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

: Risk Adjustment FHIR DSTU2 - TTL Representation

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@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-risk-adjustment-FHIR2"];
  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\"><table class=\"grid dict\"><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Measure/measure-risk-adjustment-FHIR2</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Type: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-type</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>process</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Identifier: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>system: </b><span>http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm</span><br/><b>value: </b><span>RiskAdjustment_FHIR2</span></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Title: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Risk Adjustment FHIR DSTU2</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Description: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Topic: </b></th><td style=\"padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://loinc.org</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>57024-2</span><br/></span><span style=\"padding-left: 25px;\"><b>display: </b><span>Health Quality Measure Document</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Library: </b></th><td><p style=\"padding-left: 25px; padding-right: 25px;\"><b>reference: </b><span>Library/library-risk-adjustment-FHIR2</span></p></td></tr><tr><th scope=\"row\"><b>Scoring: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-scoring</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>proportion</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Group:</b></th><td><p style=\"padding-left: 25px; padding-right: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>group-1</span><br/></span></p></td></tr><tr style=\"vertical-align: top;\"><td colspan=\"2\"><table style=\"margin-bottom: 5px; width: 100%\"><tr style=\"vertical-align: top;\"><th rowspan=\"3\" scope=\"row\" style=\"padding-left: 25px;\"><b>Population:</b></th><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>initial-population-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Initial Population</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>numerator-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Numerator</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>denominator-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Denominator</span></p></td></tr></table></td></tr><tr><th rowspan=\"8\" scope=\"row\"><b>Supplemental Data:</b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-ethnicity</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Ethnicity</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-payer</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Payer</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-race</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Race</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-sex</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Sex</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>hepatic-failure</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Hepatic Failure</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>cirrhosis-dx</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Cirrhosis Dx</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>bilirubin-test</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Bilirubin Test</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>serum-albumin-test</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Serum Albumin Test</span></p></td></tr></table></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:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-risk-adjustment-FHIR2"];
  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 "RiskAdjustment_FHIR2" ]
  ];
  fhir:Measure.version [ fhir:value "0.0.001"];
  fhir:Measure.name [ fhir:value "RiskAdjustment_FHIR2"];
  fhir:Measure.title [ fhir:value "Risk Adjustment FHIR DSTU2"];
  fhir:Measure.status [ fhir:value "active"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2019-02-21"^^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 the use of risk adjustment variables within a measure represented as a FHIR eCQM"];
  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.library [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/risk-adjustment-FHIR2";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/risk-adjustment-FHIR2>
  ];
  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.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 "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: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.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-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 2;
     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 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" ]     ]
  ], [
     fhir:index 4;
     fhir:Element.id [ fhir:value "hepatic-failure" ];
     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 "risk-adjustment-factor" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "Hepatic Failure" ]     ]
  ], [
     fhir:index 5;
     fhir:Element.id [ fhir:value "cirrhosis-dx" ];
     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 "risk-adjustment-factor" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "Cirrhosis Dx" ]     ]
  ], [
     fhir:index 6;
     fhir:Element.id [ fhir:value "bilirubin-test" ];
     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 "risk-adjustment-factor" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "Bilirubin Test" ]     ]
  ], [
     fhir:index 7;
     fhir:Element.id [ fhir:value "serum-albumin-test" ];
     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 "risk-adjustment-factor" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "Serum Albumin Test" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.