Quality Measure Implementation Guide
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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

: EXM Ratio Measure - XML Representation

Active as of 2022-02-22

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<Measure xmlns="http://hl7.org/fhir">
  <id value="EXMRatio-FHIR"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/ratio-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cql-measure-cqfm"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>

<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>

</tr>

<tr>

<th scope="row" class="row-header">Name (machine-readable)</th>

<td class="content-container">EXMRatioMeasure</td>
</tr>


<tr>

<th scope="row" class="row-header">Title (human-readable)</th>

<td class="content-container">EXM Ratio Measure</td>
</tr>



<tr>

<th scope="row" class="row-header">Status</th>

<td class="content-container">Active</td>
</tr>


<tr>

<th scope="row" class="row-header">Experimental</th>

<td class="content-container">true</td>
</tr>


<tr>

<th scope="row" class="row-header">Description</th>

<td class="content-container"><div><p>An example FHIR-based publishable measure</p>
</div></td>
</tr>


<tr>

<th scope="row" class="row-header">Purpose</th>

<td class="content-container"><div><p>This measure has been developed to support improvement in clinical care.</p>
</div></td>
</tr>


<tr>

<th scope="row" class="row-header">Clinical Usage</th>

<td class="content-container">Users of this measure should be aware of...</td>
</tr>


<tr>

<th scope="row" class="row-header">Approval Date</th>

<td class="content-container">2019-02-17</td>
</tr>




<tr>

<th scope="row" class="row-header">Effective Period</th>

<td class="content-container">2018-01-01..2018-12-31</td>
</tr>



<tr>

<th scope="row" class="row-header">Use Context</th>

<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>
</tr>


<tr>

<th scope="row" class="row-header">Topic</th>

<td class="content-container"><span title="Codes:{http://loinc.org 57024-2}">Health Quality Measure Document</span></td>
</tr>


<tr>

<th scope="row" class="row-header">Measure Developer</th>

<td class="content-container">Example Measure Content Developer: </td>
</tr>





<tr>

<th scope="row" class="row-header">Measure Steward</th>

<td class="content-container">HL7 International / Clinical Quality Information</td>
</tr>


<tr>

<th scope="row" class="row-header">Steward Contact Details</th>

<td class="content-container"><a href="http://www.hl7.org/Special/committees/cqi">http://www.hl7.org/Special/committees/cqi</a></td>
</tr>


<tr>

<th scope="row" class="row-header">Copyright</th>

<td class="content-container"><div><p>Example Copyright Statement</p>
</div></td>
</tr>










<tr>

<th colspan="2" scope="row" class="row-header">Measure Metadata</th>

</tr>






<tr>

<th scope="row" class="row-header">Version Number</th>

<td class="content-container">2.0.0</td>
</tr>


<tr>

<th scope="row" class="row-header">Measure Scoring</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring ratio}">Ratio</span></td>
</tr>



<tr>

<th scope="row" class="row-header">Measure Type</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}">Process</span></td>
</tr>




<tr>

<th scope="row" class="row-header">Rationale</th>

<td class="content-container"><div><p>The rationale of this measure is...</p>
</div></td>
</tr>



<tr>

<th scope="row" class="row-header">Improvement Notation</th>

<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}">Decreased score indicates improvement</span></td>
</tr>








  
    
    <tr>

<th colspan="2" scope="row" class="row-header">Measure Population Criteria (ID: group-1)</th>

</tr>
  
  
  
  
    <tr>
      
        
<th scope="row" class="row-header">Initial Population</th>

      
      <td class="content-container">
        
        <em>ID</em>: initial-population
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmratio-fhir-initial-population">Initial Population</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Numerator</th>

      
      <td class="content-container">
        
        <em>ID</em>: numerator
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmratio-fhir-numerator">Numerator</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Denominator</th>

      
      <td class="content-container">
        
        <em>ID</em>: denominator
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmratio-fhir-denominator">Denominator</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Measure Observation</th>

      
      <td class="content-container">
        
        <em>ID</em>: denominator-observation
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmratio-fhir-measure-denominator-observation">Measure Denominator Observation</a> 
          
        
      </td>
    </tr>
  

  
    <tr>
      
        
<th scope="row" class="row-header">Measure Observation</th>

      
      <td class="content-container">
        
        <em>ID</em>: numerator-observation
        <br/>
        
        
          <em>Description</em>: No description provided
        
        
          
            
            <em>Logic Definition</em>: <a href="#exmratio-fhir-measure-numerator-observation">Measure Numerator Observation</a> 
          
        
      </td>
    </tr>
  

  
  













<tr>

<th colspan="2" scope="row" class="row-header">Measure Logic</th>

</tr>

<tr>

<th scope="row" class="row-header">Primary Library</th>

<td class="content-container"><a href="Library-EXMRatio-FHIR.html">EXMRatio - Example Ratio Measure Library</a></td>
</tr>




  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
    </tbody>
  </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit">
    <valueCodeableConcept>
      <coding>
        <system value="http://unitsofmeasure.org"/>
        <code value="/1000.d"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
    <valueReference>🔗 
      <reference value="Device/software-system-example"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
    <valueCanonical value="#effective-data-requirements-exmlogic"/>
  </extension>
  <url value="http://example.org/fhir/measures/measure-ratio-exm"/>
  <identifier>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="EXMRatio-FHIR"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="EXMRatioMeasure"/>
  <title value="EXM Ratio Measure"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2022-02-22"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="An example FHIR-based publishable measure"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="venue"/>
      <display value="Venue"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cqfmeasures/CodeSystem/intended-venue-codes"/>
        <code value="ec"/>
        <display value="EC"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This measure has been developed to support improvement in clinical care."/>
  <usage value="Users of this measure should be aware of..."/>
  <copyright value="Example Copyright Statement"/>
  <approvalDate value="2019-02-17"/>
  <lastReviewDate value="2019-02-17"/>
  <effectivePeriod>
    <extension
               url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor">
      <valueDateTime value="2018-01-01"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration">
      <valueDuration>
        <value value="1"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </valueDuration>
    </extension>
    <start value="2018-01-01"/>
    <end value="2018-12-31"/>
  </effectivePeriod>
  <topic>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57024-2"/>
    </coding>
    <text value="Health Quality Measure Document"/>
  </topic>
  <author>
    <name value="Example Measure Content Developer"/>
  </author>
  <library value="http://hl7.org/fhir/uv/cqfmeasures/Library/EXMRatio-FHIR"/>
  <disclaimer value="Example disclaimer"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="ratio"/>
      <display value="Ratio"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <rationale value="The rationale of this measure is..."/>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="decrease"/>
      <display value="Decreased score indicates improvement"/>
    </coding>
  </improvementNotation>
  <group id="group-1">
    <population id="initial-population">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="numerator">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
    <population id="denominator">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population id="denominator-observation">
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="denominator"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
        <valueCode value="sum"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-observation"/>
          <display value="Measure Observation"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Measure Denominator Observation"/>
      </criteria>
    </population>
    <population id="numerator-observation">
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference">
        <valueString value="numerator"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod">
        <valueCode value="sum"/>
      </extension>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="measure-observation"/>
          <display value="Measure Observation"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Measure Numerator Observation"/>
      </criteria>
    </population>
  </group>
</Measure>