Risk Adjustment FHIR DSTU2 - TTL Representation - Quality Measure Implementation Guide v1.0.0-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
: Risk Adjustment FHIR DSTU2 - TTL Representation

Active as of 2019-02-21
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@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 "measure-risk-adjustment-FHIR2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/proportion-measure-cqfm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/proportion-measure-cqfm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid dict\"><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Id: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Measure/measure-risk-adjustment-FHIR2</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Type: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-type</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>process</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Identifier: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><b>system: </b><span>http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm</span><br/><b>value: </b><span>RiskAdjustment_FHIR2</span></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Title: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">Risk Adjustment FHIR DSTU2</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Status: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">active</td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Description: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\">This example illustrates the use of risk adjustment data within a measure represented as a FHIR eCQM</td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Topic: </b></th><td style=\"padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://loinc.org</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>57024-2</span><br/></span><span style=\"padding-left: 25px;\"><b>display: </b><span>Health Quality Measure Document</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th rowspan=\"1\" scope=\"row\"><b>Library: </b></th><td><p style=\"padding-left: 25px; padding-right: 25px;\"><b>reference: </b><span>Library/library-risk-adjustment-FHIR2</span></p></td></tr><tr><th scope=\"row\"><b>Scoring: </b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-scoring</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>proportion</span></span></span></span></td></tr><tr style=\"vertical-align: top;\"><th scope=\"row\"><b>Group:</b></th><td><p style=\"padding-left: 25px; padding-right: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>group-1</span><br/></span></p></td></tr><tr style=\"vertical-align: top;\"><td colspan=\"2\"><table style=\"margin-bottom: 5px; width: 100%\"><tr style=\"vertical-align: top;\"><th rowspan=\"3\" scope=\"row\" style=\"padding-left: 25px;\"><b>Population:</b></th><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>initial-population-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Initial Population</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>numerator-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Numerator</span></p></td></tr><tr style=\"vertical-align: top;\"><td><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>denominator-identifier</span><br/></span></p><p style=\"margin-bottom: 5px; padding-left: 25px;\"><b>criteria: </b><span>Denominator</span></p></td></tr></table></td></tr><tr><th rowspan=\"8\" scope=\"row\"><b>Supplemental Data:</b></th><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-ethnicity</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Ethnicity</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-payer</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Payer</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-race</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Race</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>sde-sex</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>supplemental-data</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>SDE Sex</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>hepatic-failure</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Hepatic Failure</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>cirrhosis-dx</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Cirrhosis Dx</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>bilirubin-test</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Bilirubin Test</span></p></td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><p style=\"margin-bottom: 5px;\"><b>Identifier:</b><br/><span style=\"padding-left: 25px;\"><b>value: </b><span>serum-albumin-test</span><br/></span></p><p style=\"margin-bottom: 5px;\"><b>usage: </b><span><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/measure-data-usage</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>risk-adjustment-factor</span></span></span></span></span></p><p style=\"margin-bottom: 5px;\"><b>criteria: </b><span>Serum Albumin Test</span></p></td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ] ;
fhir:value [ fhir:v "boolean" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/Measure/measure-risk-adjustment-FHIR2"^^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 "RiskAdjustment_FHIR2" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.0.001"] ; # 
  fhir:name [ fhir:v "RiskAdjustment_FHIR2"] ; # 
  fhir:title [ fhir:v "Risk Adjustment FHIR DSTU2"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2019-02-21"^^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 the use of risk adjustment data within a measure represented as a FHIR eCQM"] ; # 
  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/risk-adjustment-FHIR2"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqfmeasures/Library/risk-adjustment-FHIR2>
  ] ) ; # 
  fhir:scoring [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ] ;
fhir:display [ fhir:v "Proportion" ]     ] )
  ] ; # 
  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 "numerator" ] ;
fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Numerator" ]       ]     ] [
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:supplementalData ( [
fhir:id [ fhir:v "sde-ethnicity" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "SDE Ethnicity" ]     ]
  ] [
fhir:id [ fhir:v "sde-payer" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "SDE Payer" ]     ]
  ] [
fhir:id [ fhir:v "sde-race" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "SDE Race" ]     ]
  ] [
fhir:id [ fhir:v "sde-sex" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "SDE Sex" ]     ]
  ] [
fhir:id [ fhir:v "hepatic-failure" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "risk-adjustment-factor" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Hepatic Failure" ]     ]
  ] [
fhir:id [ fhir:v "cirrhosis-dx" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "risk-adjustment-factor" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Cirrhosis Dx" ]     ]
  ] [
fhir:id [ fhir:v "bilirubin-test" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "risk-adjustment-factor" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Bilirubin Test" ]     ]
  ] [
fhir:id [ fhir:v "serum-albumin-test" ] ;
    ( fhir:usage [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
fhir:code [ fhir:v "risk-adjustment-factor" ]       ] )     ] ) ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Serum Albumin Test" ]     ]
  ] ) . #