Capability statement for a repository service supporting additional authoring and content workflow capabilities for FHIR-based measure specifications above the basic ShareableMeasureRepository.

Capability statement for a repository service supporting additional publishing capabilities for FHIR-based measure specifications above the basic ShareableMeasureRepository.

Capability statement for a repository service supporting minimum required capabilities to share FHIR-based measure specifications. See the Publishable and Authoring Measure Repository capability statements for more comprehensive support for publishing and authoring workflows.

Capability statement for a terminology service supporting measure authoring and evaulation use cases. A server can support more functionality than defined here, but this defines the minimum expectations.

The definition of a value set is used to create a simple collection of codes suitable for use for data entry or validation.

If the operation is not called at the instance level, one of the in parameters url, context or valueSet must be provided. An expanded value set will be returned, or an OperationOutcome with an error message.

Packages a specified canonical resource with dependencies.

Determines the effective data requirements for the library, including known components and dependencies, and optionally informed by a version manifest.

Determines the effective data requirements for the measure, including known components and dependencies, and optionally informed by a version manifest.

Advanced Illness and Frailty Exclusion Example Library

This library is the primary measure library for the Breast Cancer Screening component of the composite measure examples in this implementation guide.

This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this implementation guide.

This library is the common library for the terminology example measure

This library is used as an example in the FHIR Quality Measure Implementation Guide

Model definition for the DSTU2 FHIR Model

This library is used as an example in the FHIR Quality Measure Implementation Guide

Example library illustrating risk adjustment with FHIR DSTU2

This library is the primary measure library for the terminology example measure

The CQFM Capability Statement Profile allows systems to express their capabilities for handling CQFM profiles.

The CQFM Cohort Measure Profile describes a cohort scoring measure

The CQFM Composite Measure Profile describes minimum expectations for a composite electronic Clinical Quality Measure (eCQM)

The CQFM Computable Library profile defines the must support elements for a computable library used to support eCQM logic

The CQFM Computable Measure Profile describes minimum expectations for a computable electronic Clinical Quality Measure (eCQM), including the use of a computable library, and the use of expressions or identifiers for all criteria.

Defines a computable value set as one that SHALL have an expression-based definition (i.e. a value set defined intensionally using expressions of the code systems involved) and MAY have an expansion included. The expression-based definition SHALL be represented in only one of three ways; using the compose element, using the expression extension, or using the rules-text extension to provide a step-by-step process for expanding the value set definition

The CQFM Continuous Variable Measure Profile describes a continuous variable scoring measure

The SoftwareSystem device profile is used to capture software details about the various systems used in authoring, testing, packaging, or evaluation of a knowledge artifact

The CQFM Execuable Library profile defines the must support elements for an executable library used to support eCQM logic

The CQFM Executable Measure Profile describes minimum expectations for an executable electronic Clinical Quality Measure (eCQM), including a reference to an executable library, and restricted to the use of identifier-based expressions only for all criteria.

Defines an executable value set as one that SHALL have an expansion included, as well as a usage warning indicating the expansion is a point-in-time snapshot and must be maintained over time for production usage. The value set expansion specifies the timestamp when the expansion was produced, SHOULD contain the parameters used for the expansion, and SHALL contain the codes that are obtained by evaluating the value set definition. If this is ONLY an executable value set, a computable definition of the value set must be obtained to compute the updated expansion.

The CQFM Library profile defines the minimum expectations for a library used to distribute eCQM logic

The CQFM Measure Profile describes minimum expectations for defining an electronic Clinical Quality Measure (eCQM)

The CQFM Model Information Library profile defines the must support elements for a computable Model Definition library used to support declaration and distribution of CQL ModelInfo such as the FHIR Model Info Library

The CQFM Module Definition Library profile defines the must support elements for a library that communicates the effective data requirements and dependencies of an artifact (or set of artifacts). This is most commonly used as the result of a $data-requirements operation, but could also be persisted statically as a way to persist the calculation of effective data requirements for a specific artifact and input parameters. This provides a filtered view of elements, definitions, codes and value sets required for the measure.

The CQFM Proportion Measure Profile describes a proportion scoring measure

Defines the expectations for publishable code systems used with quality measure specifications

The CQFM Publishable Library profile defines the must support elements in a library used to support eCQM logic

The CQFM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published electronic Clinical Quality Measures (eCQMs)

Defines the expectations for publishable value sets used in quality measurement specifications

Defines and supports the definition of Quality Programs

The CQFM Ratio Measure Profile describes a ratio scoring measure

Defines the expectations for shareable code systems used with quality measure specifications

The CQFM Test Case Profile describes expectations for the definition and exchange of a measure test case, including input data and parameters, as well as expected outcome

Specifies which method to be used to aggregate the measure observation values.

Indicates the population that this stratifier should apply to.

A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user.

Specifies a parameters (contained) resource that identifies the options for the CQL-to-ELM translator associated with the CQL content.

Specifies an artifact this is a component of a composite artifact.

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.

Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator.

Provides a default value for a parameter definition.

Specifies a term and its associated definition.

Defines a code directly referenced by measure logic, as opposed to a value set. Direct reference codes may be the target of data requirements.

A module definition library that contains the effective data requirements for the measure (i.e. the calculated data requirements for the expressions referenced by the measure structure).

Specifies the anchor date for the effective period as defined by a starting date and a range.

Specifies the reporting period for the measure.

Specifies the expansion parameters that should be used to expand the ValueSet, or any ValueSets in the Library (or referenced by components of the Library).

A FHIR Query URL pattern that corresponds to at least the data specified by the data requirement. If multiple FHIR Query URLs are present, they each contribute to the data specified by the data requirement (i.e. the union of the results of the FHIR Queries represents at least the complete data for the data requirement). In other words, the FHIR Query (or queries, taken together) MAY omit filters that are specified in the data requirement, such that the query would be expected to return more data than required, but it (or they, taken together) SHALL NOT return less data. This is not a resolveable URL, in that it will contain 1) No base canonical (i.e. it’s a relative query), and 2) Parameters using tokens that are delimited using double-braces and the context parameters are dependent solely on the subjectType, according to the following: Patient: context.patientId, Practitioner: context.practitionerId, Organization: context.organizationId, Location: context.locationId, Device: context.deviceId.

Specifies the id of a particular group within the measure referenced by the related artifact resource.

Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

Additional Guidance: improvementNotation

Reference range with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality to the improvement notation value set. Please provide comments on this additional code and if there are other codes needed in this value set.

Please provide comments on this additional code and if there are other codes needed in the improvement notation value set.

If an additional code is added to the improvement notation (like normative reference range as suggested), where is guidance about the reference range best included in the specification for implementer use? Some suggestions include: the guidance field, the rate aggregation field or adding an extension to improvementNotation to add text.

Indicates what types of report the element on which it appears should be included in. If no values are specified, the default behavior is that elements are included in all report types

Specifies the input parameters to the operation (such as a test case or data requirements operation).

Specifies whether the related artifact is defining a primary citation for the measure (i.e. one that should appear in the narrative for the measure specification.

Allows a given data requirement to be identified as “selective”, meaning that it can be used as an additive criteria to filter a population. A selective data requirement is guaranteed to define a subset (not necessarily proper) of the initial population of a measure. If multiple data requirements are marked selective, they all apply (i.e. AND semantics).

Indicates whether this instance represents the definition of a test case.

Defines a logic definition used by the measure.

Specifies the Meaningful Measures Area within the program that the measure covers or is related to.

Specifies the operation definition

Specifies an overall quality program that this manifest or release is part of.

The population basis specifies the type of elements in the population. For a subject-based measure, this is boolean (because the subject and the population basis are the same, and the population criteria define yes/no values for each individual in the population). For measures that have a population basis that is different than the subject, this element specifies the type of the population basis. For example, an encounter-based measure has a subject of Patient and a population basis of Encounter, and the population criteria all return lists of Encounters.

Provides an identifier for the measure within the program.

Specifies the publication date of the referenced artifacts.

Specifies the publication status of the referenced artifacts.

Specifies the quality domain within the program that the measure covers or is related to.

Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result.

A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.

The number of decimal places to include in the score when the score is a decimal-valued result.

Defines the expected units of measure for the measure score.

Specifies the software systems used in the packaging and testing of measure and library resources. Specifically to know which version of what software was used.

Provides additional guidance on the meaning and reporting of supplemental data elements included in the measure overall.

The version of CQL supported.

Provides a clear description of the test case.

Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.

Allows additional value-based filters to be specified as part of a data requirement.

What is the weight of the contribution of this measure to the overall score.

The type of artifact comment (documentation, review, guidance)

The version of CQL cupported

Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count)

Identifier types for a measure (e.g. version-independent, version-specific, short-name, endorser, publisher)

The following identified quality programs are neither exhaustive nor prescriptive. Specific quality program codes are not in scope for this IG.

The type of software system (authoring, testing, tooling, evaluation)

The type of comparator operator to use

The type of artifact comment (documentation, review, guidance)

The version of CQL supported

Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count)

Identifier types for a measure (e.g. version-independent, version-specific, short-name, endorser, publisher)

The following defines the programs associated with a measure. Identified quality programs are neither exhaustive nor prescriptive. Specific quality program codes are not in scope for this IG.

The type of software system (authoring, testing, tooling, evaluation)

The mapping of FHIR aggregate method codes to the corresponding HL7 V3 code used in HQMF for each type of aggregate method

The mapping of FHIR composite measure scoring codes to the corresponding HL7 V3 code used in HQMF for each type of composite measure scoring

The mapping of FHIR measure data usage codes to the corresponding HL7 V3 code used in HQMF for each of the measure data usages

The mapping of FHIR improvement notation codes to the corresponding HL7 V3 code used in HQMF for each of the improvement notations

The mapping of FHIR measure population criteria codes to the corresponding HL7 V3 code used in HQMF for each of the measure population criteria components

The mapping of FHIR measure scoring codes to the corresponding HL7 V3 code used in HQMF for each type of measure scoring

The mapping of FHIR measure type codes to the corresponding HL7 V3 code used in HQMF for each of the measure type

This library is used as an example in the FHIR Quality Measure Implementation Guide

This is an example only.

Example of a transaction bundle

This library is an example of an overall quality program specification, based on the CMS eCQM and Hybrid Measure quality program, which has a description as follows: eCQMs use data from electronic health records (EHR) and/or health information technology systems to measure health care quality. eCQM value sets specify terminology codes required for eCQM measurement and are updated by CMS one or more times each year.

This is only an example.

This is an example value set consisting of a subset of codes selected from Chronic Liver Disease (2.16.840.1.113883.3.464.1003.199.11.1065) for the purposes of illustrating a value set containing Legacy Codes.

This is the example result of an expansion that specifies a value set version (2020-05) and a code system version (SNOMED-CT:2019-09).

This is the example result of a default, current expansion that does not specify a code system version.

This is the example result of a default, current expansion that does not specify a code system version, but does specify activeOnly.

This library is used as an example in the FHIR Quality Measure Implementation Guide

This value set is an illustration of a computable value set, based on the ArtifactCommentType value set, including all codes from the ArtifactCommentType code system.

Example of a Software System Device used to illustrate tooling, testing, or authoring system

This library is an example of a quality program specification

An example FHIR-based measure

An example FHIR-based publishable measure - Promoting Interoperability

An example FHIR-based publishable measure

An example FHIR-based publishable measure

This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission

This library is used as an example in the FHIR Quality Measure Implementation Guide

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:

• Women age 21-64 who had cervical cytology performed every 3 years
• Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years

This library is used as an example in the FHIR Quality Measure Implementation Guide

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

Percentage of children 2-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode.

This library is used as an example in the FHIR Quality Measure Implementation Guide

This example illustrates a continuous variable measure represented as a FHIR eCQM

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example module definition in the FHIR Quality Measure Implementation Guide

This library is used as an example module definition in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

This value set is an illustration of an executable value set, based on the ArtifactCommentType value set, including all codes from the ArtifactCommentType code system.

This library is used as an example in the FHIR Quality Measure Implementation Guide

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

Basic conformance statement for a Measure Calculation Service. A server can support more fucntionality than defined here, but this is the minimum amount

Example of a Measure illustrating the use of supplemental data elements to gather additional information about a population

Example of a MeasureReport illustrating a test case

This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases

Pneumococcal Vaccination Status for Older Adults

This is an example only.

This is an example only.

This is an example only.

This artifact is an example of an all-or-nothing composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This artifact is an example of an opportunity composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This artifact is an example of a patient-level linear composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This artifact is an example of a weighted composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.

This library is an example of a quality program with cqlOptions extension.

This library is an example of quality program release, specifying a single measure without a version, and without version bindings for dependencies.

This library is an example of quality program release, specifying a single measure and version, with an example of versioned bindings for code system and value set dependencies.

This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM

This is an example code system, based on the SNOMED CT Code System to illustrate a publishable code system resource. SNOMED CT is a core clinical healthcare terminology that contains concepts with unique meanings and formal logic based definitions organized into hierarchies.

Example of a search parameter for a parameter name in a library

Example of a search paramter for an expansion identifier in a library

Example of a search parameter for a keyword in a value set

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is used as an example in the FHIR Quality Measure Implementation Guide

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM

Model definition for USCore (v3.1.0) Model

This library is used as an example in the FHIR Quality Measure Implementation Guide

This library is an example of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used in a particular quality program.

This library is an example of a program release that provides versioning information in support of stable expansion of a set of value sets used in a particular quality program.