{
"description": "An example FHIR-based publishable measure",
"_filename": "example/Measure-measure-publishable-exm.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2022-02-22",
"group": [ {
"id": "group-1",
"population": [ {
"id": "initial-population",
"code": {
"coding": [ {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Initial Population"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Initial Population"
}
}, {
"id": "numerator",
"code": {
"coding": [ {
"code": "numerator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Numerator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Numerator"
}
}, {
"id": "denominator",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator"
}
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
},
"publisher": "Clinical Quality Information WG",
"approvalDate": "2019-02-17",
"disclaimer": "Example disclaimer",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"purpose": "The purpose of this measure is to...",
"name": "PublishableMeasureEXM",
"_definition": [ {
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm",
"extension": [ {
"url": "term",
"valueString": "Term"
}, {
"url": "definition",
"valueMarkdown": "A term used in the measure that bears clearly definition to communicate the measure intent"
} ]
} ]
} ],
"useContext": [ {
"code": {
"code": "program",
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
},
"valueCodeableConcept": {
"text": "eligible-provider",
"coding": [ {
"code": "ep-ec",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"
} ]
}
} ],
"copyright": "Example Copyright Statement",
"guidance": "Additional guidance provided to help communicate the intent of the measure",
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"topic": [ {
"text": "Health Quality Measure Document",
"coding": [ {
"code": "57024-2",
"system": "http://loinc.org"
} ]
} ],
"resourceType": "Measure",
"title": "EXM Publishable Measure",
"supplementalData": [ {
"id": "sde-ethnicity",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Ethnicity"
}
}, {
"id": "sde-race",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Race"
}
}, {
"id": "sde-payer",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Payer"
}
}, {
"id": "sde-sex",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Sex"
}
} ],
"library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXMPublishableLibrary" ],
"package_version": "4.0.0-ballot",
"author": [ {
"name": "Example Measure Content Developer"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode": "Encounter"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
"valueReference": {
"reference": "Device/software-system-example"
}
}, {
"id": "effective-data-requirements",
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference": {
"reference": "#effective-data-requirements"
}
} ],
"contained": [ {
"date": "2022-02-22T10:37:03-07:00",
"dataRequirement": [ {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
"mustSupport": [ "extension", "value", "url" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"mustSupport": [ "period" ]
}, {
"type": "Coverage",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
} ],
"mustSupport": [ "period", "type" ]
} ],
"name": "EffectiveDataRequirements",
"type": {
"coding": [ {
"code": "module-definition",
"system": "http://terminology.hl7.org/CodeSystem/library-type"
} ]
},
"resourceType": "Library",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXMPublishableLibrary"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end"
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXMPublishableLibrary"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\": [Coverage: type in \"Payer\"] Payer return { code: Payer.type, period: Payer.period }"
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXMPublishableLibrary"
}, {
"url": "name",
"valueString": "Inpatient Encounter"
}, {
"url": "statement",
"valueString" : "define \"Inpatient Encounter\": [\"Encounter\"] Encounter where LengthInDays(Encounter.period) <= 120 and Encounter.period ends during \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXMPublishableLibrary"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString" : "define \"Initial Population\": \"Inpatient Encounter\" Encounter"
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXMPublishableLibrary"
}, {
"url": "name",
"valueString": "SDE Ethnicity"
}, {
"url": "statement",
"valueString": "define \"SDE Ethnicity\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXMPublishableLibrary"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
} ],
"status": "active",
"id": "effective-data-requirements",
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Value set Payer",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
} ],
"parameter": [ {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "SDE Sex",
"type": "Coding"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Payer",
"type": "Resource"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "Encounter"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Ethnicity",
"type": "Coding"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Race",
"type": "Coding"
} ]
} ],
"usage": "Users of this measure should be aware of...",
"rationale": "Rationale for this measure is...",
"status": "active",
"id": "00119afd-d42a-41f8-a961-519e8b269b57",
"kind": null,
"url": "http://example.org/fhir/measures/publishable-measure-exm",
"identifier": [ {
"use": "usual",
"type": {
"coding": [ {
"code": "short-name",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"
} ]
},
"value": "EXM-123",
"system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
}, {
"use": "official",
"type": {
"coding": [ {
"code": "version-independent",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"
} ]
},
"value": "urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74",
"system": "urn:ietf:rfc:3986"
}, {
"use": "official",
"type": {
"coding": [ {
"code": "version-specific",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"
} ]
},
"value": "urn:uuid:b366f29b-347f-464e-8064-c83842d825c7",
"system": "urn:ietf:rfc:3986"
}, {
"use": "official",
"type": {
"coding": [ {
"code": "endorser",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"
} ]
},
"value": "NQF-123",
"system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf",
"assigner": {
"display": "NQF"
}
}, {
"use": "official",
"type": {
"coding": [ {
"code": "publisher",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"
} ]
},
"value": "CMS-123",
"system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms",
"assigner": {
"display": "CMS"
}
} ],
"lastReviewDate": "2019-02-17",
"riskAdjustment": "Risk adjustment for this measure is performed by...",
"scoring": {
"coding": [ {
"code": "proportion",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"display": "Proportion"
} ]
},
"version": "2.0.0",
"relatedArtifact": [ {
"url": "https://pubmed.ncbi.nlm.nih.gov/16278359/",
"type": "citation",
"citation": "Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. \"Antibiotic treatment of children with sore throat.\" JAMA 294(18):2315-2322.",
"document": {
"url": "https://pubmed.ncbi.nlm.nih.gov/16278359/"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean": true
} ]
}, {
"url": "https://pubmed.ncbi.nlm.nih.gov/23091044/",
"type": "citation",
"citation": "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"",
"document": {
"url": "https://pubmed.ncbi.nlm.nih.gov/23091044/"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean": true
} ]
}, {
"url": "https://pubmed.ncbi.nlm.nih.gov/19739972/",
"type": "citation",
"citation": "Roberts, R.R., B. Hota, I. Ahmad, et al. \"Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.\" Clin Infect Dis. Oct 2009; 49(8):1175-84.",
"document": {
"url": "https://pubmed.ncbi.nlm.nih.gov/19739972/"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean": true
} ]
}, {
"url": "http://example.org/publications/1234",
"type": "citation",
"citation": "Example citation to draft publication",
"document": {
"url": "http://example.org/publications/1234"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus",
"valueCode": "draft"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate",
"valueDate": "2019-01-01"
} ]
} ],
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"display": "Increased score indicates improvement"
} ]
},
"rateAggregation": "Rate aggregation for this measure is performed by...",
"effectivePeriod": {
"end": "2018-12-31",
"start": "2018-01-01",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor",
"valueDateTime": "2018-01-01"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration",
"valueDuration": {
"code": "a",
"value": 1,
"system": "http://unitsofmeasure.org"
}
} ]
},
"clinicalRecommendationStatement": "The clinical recommendation statement for this measure is..."
}