Quality Measure Implementation Guide
2.0.0 - STU 2 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 2.0.0 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

Measure: Multi-Rate Example Measure (Experimental)

Official URL: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR Version: 2.0.0
Standards status: Informative Computable Name: MultiRateExample
Other Identifiers: OID:2.16.840.1.113883.4.642.40.61.29.12

Usage: Clinical Venue: EC

This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases

Metadata
Title Multi-Rate Example Measure
Version 2.0.0
Identifier urn:oid:2.16.840.1.113883.4.642.40.61.29.12
Experimental true
Subject Type http://hl7.org/fhir/resource-types#Location
Use Context Clinical Venue = EC
Jurisdiction http://unstats.un.org/unsd/methods/m49/m49.htm#001
Steward (Publisher) HL7 International / Clinical Quality Information
Description

This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases
Measure Basis Patient
Contents Metadata
Contents
Measure Rates (Groups)
Supplemental Data
Measure Logic
Population Criteria
Logic Definitions
Terminology
Dependencies
Data Requirements
Measure Rates (Groups)
Measure Rate (Group) (ID: Patients)
Basis Patient
Scoring http://terminology.hl7.org/CodeSystem/measure-scoring#continuous-variable
Improvement Notation http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase
Type http://terminology.hl7.org/CodeSystem/measure-type#structure
Risk Adjustment N/A
Rate Aggregation N/A
Initial Population ID: primary-multirateexample-initial-population
Description:

Total number of patients

Criteria: Patients
Measure Population ID: primary-multirateexample-patients
Description:

Total number of patients

Criteria: Patients
Measure Observation ID: primary-multirateexample-tonumber
Description:

Total number of patients

Criteria: ToNumber Aggregate method: sum
Measure Rate (Group) (ID: Practitioners)
Basis PractitionerRole
Scoring http://terminology.hl7.org/CodeSystem/measure-scoring#continuous-variable
Improvement Notation http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase
Type http://terminology.hl7.org/CodeSystem/measure-type#structure
Risk Adjustment N/A
Rate Aggregation N/A
Initial Population ID: primary-multirateexample-initial-population
Description:

Total number of practitioners

Criteria: Practitioners
Measure Population ID: primary-multirateexample-measure-population
Description:

Total number of practitioners

Criteria: Practitioners
Measure Observation ID: primary-multirateexample-measure-observation
Description:

Total number of practitioners

Criteria: ToNumber Aggregate method: sum
Measure Rate (Group) (ID: Beds)
Basis Device
Scoring http://terminology.hl7.org/CodeSystem/measure-scoring#continuous-variable
Improvement Notation http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase
Type http://terminology.hl7.org/CodeSystem/measure-type#structure
Risk Adjustment N/A
Rate Aggregation N/A
Initial Population ID: primary-multirateexample-beds-initial-population
Description:

Total number of beds

Criteria: Beds
Measure Population ID: primary-multirateexample-beds-measure-population
Description:

Total number of beds

Criteria: Beds
Measure Observation ID: primary-multirateexample-beds-measure-observation-population
Description:

Total number of beds

Criteria: ToNumber Aggregate method: sum
Measure Rate (Group) (ID: Screening-procedures)
Basis Procedure
Scoring http://terminology.hl7.org/CodeSystem/measure-scoring#continuous-variable
Improvement Notation http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase
Type http://terminology.hl7.org/CodeSystem/measure-type#structure
Risk Adjustment N/A
Rate Aggregation N/A
Initial Population ID: primary-multirateexample-procedures-initial-population
Description:

Total number of screening procedures

Criteria: Screening Procedures
Measure Population ID: primary-multirateexample-procedures-measure-population
Description:

Total number of screening procedures

Criteria: Screening Procedures
Measure Observation ID: primary-multirateexample-procedures-measure-observation-population
Description:

Total number of screening procedures

Criteria: ToNumber Aggregate method: sum
Measure Rate (Group) (ID: patient-screenings)
Basis Patient
Scoring http://terminology.hl7.org/CodeSystem/measure-scoring#proportion
Improvement Notation http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase
Type http://terminology.hl7.org/CodeSystem/measure-type#process
Risk Adjustment N/A
Rate Aggregation N/A
Initial Population ID: primary-multirateexample-patients-initial-population
Description:

Patients

Criteria: Initial Population
Denominator ID: primary-multirateexample-patients-denominator
Description:

Eligible patients

Criteria: Denominator
Numerator ID: primary-multirateexample-patients-numerator
Description:

Patients with screening

Criteria: Numerator
Measure Rate (Group) (ID: weighted-average-capacity)
Scoring http://terminology.hl7.org/CodeSystem/measure-scoring#composite
Improvement Notation http://terminology.hl7.org/CodeSystem/measure-improvement-notation#increase
Composite Scoring http://terminology.hl7.org/CodeSystem/composite-measure-scoring#weighted
Component Resource: Multi-Rate Example Measure
Canonical URL: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
Component Resource: Multi-Rate Example Measure
Canonical URL: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
Component Resource: Multi-Rate Example Measure
Canonical URL: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
Component Resource: Multi-Rate Example Measure
Canonical URL: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
Type http://terminology.hl7.org/CodeSystem/measure-type#structure
Risk Adjustment N/A
Rate Aggregation N/A
Supplemental Data Elements
Measure Logic
Primary Library Multi Rate Example Logic Library
Population Criteria
Measure Rate (Group) (ID: Patients)
Initial Population 
// Number of patients
define "Patients":
  [Patient]
Definition
Measure Population 
// Number of patients
define "Patients":
  [Patient]
Definition
Measure Observation 
define function ToNumber(patient Patient):
  if patient is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(practitionerRole PractitionerRole):
  if practitionerRole is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(device Device):
  if device is not null then 1 else 0
Definition
Measure Rate (Group) (ID: Practitioners)
Initial Population 
// Number of practitioners
define "Practitioners":
  [PractitionerRole]
Definition
Measure Population 
// Number of practitioners
define "Practitioners":
  [PractitionerRole]
Definition
Measure Observation 
define function ToNumber(patient Patient):
  if patient is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(practitionerRole PractitionerRole):
  if practitionerRole is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(device Device):
  if device is not null then 1 else 0
Definition
Measure Rate (Group) (ID: Beds)
Initial Population 
// Number of beds
define "Beds":
  [Device: "Bed Device Types"]
Definition
Measure Population 
// Number of beds
define "Beds":
  [Device: "Bed Device Types"]
Definition
Measure Observation 
define function ToNumber(patient Patient):
  if patient is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(practitionerRole PractitionerRole):
  if practitionerRole is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(device Device):
  if device is not null then 1 else 0
Definition
Measure Rate (Group) (ID: Screening-procedures)
Initial Population 
// Number of screening procedures
define "Screening Procedures":
  [Procedure: "Screening Procedure Types"]
Definition
Measure Population 
// Number of screening procedures
define "Screening Procedures":
  [Procedure: "Screening Procedure Types"]
Definition
Measure Observation 
define function ToNumber(patient Patient):
  if patient is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(practitionerRole PractitionerRole):
  if practitionerRole is not null then 1 else 0
Definition
Measure Observation 
define function ToNumber(device Device):
  if device is not null then 1 else 0
Definition
Measure Rate (Group) (ID: patient-screenings)
Initial Population 
// Percentage of patients who received screening
define "Initial Population":
  "Patients"
Definition
Denominator 
define "Denominator":
  "Patients" P
    where P.gender = 'female'
Definition
Numerator 
define "Numerator":
  "Patients" P
    with "Screening Procedures" SP
      such that P.id = Last(Split(SP.subject.reference, '/'))
Definition
Measure Rate (Group) (ID: weighted-average-capacity)
Logic Definitions
Logic Definition Library Name: MultiRateExample 
// Number of practitioners
define "Practitioners":
  [PractitionerRole]
Logic Definition Library Name: MultiRateExample 
// Number of patients
define "Patients":
  [Patient]
Logic Definition Library Name: MultiRateExample 
// Number of screening procedures
define "Screening Procedures":
  [Procedure: "Screening Procedure Types"]
Logic Definition Library Name: MultiRateExample 
define "Numerator":
  "Patients" P
    with "Screening Procedures" SP
      such that P.id = Last(Split(SP.subject.reference, '/'))
Logic Definition Library Name: MultiRateExample 
define "Denominator":
  "Patients" P
    where P.gender = 'female'
Logic Definition Library Name: MultiRateExample 
// Percentage of patients who received screening
define "Initial Population":
  "Patients"
Logic Definition Library Name: MultiRateExample 
// Number of beds
define "Beds":
  [Device: "Bed Device Types"]
Logic Definition Library Name: MultiRateExample 
define function ToNumber(patient Patient):
  if patient is not null then 1 else 0
Logic Definition Library Name: MultiRateExample 
define function ToNumber(practitionerRole PractitionerRole):
  if practitionerRole is not null then 1 else 0
Logic Definition Library Name: MultiRateExample 
define function ToNumber(device Device):
  if device is not null then 1 else 0
Logic Definition Library Name: FHIRHelpers 
define function ToString(value string): value.value
Logic Definition Library Name: FHIRHelpers 
define function ToString(value AdministrativeGender): value.value
Terminology
Value Set Description: Value set Screening Procedure Types
Resource: http://example.org/fhir/ValueSet/TBD
Canonical URL: http://example.org/fhir/ValueSet/TBD
Dependencies
Dependency Description: FHIR model information
Resource: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1
Dependency Description: Library FHIRHelpers
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Data Requirements
Data Requirement Type: PractitionerRole
Profile(s): PractitionerRole
Data Requirement Type: Patient
Profile(s): Patient
Must Support Elements: id, gender
Data Requirement Type: Procedure
Profile(s): Procedure
Must Support Elements: code, subject, subject.reference
Code Filter(s):
Path: code
ValueSet: http://example.org/fhir/ValueSet/TBD
Data Requirement Type: Device
Profile(s): Device
Must Support Elements: type
Code Filter(s):
Path: type
ValueSet: http://example.org/fhir/ValueSet/TBD
Generated using version 0.5.6 of the sample-content-ig Liquid templates