{
"description": "This example illustrates a continuous variable measure represented as a FHIR eCQM",
"_filename": "example/Measure-measure-exm55-FHIR.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2021-04-03",
"group": [ {
"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"
}
}, {
"code": {
"coding": [ {
"code": "measure-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Measure Population"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Measure Population"
}
}, {
"code": {
"coding": [ {
"code": "measure-population-exclusion",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Measure Population Exclusion"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Measure Population Exclusion"
}
}, {
"code": {
"coding": [ {
"code": "measure-observation",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Measure Observation"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Measure Observation"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference",
"valueString": "measure-population-identifier"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
"valueCode": "median"
} ]
} ],
"stratifier": [ {
"code": {
"coding": [ {
"display": "Stratification 1"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Stratification 1"
}
}, {
"code": {
"coding": [ {
"display": "Stratification 2"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Stratification 2"
}
}, {
"code": {
"coding": [ {
"display": "Stratification 3"
} ]
},
"criteria": {
"language": "text/cql.identifier",
"expression": "Stratification 3"
}
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
},
"publisher": "Clinical Quality Information WG",
"approvalDate": "2019-03-08",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "EXM55",
"useContext": [ {
"code": {
"code": "program",
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
},
"valueCodeableConcept": {
"coding": [ {
"code": "eh-cah",
"system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs",
"display": "EH/CAH"
} ]
}
} ],
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"topic": [ {
"coding": [ {
"code": "57024-2",
"system": "http://loinc.org",
"display": "Health Quality Measure Document"
} ]
} ],
"resourceType": "Measure",
"title": "Median ED Visit Duration",
"library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55" ],
"package_version": "2.1.0",
"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"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Stratification 3",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Inpatient Encounter",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Stratification 2",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Measure Population Exclusion",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Stratification 1",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Measure Population",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "id"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "billing",
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"display": "Billing"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Stratification 3"
}, {
"url": "statement",
"valueString" : "define \"Stratification 3\":\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter) is null"
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Inpatient Encounter"
}, {
"url": "statement",
"valueString" : "define \"Inpatient Encounter\":\n [\"Encounter\"] Encounter\n where LengthInDays(Encounter.period) <= 120\n and Encounter.period ends during \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Stratification 2"
}, {
"url": "statement",
"valueString" : "define \"Stratification 2\":\n \"Inpatient Encounter\" Encounter\n where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\""
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Measure Population Exclusion"
}, {
"url": "statement",
"valueString" : "define \"Measure Population Exclusion\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\": \"Emergency Department Visit\"] ED\n such that ED.period ends 1 hour or less before start of Encounter.period\n and ED.status = 'finished'\n and ED.hospitalization.admitSource in \"Hospital Settings\""
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Stratification 1"
}, {
"url": "statement",
"valueString" : "define \"Stratification 1\":\n \"Inpatient Encounter\" Encounter\n where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")"
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString" : "define \"Initial Population\" :\n \"Inpatient Encounter\" Encounter\n with [\"Encounter\": \"Emergency Department Visit\"] ED\n such that ED.status = 'finished'\n and ED.period ends 1 hour or less before start of Encounter.period"
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "EXM55"
}, {
"url": "name",
"valueString": "Measure Population"
}, {
"url": "statement",
"valueString" : "define \"Measure Population\":\n \"Initial Population\""
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
} ],
"status": "active",
"id": "dbd3383e-5c3c-48a6-a331-c97fbaad0752",
"kind": null,
"url": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm55-FHIR",
"identifier": [ {
"use": "official",
"value": "55",
"system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
} ],
"lastReviewDate": "2019-03-08",
"scoring": {
"coding": [ {
"code": "continuous-variable",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"display": "Continuous Variable"
} ]
},
"version": "5.0.0",
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Code system Diagnosis Role",
"resource": "http://terminology.hl7.org/CodeSystem/diagnosis-role"
}, {
"type": "depends-on",
"display": "Value set Psychiatric/Mental Health Patient",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299"
}, {
"type": "depends-on",
"display": "Value set Emergency Department Visit",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"
}, {
"type": "depends-on",
"display": "Value set Hospital Settings",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126"
} ],
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi/index.cfm",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "decrease",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"display": "Decreased score indicates improvement"
} ]
},
"effectivePeriod": {
"end": "2018-12-31",
"start": "2018-01-01"
}
}