Quality Measure Implementation Guide
5.0.0 - STU5 United States of America flag

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 5.0.0 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

Measure: EXM Measure (Experimental)

Official URL: http://hl7.org/fhir/us/cqfmeasures/Measure/EXMLogic-FHIR Version: 2.0.0
Active as of 2022-02-22 Computable Name: MeasureEXM
Other Identifiers: http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm#EXM

Usage:Venue: EC

Copyright/Legal: Example Copyright Statement

An example FHIR-based measure

This measure has been developed to support improvement in clinical care.

Knowledge Artifact Metadata
Name (machine-readable) MeasureEXM
Title (human-readable) EXM Measure
Status Active
Experimental true
Description

An example FHIR-based measure
Purpose

This measure has been developed to support improvement in clinical care.
Clinical Usage Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure.
Approval Date 2019-02-17
Effective Period 2018-01-01..2018-12-31
Use Context Venue = EC
Topic Health Quality Measure Document
Measure Developer Example Measure Content Developer:
Measure Steward HL7 International / Clinical Quality Information
Steward Contact Details http://www.hl7.org/Special/committees/cqi
Copyright

Example Copyright Statement
Comment

This illustrates an example comment
Measure Metadata
Version Number 2.0.0
Measure Scoring Proportion
Measure Type Process
Risk Adjustment Risk adjustment for this measure is performed by...
Rate Aggregation Rate aggregation for this measure is performed by...
Rationale

The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented.
Clinical Recommendation Statement

The clinical recommendation statement for this measure is...
Improvement Notation Increased score indicates improvement
Guidance

Additional guidance provided to help communicate the intent of the measure
Population Basis Encounter
Measure Population Criteria (ID: group-1)
Initial Population ​ ID: initial-population-1
Description: No description provided Logic Definition: Initial Population
Numerator ​ ID: numerator
Description: No description provided Logic Definition: Numerator
Denominator ​ ID: denominator
Description: No description provided Logic Definition: Denominator
Stratifier ID: stratifier-1
Code: Stratifier 1
Stratifier ID: stratifier-2
Code: Stratifier 2
Stratifier ID: stratifier-3
Code: Stratifier 3
Stratifier ID: stratifier-4
Code: Stratifier 4
Supplemental Data Elements
Supplemental Data Element ID: sde-ethnicity
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Ethnicity
Supplemental Data Element ​ ID: sde-race
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Race
Supplemental Data Element ID: sde-payer
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Payer
Supplemental Data Element ID: sde-sex
Usage Code: Supplemental Data
Description: No description provided
Logic Definition: SDE Sex
Measure Logic
Primary Library Example Logic Library
Dependency Description: Library FHIRHelpers
Resource: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
Dependency Description: Code system Diagnosis Role
Resource: Diagnosis Role
Canonical URL: http://terminology.hl7.org/CodeSystem/diagnosis-role
Dependency Description: Value set Payer
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Dependency Description: 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
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299
Direct Reference Code Display: Billing
Code: billing
System: http://terminology.hl7.org/CodeSystem/diagnosis-role
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: SDE Sex
Use: Out
Min Cardinality: 0
Max Cardinality: 1
Type: Coding
Parameter Name: Stratifier 3
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Stratifier 4
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: SDE Payer
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Resource
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: SDE Ethnicity
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Coding
Parameter Name: SDE Race
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Coding
Parameter Name: Stratifier 1
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Stratifier 2
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Measure Logic Data Requirements
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url, extension, value
Data Requirement Type: Patient
Profile(s): http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
Must Support Elements: url, extension, value
Code Filter(s):
Path: url
Code:
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: period
Data Requirement Type: Coverage
Profile(s): Coverage
Must Support Elements: type, period
Code Filter(s):
Path: type
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Measure Logic Definitions
Logic Definition Library Name: EXMLogic-FHIR 
define "SDE Sex":
  case
    when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }
    when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }
    else null
  end
Logic Definition Library Name: EXMLogic-FHIR 
define "Inpatient Encounter" :
  ["Encounter"] Encounter
    where LengthInDays(Encounter.period) <= 120
      and Encounter.period ends during "Measurement Period"
Logic Definition Library Name: EXMLogic-FHIR 
define "Stratifier 3" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter) is null
Logic Definition Library Name: EXMLogic 
define "Stratifier 4" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter) is null
Logic Definition Library Name: EXMLogic-FHIR 
define "SDE Payer":
    [Coverage: type in "Payer"] Payer
      return {
        code: Payer.type,
        period: Payer.period
      }
Logic Definition Library Name: EXMLogic 
define "Initial Population" :
  "Inpatient Encounter" Encounter
Logic Definition Library Name: EXMLogic-FHIR 
define "SDE Ethnicity":
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding
Logic Definition Library Name: EXMLogic 
define "SDE Race":
  (flatten (
    Patient.extension Extension
      where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
        return Extension.extension
  )) E
    where E.url = 'ombCategory'
      or E.url = 'detailed'
    return E.value as Coding
Logic Definition Library Name: EXMLogic-FHIR 
define "Stratifier 1" :
  "Inpatient Encounter" Encounter
    where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")
Logic Definition Library Name: EXMLogic-FHIR 
define "Stratifier 2" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"
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