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 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Measure ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "EXM55-FHIR"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cv-measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cv-measure-cqfm> ] [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/computable-measure-cqfm> ] [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure> ] [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cql-measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cql-measure-cqfm> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir: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>" ] ; # fhir:contained ( [ a fhir:Library ; fhir:id [ fhir:v "effective-data-requirements-exm55" ] ; fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary> ] ) ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-role"^^xsd:anyURI ] ; fhir:code [ fhir:v "billing" ] ; fhir:display [ fhir:v "Billing" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Inpatient Encounter" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "define \"Inpatient Encounter\" :\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "0"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Stratification 3" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "define \"Stratification 3\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "1"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Stratification 2" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "define \"Stratification 2\" :\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "2"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Measure Population Exclusion" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "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\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "3"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Stratification 1" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "define \"Stratification 1\" :\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "4"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Initial Population" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "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" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "5"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ; fhir:value [ fhir:v "EXM55-FHIR" ] ] [ fhir:url [ fhir:v "name"^^xsd:anyURI ] ; fhir:value [ fhir:v "Measure Population" ] ] [ fhir:url [ fhir:v "statement"^^xsd:anyURI ] ; fhir:value [ fhir:v "define \"Measure Population\" :\n \"Initial Population\"" ] ] [ fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ; fhir:value [ fhir:v "6"^^xsd:integer ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/Library/effective-data-requirements-exm55"^^xsd:anyURI ] ; fhir:version [ fhir:v "1.0.0" ] ; fhir:name [ fhir:v "ModuleDefinitionLibraryEXM55" ] ; fhir:title [ fhir:v "Module Definition Library - EXM55" ] ; fhir:status [ fhir:v "active" ] ; fhir:experimental [ fhir:v "true"^^xsd:boolean ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "module-definition" ] ] ) ] ; fhir:date [ fhir:v "2022-02-22T10:37:03-07:00"^^xsd:dateTime ] ; fhir:description [ fhir:v "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide" ] ; ( fhir:relatedArtifact [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Library FHIRHelpers" ] ; fhir:resource [ fhir:v "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"^^xsd:anyURI ; fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1> ] ] [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Code system Diagnosis Role" ] ; fhir:resource [ fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-role"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/CodeSystem/diagnosis-role> ] ] [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Value set Psychiatric/Mental Health Patient" ] ; fhir:resource [ fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"^^xsd:anyURI ; fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299> ] ] [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Value set Emergency Department Visit" ] ; fhir:resource [ fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"^^xsd:anyURI ; fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292> ] ] [ fhir:type [ fhir:v "depends-on" ] ; fhir:display [ fhir:v "Value set Hospital Settings" ] ; fhir:resource [ fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"^^xsd:anyURI ; fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126> ] ] ) ; ( fhir:parameter [ fhir:name [ fhir:v "Measurement Period" ] ; fhir:use [ fhir:v "in" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "1" ] ; fhir:type [ fhir:v "Period" ] ] [ fhir:name [ fhir:v "Stratification 3" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "*" ] ; fhir:type [ fhir:v "Encounter" ] ] [ fhir:name [ fhir:v "Stratification 2" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "*" ] ; fhir:type [ fhir:v "Encounter" ] ] [ fhir:name [ fhir:v "Measure Population Exclusion" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "*" ] ; fhir:type [ fhir:v "Encounter" ] ] [ fhir:name [ fhir:v "Stratification 1" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "*" ] ; fhir:type [ fhir:v "Encounter" ] ] [ fhir:name [ fhir:v "Initial Population" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "*" ] ; fhir:type [ fhir:v "Encounter" ] ] [ fhir:name [ fhir:v "Measure Population" ] ; fhir:use [ fhir:v "out" ] ; fhir:min [ fhir:v "0"^^xsd:integer ] ; fhir:max [ fhir:v "*" ] ; fhir:type [ fhir:v "Encounter" ] ] ) ; ( fhir:dataRequirement [ fhir:type [ fhir:v "Encounter" ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ] ) ; ( fhir:mustSupport [ fhir:v "period" ] [ fhir:v "hospitalization" ] [ fhir:v "hospitalization.admitSource" ] [ fhir:v "type" ] [ fhir:v "status" ] ) ; ( fhir:codeFilter [ fhir:path [ fhir:v "type" ] ; fhir:valueSet [ fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"^^xsd:anyURI ; fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292> ] ] ) ] [ fhir:type [ fhir:v "Encounter" ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ] ) ; ( fhir:mustSupport [ fhir:v "period" ] ) ] [ fhir:type [ fhir:v "Condition" ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] ) ; ( fhir:mustSupport [ fhir:v "id" ] ) ; ( fhir:codeFilter [ fhir:path [ fhir:v "id" ] ] ) ] ) ] ) ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ] ; fhir:value [ fhir:v "Encounter" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Device/software-system-example" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ] ; fhir:value [ fhir:v "#effective-data-requirements-exm55"^^xsd:anyURI ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/Measure/EXM55-FHIR"^^xsd:anyURI] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"^^xsd:anyURI ] ; fhir:value [ fhir:v "55" ] ] ) ; # fhir:version [ fhir:v "5.0.0"] ; # fhir:name [ fhir:v "EXM55"] ; # fhir:title [ fhir:v "EXM55 - Median Emergency Department Visit Duration"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # fhir:date [ fhir:v "2022-02-22"^^xsd:date] ; # fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ] ] ) ] ) ; # fhir:description [ fhir:v "This example illustrates a continuous variable measure represented as a FHIR eCQM"] ; # fhir:useContext ( [ fhir:code [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "venue" ] ; fhir:display [ fhir:v "Venue" ] ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/CodeSystem/intended-venue-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "eh" ] ; fhir:display [ fhir:v "EH" ] ] ) ] ] ) ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ] ) ] ) ; # fhir:approvalDate [ fhir:v "2019-03-08"^^xsd:date] ; # fhir:lastReviewDate [ fhir:v "2019-03-08"^^xsd:date] ; # fhir:effectivePeriod [ fhir:start [ fhir:v "2018-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2018-12-31"^^xsd:date ] ] ; # fhir:topic ( [ ( fhir:coding [ a loinc:57024-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "57024-2" ] ; fhir:display [ fhir:v "Health Quality Measure Document" ] ] ) ] ) ; # fhir:library ( [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/Library/EXM55-FHIR"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/cqfmeasures/Library/EXM55-FHIR> ] ) ; # fhir:scoring [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ; fhir:code [ fhir:v "continuous-variable" ] ; fhir:display [ fhir:v "Continuous Variable" ] ] ) ] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "process" ] ] ) ] ) ; # fhir:improvementNotation [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ; fhir:code [ fhir:v "decrease" ] ; fhir:display [ fhir:v "Decreased score indicates improvement" ] ] ) ] ; # fhir:group ( [ ( fhir:population [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Initial Population" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "measure-population" ] ; fhir:display [ fhir:v "Measure Population" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Measure Population" ] ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "measure-population-exclusion" ] ; fhir:display [ fhir:v "Measure Population Exclusion" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Measure Population Exclusion" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference"^^xsd:anyURI ] ; fhir:value [ fhir:v "measure-population-identifier" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"^^xsd:anyURI ] ; fhir:value [ fhir:v "median" ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "measure-observation" ] ; fhir:display [ fhir:v "Measure Observation" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Measure Observation" ] ] ] ) ; ( fhir:stratifier [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://example.org/stratification"^^xsd:anyURI ] ; fhir:code [ fhir:v "Stratification 1" ] ; fhir:display [ fhir:v "Stratification 1" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Stratification 1" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://example.org/stratification"^^xsd:anyURI ] ; fhir:code [ fhir:v "Stratification 2" ] ; fhir:display [ fhir:v "Stratification 2" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "Stratification 2" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ; fhir:code [ fhir:v "initial-population" ] ; fhir:display [ fhir:v "Initial Population" ] ] ) ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://example.org/stratification"^^xsd:anyURI ] ; fhir:code [ fhir:v "Stratification 3" ] ; fhir:display [ fhir:v "Stratification 3" ] ] ) ] ; fhir:criteria [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "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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