Quality Measure Implementation Guide (STU5)
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This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (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

Profiles

Capability Profiles

To support flexible representation and packaging of measure and library artifacts for different use cases, this implementation guide uses four general categories of profiles, aligned with the knowledge capabilities established by the CPG-on-FHIR implementation guide:

ArtifactShareableComputablePublishableExecutable
CodeSystemCQFMShareableCodeSystemN/A (no requirements)CQFMPublishableCodeSystemN/A (no requirements)
LibraryCQFMLibraryCQFMComputableLibraryCQFMPublishableLibraryCQFMExecutableLibrary
MeasureCQFMMeasureCQFMComputableMeasureCQFMPublishableMeasureCQFMExecutableMeasure
ValueSetN/A (use base ShareableValueSet)CQFMComputableValueSetCQFMPublishableValueSetCQFMExecutableValueSet

In addition, measures are required to conform to the appropriate measure profile based on their scoring type:

Scoring TypeProfile
CohortCQFMCohortMeasure
ProportionCQFMProportionMeasure
RatioCQFMRatioMeasure
Continuous VariableCQFMContinuousVariableMeasure
CompositeCQFMCompositeMeasure

To support packaging, testing, and distribution of measure and library artifacts, this implementation guide defines the following additional profiles:

ProfileDescription
CQFMCapabilityStatementA system capability statement that can express which version of CQL is supported
CQFMDeviceA software device used in the creation, validation, evaluation, packaging, and/or testing of a library or measure artifact.
CQFMModelInfoLibraryA library profile used to distribute model information libraries used in quality measurement.
CQFMModuleDefinitionLibraryA library profile used to define and exchange effective data requirements and usage information for an artifact (or collection of artifacts) used in quality measurement.
CQFMTestCaseA measure report profile that allows definition and exchange of test cases for a measure.
CQFMQualityProgramA library profile used to establish a set of related quality improvement artifacts such as a measure program and supports the definition of Quality Program. The set of identified quality programs is not exhaustive and this IG is not prescribing codes for programs.

Alphabetical Listing