Quality Measure Implementation Guide
1.0.0 - STU 1 International flag

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 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

: Terminology FHIR - XML Representation

Page standards status: Informative

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<Measure xmlns="http://hl7.org/fhir">
  <id value="Terminology-FHIR"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cohortmeasure"/>
    <profile
             value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"/>
    <profile
             value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header">Metadata</th>


</tr>

<tr>


<th scope="row" class="row-header">Title</th>


<td class="content-container">Terminology FHIR</td>
</tr>



<tr>


<th scope="row" class="row-header">Version</th>


<td class="content-container">1.0.0</td>
</tr>







  
<tr>


<th scope="row" class="row-header">Identifier</th>


<td class="content-container">Terminology_FHIR</td>
</tr>


  
<tr>


<th scope="row" class="row-header">Identifier</th>


<td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.61.29.19</td>
</tr>



  
    
    
<tr>


<th scope="row" class="row-header">Effective Period</th>


<td class="content-container">2018-01-01 through 2018-12-31</td>
</tr>

  


<tr>


<th scope="row" class="row-header">Approval Date</th>


<td class="content-container">2019-03-08</td>
</tr>


<tr>


<th scope="row" class="row-header">Last Review Date</th>


<td class="content-container">2019-03-08</td>
</tr>




<tr>


<th scope="row" class="row-header">Experimental</th>


<td class="content-container">true</td>
</tr>





<tr>


<th scope="row" class="row-header">Jurisdiction</th>


<td class="content-container"><span title="Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}">Global (Whole world)</span></td>
</tr>


<tr>


<th scope="row" class="row-header">Topic</th>


<td class="content-container"><span title="Codes:{http://loinc.org 57024-2}">Health Quality Measure Document</span></td>
</tr>







<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>


<td class="content-container">HL7 International / Clinical Quality Information</td>
</tr>









<tr>


<th scope="row" class="row-header">Description</th>


<td class="content-container"><div><p>This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM</p>
</div></td>
</tr>






  
<tr>


<th scope="row" class="row-header">Measure Basis</th>


<td class="content-container">Encounter</td>
</tr>



<tr>


<th scope="row" class="row-header">Measure Scoring</th>


<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}">Cohort</span></td>
</tr>





<tr>


<th scope="row" class="row-header">Measure Type</th>


<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}">Process</span></td>
</tr>






<tr>


<th scope="row" class="row-header">Improvement Notation</th>


<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}">Decreased score indicates improvement</span></td>
</tr>









  
  
  
    
    <tr>


<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: primary)</th>


</tr>
  
  
  









  
  
    
    
    <tr>
      
        

<th scope="row" class="row-header">Initial Population</th>


      
      <td class="content-container">
        
        <em>ID</em>: primary-terminology-initial-population
        <br/>
        
        
          
          <em>Description</em>: No description provided
          
        
        
          
            
              
              <em>Criteria</em>: <a href="#primary-primary-terminology-initial-population">Initial Population</a> 
            
          
          
        
        
        
      </td>
    </tr>
  

  





<tr>


<th colspan="2" scope="row" class="row-header">Measure Logic</th>


</tr>

<tr>


<th scope="row" class="row-header">Primary Library</th>


<td class="content-container"><a href="Library-Terminology.html">Terminology Library</a></td>
</tr>




<tr>
  <th scope="row" class="row-header">Contents</th>
  <td class="content-container">
    <em><a href="#population-criteria">Population Criteria</a></em>
    <br/>
    <em><a href="#definitions">Logic Definitions</a></em>
    <br/>
    <em><a href="#terminology">Terminology</a></em>
    <br/>
    <em><a href="#dependencies">Dependencies</a></em>
    <br/>
    <em><a href="#data-requirements">Data Requirements</a></em>
    <br/>
  </td>
</tr>


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>


</tr>
  
  
  

  
  
  
    
    <tr>


<th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: primary)</th>


</tr>
  
  
  
  
    
      
        
          
        
          
            
              
            
            
            
            <tr>
  <th scope="row" rowspan="2" class="row-header">
    
    Initial Population
    
  </th>
</tr>
<tr>

  <td>
    
    
    
    
      
      <a name="primary-primary-terminology-initial-population"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;:
  &quot;Inpatient Encounter&quot;</code></pre>
    
      
      <a href="#terminology-initial-population"><em>Definition</em></a>
    
  </td>

</tr>

          
        
          
        
      
    
  

  
  

  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>


</tr>
  
  
          
        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> Terminology</td>

</tr>
<tr>

  <td>
    
    
    
    
      <a name="terminology-inpatient-encounter"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Inpatient Encounter&quot;:
  [&quot;Encounter&quot;: type in &quot;Encounter Inpatient SNOMEDCT Value Set&quot;] E
    where E.status = 'finished'</code></pre>
  </td>

</tr>



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> Terminology</td>

</tr>
<tr>

  <td>
    
    
    
    
      <a name="terminology-initial-population"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;:
  &quot;Inpatient Encounter&quot;</code></pre>
  </td>

</tr>



        




        
        



        



        


<tr>
  <th scope="row" rowspan="2" class="row-header">
    Logic Definition
  </th>

  <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

</tr>
<tr>

  <td>
    
    
    
    
      <a name="fhirhelpers-tostring"> </a>
    
    <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value EncounterStatus): value.value</code></pre>
  </td>

</tr>





  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>


</tr>
  
  
  

 


<tr>
  
  

<th scope="row" class="row-header">Value Set</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: Value set Encounter Inpatient SNOMEDCT Value Set
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.7.307|20160929/expansion">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</tt>
    
  </td>
</tr>
 


  
  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>


</tr>
  
  
  


<tr>
  

<th scope="row" class="row-header">Dependency</th>


  <td class="content-container">
    
    <em>Description</em>: Library FHIRHelpers
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIRHelpers.html">http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</tt>
    
  </td>
</tr>
 

 


  
  


  <tr>


<th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>Data Requirements</th>


</tr>
  
  
  
<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Encounter
    <br/>
  
    <em>Profile(s)</em>: 
  
    <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>
    <br/>        
  
   
   
    <em>Must Support Elements</em>: type, status
    <br/>
   
  
    <em>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: type</span>
    <br/>
  
  
  
    <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.7.307|20160929/expansion">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</a>
    <br/> 
  
  
  
   
  </td>
</tr>

  
  

<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.9 of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="Terminology"/>
        </extension>
        <extension url="name">
          <valueString value="Inpatient Encounter"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Inpatient Encounter&quot;:
  [&quot;Encounter&quot;: type in &quot;Encounter Inpatient SNOMEDCT Value Set&quot;] E
    where E.status = 'finished'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="Terminology"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Initial Population&quot;:
  &quot;Inpatient Encounter&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
        <extension url="libraryName">
          <valueString value="FHIRHelpers"/>
        </extension>
        <extension url="name">
          <valueString value="ToString"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define function ToString(value EncounterStatus): value.value"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Encounter Inpatient SNOMEDCT Value Set"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"/>
      </relatedArtifact>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"/>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
    <valueCode value="Encounter"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" id="effective-data-requirements">
    <valueCanonical value="#effective-data-requirements"/>
  </extension>
  <url value="http://hl7.org/fhir/uv/cqm/Measure/Terminology-FHIR"/>
  <identifier>
    <use value="official"/>
    <system value="http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"/>
    <value value="Terminology_FHIR"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.61.29.19"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="Terminology_FHIR"/>
  <title value="Terminology FHIR"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2025-08-13"/>
  <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="This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <approvalDate value="2019-03-08"/>
  <lastReviewDate value="2019-03-08"/>
  <effectivePeriod>
    <start value="2018-01-01"/>
    <end value="2018-12-31"/>
  </effectivePeriod>
  <topic>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57024-2"/>
      <display value="Health Quality Measure Document"/>
    </coding>
  </topic>
  <library value="http://hl7.org/fhir/uv/cqm/Library/Terminology"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="cohort"/>
      <display value="Cohort"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="decrease"/>
      <display value="Decreased score indicates improvement"/>
    </coding>
  </improvementNotation>
  <group id="group-1">
    <extension
               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
      <valueString value="primary"/>
    </extension>
    <population>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
        <valueString value="primary-terminology-initial-population"/>
      </extension>
      <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>
  </group>
</Measure>