Quality Measure Implementation Guide (STU5)
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Quality Measure Implementation Guide (STU5), published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0-draft 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 Measure - XML Representation

Active as of 2022-02-22

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<Measure xmlns="http://hl7.org/fhir">
  <id value="EXMLogic-FHIR"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <table class="grid dict">
        
            <tr>
                <th scope="row"><b>Title: </b></th>
                <td style="padding-left: 4px;">EXM Measure</td>
            </tr>
        

        

        
            <tr>
                <th scope="row"><b>Id: </b></th>
                <td style="padding-left: 4px;">EXMLogic-FHIR</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Version: </b></th>
                <td style="padding-left: 4px;">2.0.0</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Url: </b></th>
                <td style="padding-left: 4px;"><a href="Measure-EXMLogic-FHIR.html">EXM Measure</a></td>
            </tr>
        

        
            <tr>
                <th scope="row">
                    <b>
                        
                            
                        
                    </b>
                </th>

                <td style="padding-left: 4px;">
                    
                        <p style="margin-bottom: 5px;">
                            <span>EXM</span>
                        </p>
                    
                </td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Effective Period: </b></th>
                <td style="padding-left: 4px;">2018-01-01
                    ..2018-12-31</td>
            </tr>
        

        

        
            <tr>
                <th scope="row"><b>Experimental: </b></th>
                <td style="padding-left: 4px;">true</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Date: </b></th>
                <td style="padding-left: 4px;">2022-02-22</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Publisher: </b></th>
                <td style="padding-left: 4px;">HL7 International / Clinical Quality Information</td>
            </tr>
        

        
        <tr>
            <th scope="row"><b>Author: </b></th>
            <td style="padding-left: 4px;">Example Measure Content Developer</td>
        </tr>
        

        

        
            <tr>
                <th scope="row"><b>Description: </b></th>
                <td style="padding-left: 4px;"><div><p>An example FHIR-based measure</p>
</div></td>
            </tr>
        

        

        

        
            <tr>
                <th scope="row"><b>Use Context: </b></th>
                <td style="padding-left: 4px;">
                    <table class="grid-dict">
                        <tr>
                            <th><b>code</b></th>
                            <th><b>value</b></th>
                        </tr>
                        
                            <tr>
                                <td>program</td>
                                <td>eligible-provider</td>
                            </tr>
                        
                    </table>
                </td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Jurisdiction: </b></th>
                <td style="padding-left: 4px;">US</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Topic: </b></th>
                <td style="padding-left: 4px;">57024-2</td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Purpose: </b></th>
                <td style="padding-left: 4px;"><div><p>The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented.</p>
</div></td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Copyright: </b></th>
                <td style="padding-left: 4px;"><div><p>Example Copyright Statement</p>
</div></td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Disclaimer: </b></th>
                <td style="padding-left: 4px;"><div><p>Example disclaimer</p>
</div></td>
            </tr>
        

        

        
            <tr>
                <th scope="row"><b>Basis: </b></th>
                <td style="padding-left: 4px;">
                Encounter
                </td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Scoring: </b></th>
                <td style="padding-left: 4px;">
                    
                        
                            <p style="margin-bottom: 5px;">
                                <span>Proportion </span>
                            </p>
                        
                    
                    
                </td>
            </tr>
        

        

        
            <tr>
                <th scope="row"><b>Type: </b></th>
                <td style="padding-left: 4px;">
                    
                        
                            <p style="margin-bottom: 5px;">
                                <span>process </span>
                            </p>
                        
                    
                    
                </td>
            </tr>
        

        
        <tr>
            <th scope="row"><b>Risk Adjustment: </b></th>
            <td style="padding-left: 4px;">Risk adjustment for this measure is performed by...</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Rate Aggregation: </b></th>
            <td style="padding-left: 4px;">Rate aggregation for this measure is performed by...</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Rationale: </b></th>
            <td style="padding-left: 4px;"><div><p>Rationale for this measure is...</p>
</div></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Clinical recommendation statement: </b></th>
            <td style="padding-left: 4px;"><div><p>The clinical recommendation statement for this measure is...</p>
</div></td>
        </tr>
        

        
            <tr>
                <th scope="row"><b>Improvement Notation: </b></th>
                <td style="padding-left: 4px;">
                    
                        
                            <p style="margin-bottom: 5px;">
                                <span>Increased score indicates improvement </span>
                            </p>
                        
                    
                    
                </td>
            </tr>
        

        
            <tr>
                <th scope="row"><b>Guidance (Usage): </b></th>
                <td style="padding-left: 4px;">Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure.</td>
            </tr>
        

        
            
        

        
            <tr>
                <th scope="row"><b> Supplemental Data Elements: </b></th>
                <td style="padding-left: 4px;">
                    
                        
                            
                                
                                    <p>SDE Ethnicity</p>
                                
                            
                        
                    
                        
                            
                                
                                    <p>SDE Race</p>
                                
                            
                        
                    
                        
                            
                                
                                    <p>SDE Payer</p>
                                
                            
                        
                    
                        
                            
                                
                                    <p>SDE Sex</p>
                                
                            
                        
                    
                </td>
            </tr>
        

        

        

        
            <tr>
                <th scope="row"><b>Libraries: </b></th>
                <td style="padding-left: 4px;">
                    <table class="grid-dict">
                        
                            <tr>
                                <td><a href="Library-EXMLogic-FHIR.html">Example Logic Library</a></td>
                            </tr>
                        
                    </table>
                </td>
            </tr>
        

        

        
        
    

    </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-artifactComment">
    <extension url="type">
      <valueCode value="documentation"/>
    </extension>
    <extension url="text">
      <valueMarkdown value="This illustrates an example comment"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
  </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="http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exmlogic"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision">
    <valuePositiveInt value="2"/>
  </extension>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Measure/EXMLogic-FHIR"/>
  <identifier>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="EXM"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="MeasureEXM"/>
  <title value="EXM 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 measure"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="program"/>
    </code>
    <valueCodeableConcept>
      <text value="eligible-provider"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose
           value="The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented."/>
  <usage
         value="Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure."/>
  <copyright value="Example Copyright Statement"/>
  <approvalDate value="2019-02-17"/>
  <lastReviewDate value="2019-02-17"/>
  <effectivePeriod>
    <extension
               url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor">
      <valueDateTime value="2018-01-01"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/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/us/cqfmeasures/Library/EXMLogic-FHIR"/>
  <disclaimer value="Example disclaimer"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <riskAdjustment
                  value="Risk adjustment for this measure is performed by..."/>
  <rateAggregation
                   value="Rate aggregation for this measure is performed by..."/>
  <rationale value="Rationale for this measure is..."/>
  <clinicalRecommendationStatement
                                   value="The clinical recommendation statement for this measure is..."/>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
      <display value="Increased score indicates improvement"/>
    </coding>
  </improvementNotation>
  <guidance
            value="Additional guidance provided to help communicate the intent of the measure"/>
  <group id="group-1">
    <code>
      <coding>
        <system value="http://example.org/group"/>
        <code value="group"/>
        <display value="group-1"/>
      </coding>
    </code>
    <population id="initial-population-1">
      <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>
    <stratifier id="stratifier-1">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 1"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 1"/>
      </criteria>
    </stratifier>
    <stratifier id="stratifier-2">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 2"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 2"/>
      </criteria>
    </stratifier>
    <stratifier id="stratifier-3">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 3"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 3"/>
      </criteria>
    </stratifier>
    <stratifier id="stratifier-4">
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-population"/>
            <code value="initial-population"/>
            <display value="Initial Population"/>
          </coding>
          <text value="initial-population"/>
        </valueCodeableConcept>
      </extension>
      <code>
        <text value="Stratifier 4"/>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Stratifier 4"/>
      </criteria>
    </stratifier>
  </group>
  <supplementalData id="sde-ethnicity">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Ethnicity"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-race">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Race"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-payer">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Payer"/>
    </criteria>
  </supplementalData>
  <supplementalData id="sde-sex">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Sex"/>
    </criteria>
  </supplementalData>
</Measure>