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

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Extension: CQM Risk Adjustment

Context of Use

This extension may be used on the following element(s)

• Element ID: Measure.group

Usage info

Usages:

• Use this Extension: CQM Computable Measure
• Examples for this Extension: MultiRateExample

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

• Differential Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..1	Extension(4.0.1)	How risk adjustment is applied for this measure
Extension.url		1..1	uri	"http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"
Extension.value[x]		0..1	string	Value of extension
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..1	Extension(4.0.1)	How risk adjustment is applied for this measure Constraints: ext-1
Extension.id		0..1	string	Unique id for inter-element referencing
Extension.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
Extension.url		1..1	uri	"http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"
Extension.value[x]		0..1	string	Value of extension
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	Extension, Extension.extension, Extension.value[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Extension, Extension.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Extension

Summary

Simple Extension with the type string: A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.

Maturity: 4

Differential View

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..1	Extension(4.0.1)	How risk adjustment is applied for this measure
Extension.url		1..1	uri	"http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"
Extension.value[x]		0..1	string	Value of extension
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..1	Extension(4.0.1)	How risk adjustment is applied for this measure Constraints: ext-1
Extension.id		0..1	string	Unique id for inter-element referencing
Extension.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
Extension.url		1..1	uri	"http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"
Extension.value[x]		0..1	string	Value of extension
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	Extension, Extension.extension, Extension.value[x]	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Extension, Extension.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Extension

Summary

Simple Extension with the type string: A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.

Maturity: 4

Other representations of profile: CSV, Excel, Schematron