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 "EXMRatio-FHIR"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/ratio-measure-cqfm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/ratio-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/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\">EXMRatioMeasure</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\">EXM Ratio Measure</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>An example FHIR-based publishable measure</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n<td class=\"content-container\"><div><p>This measure has been developed to support improvement in clinical care.</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Clinical Usage</th>\n\n<td class=\"content-container\">Users of this measure should be aware of...</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n<td class=\"content-container\">2019-02-17</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 ec}\">EC</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<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Developer</th>\n\n<td class=\"content-container\">Example Measure Content Developer: </td>\n</tr>\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<tr>\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n<td class=\"content-container\"><div><p>Example Copyright Statement</p>\n</div></td>\n</tr>\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\">2.0.0</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 ratio}\">Ratio</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<tr>\n\n<th scope=\"row\" class=\"row-header\">Rationale</th>\n\n<td class=\"content-container\"><div><p>The rationale of this measure is...</p>\n</div></td>\n</tr>\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 \n <tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Population Criteria (ID: group-1)</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 <em>ID</em>: initial-population\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-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\">Numerator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: numerator\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-numerator\">Numerator</a> \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Denominator</th>\n\n \n <td class=\"content-container\">\n \n <em>ID</em>: denominator\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-denominator\">Denominator</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 <em>ID</em>: denominator-observation\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-measure-denominator-observation\">Measure Denominator Observation</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 <em>ID</em>: numerator-observation\n <br/>\n \n \n <em>Description</em>: No description provided\n \n \n \n \n <em>Logic Definition</em>: <a href=\"#exmratio-fhir-measure-numerator-observation\">Measure Numerator Observation</a> \n \n \n </td>\n </tr>\n \n\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-EXMRatio-FHIR.html\">EXMRatio - Example Ratio Measure Library</a></td>\n</tr>\n\n\n\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: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/cqfmeasures/StructureDefinition/cqfm-scoringUnit"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "/1000.d" ] ] ) ]
] [
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-exmlogic"^^xsd:anyURI ]
] ) ; #
fhir:url [ fhir:v "http://example.org/fhir/measures/measure-ratio-exm"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "EXMRatio-FHIR" ]
] ) ; #
fhir:version [ fhir:v "2.0.0"] ; #
fhir:name [ fhir:v "EXMRatioMeasure"] ; #
fhir:title [ fhir:v "EXM Ratio Measure"] ; #
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 "An example FHIR-based publishable measure"] ; #
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 "ec" ] ;
fhir:display [ fhir:v "EC" ] ] ) ]
] ) ; #
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:purpose [ fhir:v "This measure has been developed to support improvement in clinical care."] ; #
fhir:usage [ fhir:v "Users of this measure should be aware of..."] ; #
fhir:copyright [ fhir:v "Example Copyright Statement"] ; #
fhir:approvalDate [ fhir:v "2019-02-17"^^xsd:date] ; #
fhir:lastReviewDate [ fhir:v "2019-02-17"^^xsd:date] ; #
fhir:effectivePeriod [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2018-01-01"^^xsd:date ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration"^^xsd:anyURI ] ;
fhir:value [
a fhir:Duration ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "a" ] ] ] ) ;
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:text [ fhir:v "Health Quality Measure Document" ]
] ) ; #
fhir:author ( [
fhir:name [ fhir:v "Example Measure Content Developer" ]
] ) ; #
fhir:library ( [
fhir:v "http://hl7.org/fhir/uv/cqfmeasures/Library/EXMRatio-FHIR"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqfmeasures/Library/EXMRatio-FHIR>
] ) ; #
fhir:disclaimer [ fhir:v "Example disclaimer"] ; #
fhir:scoring [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ratio" ] ;
fhir:display [ fhir:v "Ratio" ] ] )
] ; #
fhir:type ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "process" ] ] )
] ) ; #
fhir:rationale [ fhir:v "The rationale of this measure is..."] ; #
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:id [ fhir:v "group-1" ] ;
( fhir:population [
fhir:id [ 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 "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ] ] ) ] ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Initial Population" ] ] ] [
fhir:id [ fhir:v "numerator" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ] ] ) ] ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Numerator" ] ] ] [
fhir:id [ fhir:v "denominator" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ] ] ) ] ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Denominator" ] ] ] [
fhir:id [ fhir:v "denominator-observation" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"^^xsd:anyURI ] ;
fhir:value [ fhir:v "sum" ] ] ) ;
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 Denominator Observation" ] ] ] [
fhir:id [ fhir:v "numerator-observation" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numerator" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"^^xsd:anyURI ] ;
fhir:value [ fhir:v "sum" ] ] ) ;
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 Numerator Observation" ] ] ] )
] ) . #
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
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change