Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot
Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot
Data Exchange For Quality Measures 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/davinci-deqm/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
{
"resourceType" : "Measure",
"id" : "FHIRPath-example",
"language" : "en",
"text" : {
"status" : "extensions",
"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\">FHIRPath-example</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\">Example of a Measure using FHIRPath</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Draft</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>This measure exemplifies use of FHIRPath expressions in a FHIR Measure</p>\n</div></td>\n</tr>\n\n\n\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 focus}\">Clinical Focus</span> = <span title=\"Codes:{http://snomed.info/sct 840539006}\">COVID-19</span></td>\n</tr>\n\n\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\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page\n \n <br/>\n \n \n \n \n <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/</a>\n \n <br/>\n \n \n \n <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/\n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Importing COVID-19 Patient Module Denominator data for Patient Safety Component\n \n <br/>\n \n \n \n \n <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf</a>\n \n <br/>\n \n \n \n <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf\n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)\n \n <br/>\n \n \n \n \n <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf</a>\n \n <br/>\n \n \n \n <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf\n \n \n \n </td>\n</tr>\n\n<tr>\n \n \n<th scope=\"row\" class=\"row-header\">Documentation</th>\n\n \n \n \n \n <td class=\"content-container\">\n \n <em>Description</em>: CDC/NHSN COVID-19 Reporting CSV File Template\n \n <br/>\n \n \n \n \n <em>Content URL</em>: <a href=\"https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv\">https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv</a>\n \n <br/>\n \n \n \n <em>Document</em>: null @ https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv\n \n \n \n </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\">1.0.0-ballot</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 Population Criteria</th>\n\n</tr>\n \n \n \n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Mechanical Ventilators</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Count of all ventilators that can support patient care, whether or not they are presently in use.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Mechanical Ventilators in Use</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Count of all ventilators in use.</p>\n \n \n \n \n </td>\n </tr>\n \n\n \n <tr>\n \n \n<th scope=\"row\" class=\"row-header\">Mechanical Ventilators Available</th>\n\n \n <td class=\"content-container\">\n \n \n <em>Description</em>:\n <p style=\"white-space: pre-line\" class=\"tab-one\">Count of all ventilators not presently in use.</p>\n \n \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\"><code>http://example.org/fhir/Library/FHIRPath-example</code></td>\n</tr>\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>"
},
"url" : "http://hl7.org/fhir/uv/deqm/Measure/FHIRPath-example",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.42.29.4"
}
],
"version" : "1.0.0-ballot",
"name" : "FHIRPath-example",
"title" : "Example of a Measure using FHIRPath",
"status" : "draft",
"experimental" : true,
"date" : "2024-05-18T21:25:01+00:00",
"publisher" : "HL7 International / Clinical Quality Information",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "This measure exemplifies use of FHIRPath expressions in a FHIR Measure",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "840539006",
"display" : "COVID-19"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"relatedArtifact" : [
{
"type" : "documentation",
"label" : "NHSN COVID-19 Reporting",
"display" : "CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"
}
},
{
"type" : "documentation",
"label" : "How to import COVID-19 Summary Data",
"display" : "Importing COVID-19 Patient Module Denominator data for Patient Safety Component",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"
}
},
{
"type" : "documentation",
"label" : "Table of Instructions",
"display" : "Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"
}
},
{
"type" : "documentation",
"label" : "CSV File Template",
"display" : "CDC/NHSN COVID-19 Reporting CSV File Template",
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv",
"document" : {
"url" : "https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"
}
}
],
"library" : [
"http://example.org/fhir/Library/FHIRPath-example"
],
"group" : [
{
"extension" : [
{
"extension" : [
{
"url" : "subject",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Device"
},
{
"system" : "http://snomed.info/sct",
"code" : "257463002",
"display" : "Ventilator Outlet"
}
],
"text" : "Ventilator capacity"
}
},
{
"url" : "scoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "capacity"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "structure"
}
]
}
},
{
"url" : "improvementNotation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "decrease"
}
]
}
},
{
"url" : "rateAggregation",
"valueString" : "point-in-time"
}
],
"url" : "http://example.org/fhir/MeasureGroupAttributes"
}
],
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "Ventilators",
"display" : "Ventilators"
}
],
"text" : "Ventilator Reporting"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "numVent",
"display" : "Mechanical Ventilators"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
],
"text" : "Total number of ventilators"
},
"description" : "Count of all ventilators that can support patient care, whether or not they are presently in use.",
"criteria" : {
"description" : "Computes the total number of ventilators from the previously reported MeasureReport",
"name" : "NumVent",
"language" : "text/fhirpath",
"expression" : "iif(trace('PriorReport exists:', %PriorReport.exists()), %PriorReport.group[3].population[0].count, 0)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "numVentUse",
"display" : "Mechanical Ventilators in Use"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
],
"text" : "Total number of ventilators in use"
},
"description" : "Count of all ventilators in use.",
"criteria" : {
"description" : "Identifies the number of ventilators in use by counting Patient with an Observation\n or Procedure resource from an appropriate value set indicating ventilator use.",
"name" : "NumVentUse",
"language" : "text/fhirpath",
"expression" : "findAll('Encounter',\n including('subject'),\n with('status').equalTo('in-progress'|'finished'),\n with('date').within(%ReportingPeriod)\n).onServers(%Base)\n.select(entry.resource as Patient)\n.where(\n iif(\n whereExists('Observation',\n with('status').equalTo('registered'|'preliminary'|'final'|'amended'|'corrected'),\n with('patient').equalTo($this.id),\n with('verificationStatus').notEqualTo('refuted'|'entered-in-error'),\n with('date').within(%ReportingPeriod),\n with('code').in(%VentilatorObservations.url)\n ).onServers(%Base)\n true,\n whereExists('Procedure',\n with('status').equalTo('in-progress'|'completed'),\n with('patient').equalTo($this.id),\n with('date').within(%ReportingPeriod),\n with('code').in(%VentilatorProcedures.url)\n ).onServers(%Base)\n )\n)"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "numVentAvail",
"display" : "Mechanical Ventilators Available"
},
{
"system" : "http://example.org/fhir/",
"code" : "numerator-complement"
}
],
"text" : "Total number of ventilators not presently in use."
},
"description" : "Count of all ventilators not presently in use.",
"criteria" : {
"description" : "Computes the number of ventilators available by substracting the number of ventilators in use\n determined by population 1 from thee total number of ventilators given in population 0",
"name" : "NumVentAvail",
"language" : "text/fhirpath",
"expression" : "%NumVent - %NumVentUse.total.toInteger()"
}
}
]
}
]
}
IG © 2020+ HL7 International / Clinical Quality Information.
Package hl7.fhir.uv.deqm#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-03-23
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