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 6.0.0-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

Examples

Examples

• Simple Example Usage example illustrating all the common data elements of the CQF Measure profile - Library
• EXM146 Encounter-based proportion measure example - Library
• EXM55 Continuous-variable measure example - Library
• RatioMeasure Ratio measure example - Library
• Terminology Example illustrating terminology usage - Library
• RiskAdjustment Example illustrating risk adjustment usage - Library
• PromotingInteroperabilityMeasure Promoting Interoperability measure example
• Common Library Usage example illustrating a library to share logic between measures
• SupplementalDataElements Library illustrating common supplemental data elements

Screening Measures

These examples illustrate patient-based screening measures

• EXM124 Cervical Cancer Screening - Library
• EXM125 Breast Cancer Screening - Library
• EXM130 Colorectal Cancer Screening - Library

Hospital Measures

• EXM108 Venous Thromboembolism Prophylaxis - Library

Additional Supplemental Data Elements Measures

• NHSN Glycemic Control: Hyperglycemic Initial Population Example illustrating the use of supplemental data to gather additional information about a cohort. See the Data Exchange for Quality Measures IG for an example of the MeasureReport that results from this measure.

Multiple-Rate Measures

• Multirate Example Example measure illustrating multiple rates in a single Measure resource - Library

Composite Measures

This section provides examples of all four composite measure scoring methods described by this implementation guide. Each composite is constructed using the same five component measures:

• Breast Cancer Screening (BCS) - Patient-based proportion measure
• Colorectal Cancer Screening (CCS) - Patient-based proportion measure
• High Blood Pressure Screening (HBP) - Encounter-based proportion measure
• Pneumococcal Vaccination (PVS) - Patient-based proportion measure
• Tobacco Screening (TSC) - Patient-based proportion measure

For each of these measures, the population criteria are summarized as:

Population	BCS	CCS	HBP	PVS	TSC
Initial Population	female, 51-74, with Qualifying Encounters	50-75, with Qualifying Encounters	>= 18, Encounters in Encounter to Screen for Blood Pressure	>= 65, with Qualifying Encounters or Nursing/Long-term Facility encounters	>= 18 with Qualifying Encounters or Other/Counseling encounters or 2 or more Office visits
Denominator	Initial Population	Initial Population	Initial Population	Initial Population	Initial Population
Denominator Exclusions	Hospice or Mastectomy or AIFLTC	Hospice or Cancer or Colectomy or AIFLTC	Hypertension Diagnosis	Hospice	None
Denominator Exceptions	None	None	Medical or Patient Reason	None	Medical Reason or Limited Life Expectancy
Numerator	Mammography	Colonoscopy or FOBT or Flex Sig or FIT DNA or CT Colonography	Normal BP or High BP with followup	Pneumococcal Vaccine	Screened for Tobacco Use

All-or-nothing scoring

Interpretation: For each Eligible Clinician, the percentage of patients who received all preventive services for which they were eligible

Preventive Care and Wellness (All-or-nothing)

Opportunity scoring

Interpretation: For each Eligible Clinician (EC), the percentage of opportunities to provide preventive services that were completed.

Preventive Care and Wellness (Opportunity)

Patient-level linear

Interpretation: For each Eligible Clinician (EC), the percentage of completed preventive services, which gives EC partial numerator credit for meeting the criteria for some but not all components of the measure.

Preventive Care and Wellness (Patient-level linear)

Component-level weighted

Interpretation: For each Eligible Clinician (EC), percentage of patients who received preventive services, which gives EC partial numerator credit for meeting the criteria for some but not all components of the measure.

Preventive Care and Wellness (Component-level weighted)

Manifest Examples

Manifests are used to communicate sets of measures together with all the information about their use. See the Manifest topic for more information on these examples:

• Manifest - Initial Draft
• Manifest - Final Draft
• Manifest - Release

Test Case examples

The sections provide examples of test cases

• Simple Test Case - Example test case illustrating expected input parameters and expected output results given those input parameters.
• Bundled Test Case - Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.