhir:value "Term" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "definition" ]; fhir:Extension.valueMarkdown [ fhir:value "A term used in the measure that bears clearly definition to communicate the measure intent" ] ]; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm" ] ] ]; fhir:Measure.guidance [ fhir:value "Additional guidance provided to help communicate the intent of the measure"]; fhir:Measure.group [ fhir:index 0; fhir:Element.id [ fhir:value "group-1" ]; fhir:Measure.group.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.display [ fhir:value "group-1" ] ] ]; fhir:Measure.group.population [ fhir:index 0; fhir:Element.id [ fhir:value "initial-population-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 "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:Element.id [ fhir:value "numerator" ]; 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 "numerator" ]; fhir:Coding.display [ fhir:value "Numerator" ] ] ]; fhir:Measure.group.population.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "Numerator" ] ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "denominator" ]; 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 "denominator" ]; fhir:Coding.display [ fhir:value "Denominator" ] ] ]; fhir:Measure.group.population.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "Denominator" ] ] ]; fhir:Measure.group.stratifier [ fhir:index 0; fhir:Element.id [ fhir:value "stratifier-1" ]; fhir:Measure.group.stratifier.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.display [ fhir:value "Stratifier 1" ] ] ]; fhir:Measure.group.stratifier.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "Stratifier 1" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "stratifier-2" ]; fhir:Measure.group.stratifier.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.display [ fhir:value "Stratifier 2" ] ] ]; fhir:Measure.group.stratifier.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "Stratifier 2" ] ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "stratifier-3" ]; fhir:Measure.group.stratifier.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.display [ fhir:value "Stratifier 3" ] ] ]; fhir:Measure.group.stratifier.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "Stratifier 3" ] ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "stratifier-4" ]; fhir:Measure.group.stratifier.code [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.display [ fhir:value "Stratifier 4" ] ] ]; fhir:Measure.group.stratifier.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "Stratifier 4" ] ] ] ]; fhir:Measure.supplementalData [ fhir:index 0; fhir:Element.id [ fhir:value "sde-ethnicity" ]; fhir:Measure.supplementalData.usage [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ]; fhir:Coding.code [ fhir:value "supplemental-data" ] ] ]; fhir:Measure.supplementalData.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "SDE Ethnicity" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "sde-race" ]; fhir:Measure.supplementalData.usage [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ]; fhir:Coding.code [ fhir:value "supplemental-data" ] ] ]; fhir:Measure.supplementalData.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "SDE Race" ] ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "sde-payer" ]; fhir:Measure.supplementalData.usage [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ]; fhir:Coding.code [ fhir:value "supplemental-data" ] ] ]; fhir:Measure.supplementalData.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "SDE Payer" ] ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "sde-sex" ]; fhir:Measure.supplementalData.usage [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ]; fhir:Coding.code [ fhir:value "supplemental-data" ] ] ]; fhir:Measure.supplementalData.criteria [ fhir:Expression.language [ fhir:value "text/cql.identifier" ]; fhir:Expression.expression [ fhir:value "SDE Sex" ] ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.
© HL7.org 2019+ (Clinical Quality Information WG). hl7.fhir.us.cqfmeasures#2.0.0 based on FHIR v4.0.1. Generated 2020-07-23.
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