Data Exchange For Quality Measures Implementation Guide
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This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

: EXMPromotingInteroperabilityMeasure - XML Representation

Active as of 2023-05-31

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<Measure xmlns="http://hl7.org/fhir">
  <id value="measure-pi-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Measure measure-pi-example</b></p><a name="measure-pi-example"> </a><a name="hcmeasure-pi-example"> </a><a name="measure-pi-example-en-US"> </a><p><b>url</b>: <a href="Measure-measure-pi-example.html">Measure EXM Promoting Interoperability Measure</a></p><p><b>identifier</b>: <code>http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm</code>/EXMPI, <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.2.29.6</p><p><b>version</b>: 5.0.0-ballot</p><p><b>name</b>: EXMPromotingInteroperabilityMeasure</p><p><b>title</b>: EXM Promoting Interoperability Measure</p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2023-05-31</p><p><b>publisher</b>: HL7 International / Clinical Quality Information</p><p><b>contact</b>: <a href="http://www.hl7.org/Special/committees/cqi">http://www.hl7.org/Special/committees/cqi</a></p><p><b>description</b>: </p><div><p>An example FHIR-based publishable measure - Promoting Interoperability</p>
</div><h3>UseContexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><a href="http://terminology.hl7.org/5.5.0/CodeSystem-usage-context-type.html#usage-context-type-program">UsageContextType</a> program: Program</td><td><span title="Codes:{http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs-example ep-ec}">eligible-provider</span></td></tr></table><p><b>jurisdiction</b>: <span title="Codes:{urn:iso:std:iso:3166 US}">United States of America</span></p><p><b>purpose</b>: </p><div><p>The purpose of this measure is to...</p>
</div><p><b>usage</b>: Users of this measure should be aware of...</p><p><b>copyright</b>: </p><div><p>Example Copyright Statement</p>
</div><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>disclaimer</b>: </p><div><p>Example disclaimer</p>
</div><p><b>scoring</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">proportion</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-1</blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Initial Population</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>description</b>: The number of prescriptions in the denominator generated and transmitted electronically using CEHRT.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Numerator</td></tr></table></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>description</b>: Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.</p><h3>Criteria</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>text/cql-identifier</td><td>Denominator</td></tr></table></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-scoringUnit">
    <valueCodeableConcept>
      <coding>
        <system value="http://unitsofmeasure.org"/>
        <code value="/1000.d"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
    <valueReference>🔗 
      <reference value="Device/deqm-software-system-example"/>
    </valueReference>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-pi-example"/>
  <identifier>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="EXMPI"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.2.29.6"/>
  </identifier>
  <version value="5.0.0-ballot"/>
  <name value="EXMPromotingInteroperabilityMeasure"/>
  <title value="EXM Promoting Interoperability Measure"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2023-05-31"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="An example FHIR-based publishable measure - Promoting Interoperability"/>
  <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-example"/>
        <code value="ep-ec"/>
      </coding>
      <text value="eligible-provider"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </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>
  <disclaimer value="Example disclaimer"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="proportion"/>
    </coding>
  </scoring>
  <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>
      <description
                   value="The number of prescriptions in the denominator generated and transmitted electronically using CEHRT."/>
      <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>
      <description
                   value="Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period."/>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
  </group>
</Measure>