Quality Measure Implementation Guide
1.0.0-ballot - ballot
Quality Measure Implementation Guide
1.0.0-ballot - ballot
Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions
| Active as of 2022-02-22 |
{
"resourceType" : "Measure",
"id" : "EXMRatio-FHIR",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/ratio-measure-cqfm"🔗 ,
"http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/computable-measure-cqfm"🔗 ,
"http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cql-measure-cqfm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"narrative-table\">\n <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">EXMRatioMeasure</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">EXM Ratio Measure</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Active</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>An example FHIR-based publishable measure</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n<td class=\"content-container\"><div><p>This measure has been developed to support improvement in clinical care.</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Clinical Usage</th>\n\n<td class=\"content-container\">Users of this measure should be aware of...</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n<td class=\"content-container\">2019-02-17</td>\n</tr>\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n<td class=\"content-container\">2018-01-01..2018-12-31</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type venue}\">Venue</span> = <span title=\"Codes:{http://hl7.org/fhir/uv/cqfmeasures/CodeSystem/intended-venue-codes ec}\">EC</span></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://loinc.org 57024-2}\">Health Quality Measure Document</span></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">Example Measure Content Developer: </td>\n</tr>\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\"><a href=\"http://www.hl7.org/Special/committees/cqi\">http://www.hl7.org/Special/committees/cqi</a></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n<td class=\"content-container\"><div><p>Example Copyright Statement</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">2.0.0</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring ratio}\">Ratio</span></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></td>\n</tr>\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Rationale</th>\n\n<td class=\"content-container\"><div><p>The rationale of this measure is...</p>\n</div></td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></td>\n</tr>\n\n\n\n\n\n\n\n\n \n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria (ID: group-1)</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: initial-population\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-initial-population\">Initial Population</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Numerator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: numerator\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-numerator\">Numerator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: denominator\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-denominator\">Denominator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Measure Observation</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: denominator-observation\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-measure-denominator-observation\">Measure Denominator Observation</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Measure Observation</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: numerator-observation\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-measure-numerator-observation\">Measure Numerator Observation</a> \n \n \n </td>\n </tr>\n \n\n \n \n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n<td class=\"content-container\"><a href=\"Library-EXMRatio-FHIR.html\">EXMRatio - Example Ratio Measure Library</a></td>\n</tr>\n\n\n\n\n \n\n<tr>\n <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n </tbody>\n </table>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "Encounter"
},
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://unitsofmeasure.org",
"code" : "/1000.d"
}
]
}
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
"valueReference" : {
🔗 "reference" : "Device/software-system-example"
}
},
{
"url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
"valueCanonical" : "#effective-data-requirements-exmlogic"
}
],
"url" : "http://example.org/fhir/measures/measure-ratio-exm",
"identifier" : [
{
"system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
"value" : "EXMRatio-FHIR"
}
],
"version" : "2.0.0",
"name" : "EXMRatioMeasure",
"title" : "EXM Ratio Measure",
"status" : "active",
"experimental" : true,
"date" : "2022-02-22",
"publisher" : "HL7 International / Clinical Quality Information",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "An example FHIR-based publishable measure",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "venue",
"display" : "Venue"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cqfmeasures/CodeSystem/intended-venue-codes",
"code" : "ec",
"display" : "EC"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"purpose" : "This measure has been developed to support improvement in clinical care.",
"usage" : "Users of this measure should be aware of...",
"copyright" : "Example Copyright Statement",
"approvalDate" : "2019-02-17",
"lastReviewDate" : "2019-02-17",
"effectivePeriod" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor",
"valueDateTime" : "2018-01-01"
},
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration",
"valueDuration" : {
"value" : 1,
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
],
"start" : "2018-01-01",
"end" : "2018-12-31"
},
"topic" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57024-2"
}
],
"text" : "Health Quality Measure Document"
}
],
"author" : [
{
"name" : "Example Measure Content Developer"
}
],
"library" : [
🔗 "http://hl7.org/fhir/uv/cqfmeasures/Library/EXMRatio-FHIR"
],
"disclaimer" : "Example disclaimer",
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "ratio",
"display" : "Ratio"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "process"
}
]
}
],
"rationale" : "The rationale of this measure is...",
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease",
"display" : "Decreased score indicates improvement"
}
]
},
"group" : [
{
"id" : "group-1",
"population" : [
{
"id" : "initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Initial Population"
}
},
{
"id" : "numerator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Numerator"
}
},
{
"id" : "denominator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator"
}
},
{
"id" : "denominator-observation",
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
"valueString" : "denominator"
},
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
"valueCode" : "sum"
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-observation",
"display" : "Measure Observation"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Measure Denominator Observation"
}
},
{
"id" : "numerator-observation",
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
"valueString" : "numerator"
},
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
"valueCode" : "sum"
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-observation",
"display" : "Measure Observation"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Measure Numerator Observation"
}
}
]
}
]
}
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.uv.cqm#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-12-10
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