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 |
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"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\">EXM55</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\">EXM55 - Median Emergency Department Visit Duration</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>This example illustrates a continuous variable measure represented as a FHIR eCQM</p>\n</div></td>\n</tr>\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n<td class=\"content-container\">2019-03-08</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 eh}\">EH</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\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\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\">5.0.0</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 continuous-variable}\">Continuous Variable</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\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 <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria</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 \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exm55-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\">Measure Population</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exm55-fhir-measure-population\">Measure Population</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Measure Population Exclusion</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exm55-fhir-measure-population-exclusion\">Measure Population Exclusion</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 \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exm55-fhir-measure-observation\">Measure Observation</a> \n \n \n </td>\n </tr>\n \n\n \n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n \n \n <em>Code</em>: Stratification 1\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n \n \n <em>Code</em>: Stratification 2\n \n \n \n \n </td>\n</tr>\n\n<tr>\n \n<th scope=\"row\" class=\"row-header\">Stratifier</th>\n\n <td class=\"content-container\">\n \n \n \n <em>Code</em>: Stratification 3\n \n \n \n \n </td>\n</tr>\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-EXM55-FHIR.html\">EXM55 - Median Emergency Department Visit Duration Library (Example Continuous Variable Measure Library)</a></td>\n</tr>\n\n\n\n\n \n \n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Library FHIRHelpers\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code>\n <br/>\n <em>Canonical URL</em>: <tt>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Code system Diagnosis Role\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-diagnosis-role.html\">Diagnosis Role</a>\n <br/>\n <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Psychiatric/Mental Health Patient\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</code>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Emergency Department Visit\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</code>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</tt>\n \n </td>\n</tr>\n\n<tr>\n \n \n \n \n \n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n \n <td class=\"content-container\">\n \n <em>Description</em>: Value set Hospital Settings\n \n <br/>\n \n \n \n \n \n \n <em>Resource</em>: <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126</code>\n <br/>\n <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126</tt>\n \n </td>\n</tr>\n\n\n \n <tr>\n <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n <td class=\"content-container\">\n \n <em>Display</em>: Billing\n <br/>\n \n <em>Code</em>: billing\n <br/>\n <em>System</em>: <tt>http://terminology.hl7.org/CodeSystem/diagnosis-role</tt>\n </td>\n </tr>\n\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Measurement Period\n <br/>\n <em>Use</em>: In\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: 1\n <br/>\n <em>Type</em>: Period\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 3\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Encounter\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 2\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Encounter\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Measure Population Exclusion\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Encounter\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Stratification 1\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Encounter\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Initial Population\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Encounter\n </td>\n</tr>\n \n <tr>\n \n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n <td class=\"content-container\">\n <em>Name</em>: Measure Population\n <br/>\n <em>Use</em>: Out\n <br/>\n <em>Min Cardinality</em>: 0\n <br/>\n <em>Max Cardinality</em>: *\n <br/>\n <em>Type</em>: Encounter\n </td>\n</tr>\n \n \n <tr>\n <th colspan=\"2\" scope=\"row\" class=\"section-header\"><a name=\"effective-data-requirements\"> </a>Measure Logic Data Requirements</th>\n </tr>\n \n \n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Encounter\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: period, hospitalization, hospitalization.admitSource, type, status\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: type</span>\n <br/>\n \n \n \n <span class=\"tab-one\"><em>ValueSet</em>:</span> <code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</code>\n <br/> \n \n \n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Encounter\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: period\n <br/>\n \n \n </td>\n</tr>\n\n<tr>\n <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n <td class=\"content-container\">\n <em>Type</em>: Condition\n <br/>\n \n <em>Profile(s)</em>: \n \n <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a>\n <br/> \n \n \n \n <em>Must Support Elements</em>: id\n <br/>\n \n \n <em>Code Filter(s)</em>: \n <br/>\n \n \n <span class=\"tab-one\"><em>Path</em>: id</span>\n <br/>\n \n \n \n \n \n \n </td>\n</tr>\n\n \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic Definitions</th>\n\n</tr>\n \n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-inpatient-encounter\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Inpatient Encounter" :\n ["Encounter"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during "Measurement Period"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-stratification-3\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Stratification 3" :\n "Inpatient Encounter" Encounter\n where PrincipalDiagnosis(Encounter) is null</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-stratification-2\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Stratification 2" :\n "Inpatient Encounter" Encounter\n where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-measure-population-exclusion\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Measure Population Exclusion" :\n "Inpatient Encounter" Encounter\n with ["Encounter" : "Emergency Department Visit"] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in "Hospital Settings"</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-stratification-1\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Stratification 1" :\n "Inpatient Encounter" Encounter\n where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-initial-population\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Initial Population" :\n "Inpatient Encounter" Encounter\n with ["Encounter" : "Emergency Department Visit"] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period</code></pre>\n </td>\n\n</tr>\n \n<tr>\n <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n \n \n <a name=\"exm55-fhir-measure-population\"> </a>\n \n Logic Definition\n </th>\n\n <td class=\"content-container\"><em>Library Name:</em> EXM55-FHIR</td>\n\n</tr>\n<tr>\n\n <td>\n <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define "Measure Population" :\n "Initial Population"</code></pre>\n </td>\n\n</tr>\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>"
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],
"url" : "http://hl7.org/fhir/uv/cqfmeasures/Library/effective-data-requirements-exm55",
"version" : "1.0.0",
"name" : "ModuleDefinitionLibraryEXM55",
"title" : "Module Definition Library - EXM55",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"date" : "2022-02-22T10:37:03-07:00",
"description" : "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Code system Diagnosis Role",
"resource" : "http://terminology.hl7.org/CodeSystem/diagnosis-role"
},
{
"type" : "depends-on",
"display" : "Value set Psychiatric/Mental Health Patient",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"
},
{
"type" : "depends-on",
"display" : "Value set Emergency Department Visit",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
},
{
"type" : "depends-on",
"display" : "Value set Hospital Settings",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"
}
],
"parameter" : [
{
"name" : "Measurement Period",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "Period"
},
{
"name" : "Stratification 3",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "Stratification 2",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "Measure Population Exclusion",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "Stratification 1",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "Initial Population",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "Measure Population",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
}
],
"dataRequirement" : [
{
"type" : "Encounter",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
],
"mustSupport" : [
"period",
"hospitalization",
"hospitalization.admitSource",
"type",
"status"
],
"codeFilter" : [
{
"path" : "type",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
}
]
},
{
"type" : "Encounter",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Encounter"
],
"mustSupport" : [
"period"
]
},
{
"type" : "Condition",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"id"
],
"codeFilter" : [
{
"path" : "id"
}
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "Encounter"
},
{
"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-exm55"
}
],
"url" : "http://hl7.org/fhir/uv/cqfmeasures/Measure/EXM55-FHIR",
"identifier" : [
{
"use" : "official",
"system" : "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
"value" : "55"
}
],
"version" : "5.0.0",
"name" : "EXM55",
"title" : "EXM55 - Median Emergency Department Visit Duration",
"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" : "This example illustrates a continuous variable measure represented as a FHIR eCQM",
"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" : "eh",
"display" : "EH"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"approvalDate" : "2019-03-08",
"lastReviewDate" : "2019-03-08",
"effectivePeriod" : {
"start" : "2018-01-01",
"end" : "2018-12-31"
},
"topic" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57024-2",
"display" : "Health Quality Measure Document"
}
]
}
],
"library" : [
🔗 "http://hl7.org/fhir/uv/cqfmeasures/Library/EXM55-FHIR"
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "continuous-variable",
"display" : "Continuous Variable"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "process"
}
]
}
],
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease",
"display" : "Decreased score indicates improvement"
}
]
},
"group" : [
{
"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"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population",
"display" : "Measure Population"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Measure Population"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-population-exclusion",
"display" : "Measure Population Exclusion"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Measure Population Exclusion"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
"valueString" : "measure-population-identifier"
},
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
"valueCode" : "median"
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "measure-observation",
"display" : "Measure Observation"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Measure Observation"
}
}
],
"stratifier" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
}
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/stratification",
"code" : "Stratification 1",
"display" : "Stratification 1"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 1"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
}
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/stratification",
"code" : "Stratification 2",
"display" : "Stratification 2"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 2"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
}
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/stratification",
"code" : "Stratification 3",
"display" : "Stratification 3"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Stratification 3"
}
}
]
}
]
}
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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