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
PublishableMeasureEXM


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