Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-example"/>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904"/>
<resource>
<MeasureReport>
<id value="47709cc7-b3ec-4abc-9d26-3df3d3d57904"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/test-case-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MeasureReport "47709cc7-b3ec-4abc-9d26-3df3d3d57904" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-test-case-cqfm.html">CQFM Test Case</a></p></div><p><b>CQFM Input Parameters</b>: <a name="testcase-example-parameters"> </a></p><blockquote><p/><p><a name="testcase-example-parameters"> </a></p><h3>Parameters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>subject</td><td>123</td></tr></table></blockquote><p><b>CQFM Test Case Description</b>: Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.</p><blockquote><p><b>modifierExtension[http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isTestCase]</b></p></blockquote><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="Measure-EXM130-FHIR.html">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57906">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57905">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905)</a></p><p><b>period</b>: 2018-12-31 --> 2019-01-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#group-1)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57905">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905)</a></li><li><a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57906">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906)</a></li><li><a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57907">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907)</a></li><li><a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57908">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908)</a></li></ul><hr/><blockquote><h2>Parameters</h2><table class="grid"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>
</text>
<contained>
<Parameters>
<id value="testcase-example-parameters"/>
<parameter>
<name value="subject"/>
<valueString value="123"/>
</parameter>
</Parameters>
</contained>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-inputParameters">
<valueReference>
<reference value="#testcase-example-parameters"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-testCaseDescription">
<valueMarkdown
value="Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources."/>
</extension>
<modifierExtension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isTestCase">
<valueBoolean value="true"/>
</modifierExtension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR"/>
<subject>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
</subject>
<date value="2019-03-14"/>
<reporter>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
</reporter>
<period>
<start value="2018-12-31"/>
<end value="2019-01-01"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<code>
<coding>
<system value="http://example.org/fhir/"/>
<code value="group-1"/>
<display value="group-1"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
<display value="Denominator Exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<measureScore>
<value value="1"/>
</measureScore>
</group>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
</evaluatedResource>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
</evaluatedResource>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
</evaluatedResource>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"/>
</evaluatedResource>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
<resource>
<Organization>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123456789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="123456789"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="DaVinciHospital01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-555-1212"/>
</telecom>
<address>
<line value="73 Lakewood Street"/>
<city value="Warwick"/>
<state value="RI"/>
<postalCode value="02886"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
<resource>
<Patient>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 67890 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>English (Region=United States) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
</coding>
</type>
<system value="http://hospital.davinci.org"/>
<value value="67890"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Webster"/>
<given value="Thelma"/>
</name>
<gender value="female"/>
<birthDate value="1948-04-28"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<line value="7496 Beaver Ridge Ave"/>
<city value="Thornton"/>
<state value="NJ"/>
<postalCode value="07003"/>
<country value="USA"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
</maritalStatus>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-US"/>
<display value="English (Region=United States)"/>
</coding>
</language>
<preferred value="true"/>
</communication>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
<resource>
<Practitioner>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-practitioner.html">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number: 123456789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: female</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="123456789"/>
</identifier>
<active value="true"/>
<name>
<family value="Akers"/>
<given value="Nia"/>
<suffix value="MD"/>
</name>
<gender value="female"/>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"/>
<resource>
<Observation>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-observation.html">QICore Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#77353-1)</span></p><p><b>subject</b>: <a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57906">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906)</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href="#urnuuid47709cc7-b3ec-4abc-9d26-3df3d3d57907">See above (urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907)</a></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="77353-1"/>
<display
value="Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
</subject>
<effectiveDateTime value="2018-06-22"/>
<performer>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
</performer>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
</Bundle>
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
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