{
"description": "An example FHIR-based measure",
"_filename": "example/Measure-measure-exm.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2019-02-17T00:00:00+00:00",
"group": [ {
"id": "group-1",
"population": [ {
"id": "initial-population-1",
"code": {
"coding": [ {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Initial Population"
} ]
},
"criteria": {
"language": "text/cql",
"expression": "Initial Population 1"
}
}, {
"id": "numerator-1",
"code": {
"coding": [ {
"code": "numerator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Numerator"
} ]
},
"criteria": {
"language": "text/cql",
"expression": "Numerator 1"
}
}, {
"id": "denominator-1",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql",
"expression": "Denominator 1"
}
} ],
"stratifier": [ {
"id": "stratifier-1-1",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 1-1"
}
}, {
"id": "stratifier-1-2",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 1-2"
}
}, {
"id": "stratifier-1-3",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 1-3"
}
}, {
"id": "stratifier-1-4",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 1-4"
}
} ]
}, {
"id": "group-2",
"population": [ {
"id": "initial-population-2",
"code": {
"coding": [ {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Initial Population"
} ]
},
"criteria": {
"language": "text/cql",
"expression": "Initial Population 2"
}
}, {
"id": "numerator-2",
"code": {
"coding": [ {
"code": "numerator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Numerator"
} ]
},
"criteria": {
"language": "text/cql",
"expression": "Numerator 2"
}
}, {
"id": "denominator-2",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql",
"expression": "Denominator 2"
}
} ],
"stratifier": [ {
"id": "stratifier-2-1",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 2-1"
}
}, {
"id": "stratifier-2-2",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 2-2"
}
}, {
"id": "stratifier-2-3",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 2-3"
}
}, {
"id": "stratifier-2-4",
"criteria": {
"language": "text/cql",
"expression": "Stratifier 2-4"
}
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm" ],
"versionId": "2",
"lastUpdated": "2019-11-06T23:55:48.200+00:00"
},
"publisher": "Example Measure Publisher",
"approvalDate": "2019-02-17",
"disclaimer": "Example disclaimer",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"purpose": "The purpose of this measure is to...",
"name": "MeasureEXM",
"_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"
},
"valueCodeableConcept": {
"text": "eligible-provider"
}
} ],
"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 Measure",
"supplementalData": [ {
"id": "sde-ethnicity",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql",
"expression": "SDE Ethnicity"
}
}, {
"id": "sde-race",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql",
"expression": "SDE Race"
}
}, {
"id": "sde-payer",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql",
"expression": "SDE Payer"
}
}, {
"id": "sde-sex",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql",
"expression": "SDE Sex"
}
} ],
"library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/exm-logic" ],
"package_version": "1.1.0",
"author": [ {
"name": "Example Measure Content Developer"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment",
"extension": [ {
"url": "type",
"valueCode": "documentation"
}, {
"url": "text",
"valueString": "This illustrates an example comment"
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode": "boolean"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation",
"valueMarkdown": "Additional guidance for allocation"
} ],
"usage": "Users of this measure should be aware of...",
"rationale": "Rationale for this measure is...",
"status": "active",
"id": "1c87034f-cca2-4031-851f-c7f4460ce36d",
"kind": null,
"url": "http://example.org/fhir/measures/measure-exm",
"identifier": [ {
"value": "EXM",
"system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
} ],
"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": "1.1.0",
"relatedArtifact": [ {
"type": "documentation",
"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.",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean": true
} ]
}, {
"type": "documentation",
"citation": "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean": true
} ]
}, {
"type": "documentation",
"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.",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation",
"valueBoolean": true
} ]
} ],
"contact": [ {
"telecom": [ {
"value": "http://www.example.org/",
"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": "2018-12-31T00:00:00+00:00",
"start": "2018-01-01T00:00:00+00:00",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor",
"valueDateTime": "2018-01-01T00:00:00+00:00"
}, {
"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..."
}