Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot
Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.1.0: STU3 Ballot 1) 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-exm55-FHIR"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm> ], [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm";
fhir:index 1;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">measure-exm55-FHIR</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">5.0.0</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Identifier: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>value: </b> <span>55</span>\n </p>\n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">EXM55</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Median ED Visit Duration</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">active</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Scoring: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>continuous-variable</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Continuous Variable</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>decrease</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Decreased score indicates improvement</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2021-04-03</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">This example illustrates a continuous variable measure represented as a FHIR eCQM</td>\n </tr>\n \n \n \n \n <tr>\n <th scope=\"row\"><b>Parameters: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>name</b></th><th><b>use</b></th><th><b>min</b></th><th><b>max</b></th><th><b>type</b></th></tr>\n \n <tr>\n <td>Measurement Period</td>\n <td>in</td>\n <td>0</td>\n <td>1</td>\n <td>Period</td>\n </tr>\n \n <tr>\n <td>Stratification 3</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Inpatient Encounter</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Stratification 2</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Measure Population Exclusion</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Stratification 1</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Initial Population</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n <tr>\n <td>Measure Population</td>\n <td>out</td>\n <td>0</td>\n <td>*</td>\n <td>Encounter</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Data Requirements: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>type</b></th><th><b>path</b></th><th><b>valueSet or system</b></th><th><b>code</b></th></tr>\n \n <tr>\n <td>Encounter</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Condition</td>\n <td>id</td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</td>\n <td></td>\n \n \n </tr>\n \n <tr>\n <td>Encounter</td>\n <td>type</td>\n \n <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</td>\n <td></td>\n \n \n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Direct Reference Codes: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>Billing</td>\n <td>billing</td>\n <td></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>code</b></th><th><b>value</b></th></tr>\n \n <tr>\n <td>program</td>\n <td></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">US</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Topic: </b></th>\n <td style=\"padding-left: 25px;\">57024-2</td>\n </tr>\n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Approval Date: </b></th>\n <td style=\"padding-left: 4px;\">2019-03-08</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Last Review Date: </b></th>\n <td style=\"padding-left: 4px;\">2019-03-08</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2018-01-01..2018-12-31</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Related Artifacts: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p><b>Dependencies</b></p>\n <ul>\n \n <li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>\n \n <li>http://terminology.hl7.org/CodeSystem/diagnosis-role</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</li>\n \n <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126</li>\n \n </ul>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Logic Definitions: </b></th>\n <td style=\"padding-left: 4px;\">\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Stratification 3</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Stratification 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Inpatient Encounter</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Inpatient Encounter\" :\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Stratification 2</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Stratification 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Measure Population Exclusion</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Measure Population Exclusion\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in \"Hospital Settings\"</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Stratification 1</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Stratification 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Initial Population</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period</code></pre>\n \n <br/><br/>\n \n <table class=\"grid-dict\">\n <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n <tr>\n \n <td>EXM55</td>\n \n \n <td>Measure Population</td>\n \n \n </tr>\n </table>\n \n <pre><code class=\"language-cql\">define \"Measure Population\" :\n \"Initial Population\"</code></pre>\n \n <br/><br/>\n \n </td>\n </tr>\n \n </table>\n</div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
fhir:Extension.valueCode [ fhir:value "Encounter" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Device/software-system-example" ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
fhir:ParameterDefinition.use [ fhir:value "in" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "1" ];
fhir:ParameterDefinition.type [ fhir:value "Period" ] ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Stratification 3" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Inpatient Encounter" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Stratification 2" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 6;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Measure Population Exclusion" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 7;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Stratification 1" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 8;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 9;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
fhir:Extension.valueParameterDefinition [
fhir:ParameterDefinition.name [ fhir:value "Measure Population" ];
fhir:ParameterDefinition.use [ fhir:value "out" ];
fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
fhir:ParameterDefinition.max [ fhir:value "*" ];
fhir:ParameterDefinition.type [ fhir:value "Encounter" ] ]
], [
fhir:index 10;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ] ]
], [
fhir:index 11;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Condition" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "id" ] ] ]
], [
fhir:index 12;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292> ] ] ]
], [
fhir:index 13;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
fhir:Extension.valueDataRequirement [
fhir:DataRequirement.type [ fhir:value "Encounter" ];
fhir:DataRequirement.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292> ] ] ]
], [
fhir:index 14;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ];
fhir:Coding.code [ fhir:value "billing" ];
fhir:Coding.display [ fhir:value "Billing" ] ]
], [
fhir:index 15;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratification 3" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratification 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 16;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Inpatient Encounter" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Inpatient Encounter\" :\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 17;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratification 2" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratification 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 18;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Measure Population Exclusion" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Measure Population Exclusion\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in \"Hospital Settings\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 19;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Stratification 1" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Stratification 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 20;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Initial Population" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\" : \"Emergency Department Visit\"] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
], [
fhir:index 21;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXM55" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Measure Population" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Measure Population\" :\n \"Initial Population\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
];
fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR"];
fhir:Measure.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
fhir:Identifier.value [ fhir:value "55" ]
];
fhir:Measure.version [ fhir:value "5.0.0"];
fhir:Measure.name [ fhir:value "EXM55"];
fhir:Measure.title [ fhir:value "Median ED Visit Duration"];
fhir:Measure.status [ fhir:value "active"];
fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
fhir:Measure.date [ fhir:value "2021-04-03"^^xsd:date];
fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"];
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.hl7.org/Special/committees/cqi/index.cfm" ] ]
];
fhir:Measure.description [ fhir:value "This example illustrates a continuous variable measure represented as a FHIR eCQM"];
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.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs" ];
fhir:Coding.code [ fhir:value "eh-cah" ];
fhir:Coding.display [ fhir:value "EH/CAH" ] ] ]
];
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:Measure.approvalDate [ fhir:value "2019-03-08"^^xsd:date];
fhir:Measure.lastReviewDate [ fhir:value "2019-03-08"^^xsd:date];
fhir:Measure.effectivePeriod [
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:Coding.display [ fhir:value "Health Quality Measure Document" ] ]
];
fhir:Measure.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
fhir:RelatedArtifact.resource [
fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ]
], [
fhir:index 1;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Code system Diagnosis Role" ];
fhir:RelatedArtifact.resource [
fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role";
fhir:link <http://terminology.hl7.org/CodeSystem/diagnosis-role> ]
], [
fhir:index 2;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Psychiatric/Mental Health Patient" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299> ]
], [
fhir:index 3;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Emergency Department Visit" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292> ]
], [
fhir:index 4;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Hospital Settings" ];
fhir:RelatedArtifact.resource [
fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126";
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126> ]
];
fhir:Measure.library [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXM55>
];
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 "continuous-variable" ];
fhir:Coding.display [ fhir:value "Continuous Variable" ] ]
];
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.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 "decrease" ];
fhir:Coding.display [ fhir:value "Decreased score indicates improvement" ] ]
];
fhir:Measure.group [
fhir:index 0;
fhir:Measure.group.population [
fhir:index 0;
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: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 "measure-population" ];
fhir:Coding.display [ fhir:value "Measure Population" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Measure Population" ] ] ], [
fhir:index 2;
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 "measure-population-exclusion" ];
fhir:Coding.display [ fhir:value "Measure Population Exclusion" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Measure Population Exclusion" ] ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference" ];
fhir:Extension.valueString [ fhir:value "measure-population-identifier" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
fhir:Extension.valueCode [ fhir:value "median" ] ];
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 "measure-observation" ];
fhir:Coding.display [ fhir:value "Measure Observation" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Measure Observation" ] ] ];
fhir:Measure.group.stratifier [
fhir:index 0;
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.display [ fhir:value "Stratification 1" ] ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Stratification 1" ] ] ], [
fhir:index 1;
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.display [ fhir:value "Stratification 2" ] ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Stratification 2" ] ] ], [
fhir:index 2;
fhir:Measure.group.stratifier.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.display [ fhir:value "Stratification 3" ] ] ];
fhir:Measure.group.stratifier.criteria [
fhir:Expression.language [ fhir:value "text/cql.identifier" ];
fhir:Expression.expression [ fhir:value "Stratification 3" ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#2.1.0 based on FHIR 4.0.1. Generated 2021-04-13
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