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 
<Measure xmlns="http://hl7.org/fhir">
<id value="measure-publishable-exm"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">measure-publishable-exm</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;">http://example.org/fhir/measures/publishable-measure-exm</td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">2.0.0</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>type: </b> <span></span>
</p>
<p style="margin-bottom: 5px;">
<b>value: </b> <span>EXM-123</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>type: </b> <span></span>
</p>
<p style="margin-bottom: 5px;">
<b>value: </b> <span>urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>type: </b> <span></span>
</p>
<p style="margin-bottom: 5px;">
<b>value: </b> <span>urn:uuid:b366f29b-347f-464e-8064-c83842d825c7</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>type: </b> <span></span>
</p>
<p style="margin-bottom: 5px;">
<b>value: </b> <span>NQF-123</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Identifier: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>type: </b> <span></span>
</p>
<p style="margin-bottom: 5px;">
<b>value: </b> <span>CMS-123</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">PublishableMeasureEXM</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">EXM Publishable Measure</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">active</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">true</td>
</tr>
<tr>
<th scope="row"><b>Scoring: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>proportion</span>
</p>
<p style="margin-bottom: 5px;">
<b>display: </b> <span>Proportion</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>increase</span>
</p>
<p style="margin-bottom: 5px;">
<b>display: </b> <span>Increased score indicates improvement</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>process</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2019-02-17</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">Clinical Quality Information WG</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;">An example FHIR-based publishable measure</td>
</tr>
<tr>
<th scope="row"><b>Supplemental Data: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>expression</b></th><th><b>system</b></th></tr>
<tr>
<td>SDE Ethnicity</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
<tr>
<td>SDE Race</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
<tr>
<td>SDE Payer</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
<tr>
<td>SDE Sex</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Use Context: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>code</b></th><th><b>value</b></th></tr>
<tr>
<td>program</td>
<td>eligible-provider</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 25px;">US</td>
</tr>
<tr>
<th scope="row"><b>Topic: </b></th>
<td style="padding-left: 25px;">57024-2</td>
</tr>
<tr>
<th scope="row"><b>Purpose: </b></th>
<td style="padding-left: 4px;">The purpose of this measure is to...</td>
</tr>
<tr>
<th scope="row"><b>Usage: </b></th>
<td style="padding-left: 4px;">Users of this measure should be aware of...</td>
</tr>
<tr>
<th scope="row"><b>Copyright: </b></th>
<td style="padding-left: 25px;">Example Copyright Statement</td>
</tr>
<tr>
<th scope="row"><b>Disclaimer: </b></th>
<td style="padding-left: 25px;">Example disclaimer</td>
</tr>
<tr>
<th scope="row"><b>Approval Date: </b></th>
<td style="padding-left: 4px;">2019-02-17</td>
</tr>
<tr>
<th scope="row"><b>Last Review Date: </b></th>
<td style="padding-left: 4px;">2019-02-17</td>
</tr>
<tr>
<th scope="row"><b>Effective Period: </b></th>
<td style="padding-left: 4px;">2018-01-01..2018-12-31</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>References</b></p>
<ul>
<li>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.<br/><a href="https://pubmed.ncbi.nlm.nih.gov/16278359/">https://pubmed.ncbi.nlm.nih.gov/16278359/</a></li>
<li>Infectious Diseases Society of America. 2012. "Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update."<br/><a href="https://pubmed.ncbi.nlm.nih.gov/23091044/">https://pubmed.ncbi.nlm.nih.gov/23091044/</a></li>
<li>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.<br/><a href="https://pubmed.ncbi.nlm.nih.gov/19739972/">https://pubmed.ncbi.nlm.nih.gov/19739972/</a></li>
</ul>
<p><b>Components</b></p>
<ul>
<li></li>
<li></li>
</ul>
</td>
</tr>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="Encounter"/>
</extension>
<url value="http://example.org/fhir/measures/publishable-measure-exm"/>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"/>
<code value="short-name"/>
</coding>
</type>
<system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
<value value="EXM-123"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"/>
<code value="version-independent"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"/>
<code value="version-specific"/>
</coding>
</type>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:b366f29b-347f-464e-8064-c83842d825c7"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"/>
<code value="endorser"/>
</coding>
</type>
<system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf"/>
<value value="NQF-123"/>
<assigner>
<display value="NQF"/>
</assigner>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"/>
<code value="publisher"/>
</coding>
</type>
<system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms"/>
<value value="CMS-123"/>
<assigner>
<display value="CMS"/>
</assigner>
</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="Clinical Quality Information WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
</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"/>
</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="citation"/>
<citation
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."/>
<url value="https://pubmed.ncbi.nlm.nih.gov/16278359/"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
<valueBoolean value="true"/>
</extension>
<type value="citation"/>
<citation
value="Infectious Diseases Society of America. 2012. "Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.""/>
<url value="https://pubmed.ncbi.nlm.nih.gov/23091044/"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation">
<valueBoolean value="true"/>
</extension>
<type value="citation"/>
<citation
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."/>
<url value="https://pubmed.ncbi.nlm.nih.gov/19739972/"/>
</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/EXMPublishableLibrary"/>
<disclaimer value="Example disclaimer"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
<display value="Proportion"/>
</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>
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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