<?xml version="1.0" encoding="utf-8"?>
<?xml-stylesheet type="text/xsl" href="eMeasure.xsl"?>
<!-- The following sample measure is provided for illustration purposes only. It is a draft, awaiting formal validation by the measure steward. -->
<QualityMeasureDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 ..\xsd\Schemas\EMeasure.xsd">
	<!-- 
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eMeasure Header
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	<typeId root="2.16.840.1.113883.1.3" extension="POQM_HD000001"/>
	<id root="88414c01-715a-45bb-83bb-db7ac860fe9d"/>
	<code code="57024-2" codeSystem="2.16.840.1.113883.6.1" displayName="Health Quality Measure document"/>
	<title>(DRAFT) Body Mass Index (BMI) 2 through 18 years of age</title>
	<text>Percentage children, 2 through 18 years of age, whose weight is classified based on BMI percentile for age and gender.</text>
	<statusCode code="active"/>
	<setId root="88414c01-715a-45bb-83bb-db7ac860fe9a" extension="BMI"/>
	<versionNumber value="1"/>
	<author typeCode="AUT">
      <assignedPerson classCode="ASSIGNED">
      			<representedOrganization classCode="ORG" determinerCode="INSTANCE">
				<id root="2.16.840.1.113883.19.5"/>
				<name>National Initiative for Children's Healthcare Quality</name>
				<contactParty classCode="CON" nullFlavor="UNK"/>
			</representedOrganization>
      </assignedPerson>
	</author>
	<custodian typeCode="CST">
      <assignedPerson classCode="ASSIGNED">
  			<representedOrganization classCode="ORG" determinerCode="INSTANCE">
				<id root="2.16.840.1.113883.19.5"/>
				<name>National Initiative for Children's Healthcare Quality</name>
				<contactParty classCode="CON" nullFlavor="UNK"/>
			</representedOrganization>
		</assignedPerson>
	</custodian>
	<verifier typeCode="VRF">
      <assignedPerson classCode="ASSIGNED">
  			<representedOrganization classCode="ORG" determinerCode="INSTANCE">
				<id root="2.16.840.1.113883.19.5"/>
				<name>National Initiative for Children's Healthcare Quality</name>
				<contactParty classCode="CON" nullFlavor="UNK"/>
			</representedOrganization>
		</assignedPerson>
	</verifier>
	<verifier typeCode="VRF">
		<time value="20060501"/>
      <assignedPerson classCode="ASSIGNED">
  			<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  				<id root="2.16.840.1.113883.19.8"/>
				<name>National Quality Forum</name>
				<contactParty classCode="CON" nullFlavor="UNK"/>
			</representedOrganization>
		</assignedPerson>
	</verifier>
	<subjectOf>
		<measureAttribute>
			<code code="MSRIMPROV" codeSystem="2.16.840.1.113883.5.4" displayName="Improvement notation"/>
			<value xsi:type="ED" mediaType="text/plain">A higher percentage of times that BMI percentile is captured indicates greater attention to childhood obesity.</value>
		</measureAttribute>
	</subjectOf>
	<subjectOf>
		<measureAttribute>
			<code code="MSRSCORE" codeSystem="2.16.840.1.113883.5.4" displayName="Measure scoring"/>
			<value xsi:type="CD" code="PROPOR" codeSystem="2.16.840.1.113883.5.1063" displayName="Proportion"/>
		</measureAttribute>
	</subjectOf>
	<subjectOf>
		<measureAttribute>
			<code code="MSRTYPE" codeSystem="2.16.840.1.113883.5.4" displayName="Measure type"/>
			<value xsi:type="CD" code="PROCESS" codeSystem="2.16.840.1.113883.5.1063" displayName="process"/>
		</measureAttribute>
	</subjectOf>
	<subjectOf>
		<measureAttribute>
			<code code="RAT" codeSystem="2.16.840.1.113883.5.4" displayName="Rationale"/>
			<value xsi:type="ED" mediaType="text/plain">Monitoring the recording of the BMI can capture the degree to which providers are looking at the appropriate indicator of obesity.</value>
		</measureAttribute>
	</subjectOf>
	<subjectOf>
		<measureAttribute>
			<code code="REF" codeSystem="2.16.840.1.113883.5.4" displayName="Reference"/>
			<value xsi:type="ED" mediaType="text/plain">http://aappolicy.aappublications.org/cgi/reprint/pediatrics;112/2/424.pdf</value>
		</measureAttribute>
	</subjectOf>
	<subjectOf>
		<measureAttribute>
			<code code="MSRADJ" codeSystem="2.16.840.1.113883.5.4" displayName="Risk adjustment"/>
			<value xsi:type="CD" displayName="none"/>
		</measureAttribute>
	</subjectOf>
	<!-- 
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eMeasure Body
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	<!-- 
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Data criteria section 
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-->
	<component>
		<section>
			<code code="57025-9" codeSystem="2.16.840.1.113883.6.1" displayName="Data Criteria section" />
			<title>Data criteria</title>
			<text>
				<list>
					<item>
						<content styleCode="Bold">Encounter: </content>
						An interaction between a patient and care provider(s) for the purpose of providing healthcare-related service(s).
					</item>
					<item>
						<content styleCode="Bold">Physical encounter: </content>
						An encounter, where encounter type &lt;= value set <content styleCode="Underline">BMIPhysicalEncounter (2.16.840.1.113883.11.20.2.1)</content>.
					</item>
					<item>
						<content styleCode="Bold">Physical encounter with principal encounter diagnosis of well child: </content>
						A physical encounter, where principal encounter diagnosis &lt;= SNOMED CT code 102506008 Well child.
					</item>
					<item>
						<content styleCode="Bold">BMI percentile measured: </content>
						A BMI percentile measurement that has been performed.
					</item>
					<item>
						<content styleCode="Bold">Age 2-18: </content>
						Age is greater than or equal to 2, and less than or equal to 18.
					</item>
				</list>
			</text>
			<entry typeCode="DRIV">
				<!-- Encounter -->
				<encounter classCode="ENC" moodCode="CRT">
					<id root="c751a8e3-73eb-11de-8a39-0800200c9a66"/>
					<text>An interaction between a patient and care provider(s) for the purpose of providing healthcare-related service(s). </text>
				</encounter>
			</entry>
			<entry typeCode="DRIV">
				<!-- Physical encounter -->
				<encounter classCode="ENC" moodCode="CRT">
					<id root="c751a8e1-73eb-11de-8a39-0800200c9a66"/>
					<code code="BMIPhysicalEncounterOID" displayName="BMIPhysicalEncounter"/>
				</encounter>
			</entry>
			<entry typeCode="DRIV">
				<!-- Physical encounter with principal encounter diagnosis of well child -->
				<encounter classCode="ENC" moodCode="EVN.CRT">
					<id root="c751a8e2-73eb-11de-8a39-0800200c9a66"/>
					<code code="BMIPhysicalEncounterOID" displayName="BMIPhysicalEncounter"/>
					<sourceOf typeCode="COMP">
						<observation classCode="OBS" moodCode="EVN.CRT">
							<code code="8319008" codeSystem="2.16.840.1.113883.6.96" displayName="Principal diagnosis"/>
							<value xsi:type="CD" displayName="X"/>
						</observation>
					</sourceOf>
				</encounter>
			</entry>
			<entry typeCode="DRIV">
				<!-- BMI percentile measured -->
				<observation classCode="OBS" moodCode="EVN.CRT">
					<id root="2b888760-73bb-11de-8a39-0800200c9a66"/>
					<code code="1111111x" codeSystem="2.16.840.1.113883.6.96" displayName="Body mass index percentile"/>
					<statusCode code="completed"/>
				</observation>
			</entry>
			<entry typeCode="DRIV">
				<!-- Age 2-18 -->
				<observation classCode="OBS" moodCode="EVN.CRT">
					<id root="42e2aef0-73c4-11de-8a39-0800200c9a66"/>
					<code code="424144002" codeSystem="2.16.840.1.113883.6.96" displayName="Age"/>
					<statusCode code="completed"/>
					<value xsi:type="IVL_PQ">
						<low value="2" unit="a" inclusive="true"/>
						<high value="18" unit="a" inclusive="true"/>
					</value>
				</observation>
			</entry>
		</section>
	</component>
	<!-- 
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Population criteria section
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-->
	<component>
		<section>
			<code code="57026-7" codeSystem="2.16.840.1.113883.6.1" displayName="Population Criteria section"/>
			<title>Population criteria</title>
			<text>
				<list>
					<item>
						<content styleCode="Bold">Initial Patient Population</content> = <br/> 
					AND: Encounter where
						<list>
							<item>AND: Age 2-18; </item>
							<item>AND: Physical encounter with principal encounter diagnosis of well child.</item>
						</list>
					</item>
					<item>
						<content styleCode="Bold">Denominator</content> =<br/>
					AND: Encounter where
						<list>
							<item>AND: Meets Initial Patient Population criteria;</item>
						</list>
					</item>
					<item>
						<content styleCode="Bold">Numerator</content> = <br/>
					AND: Encounter where
						<list>
							<item>AND: Meets Denominator criteria;</item>
							<item>AND: BMI percentile measured.</item>
						</list>
					</item>
				</list>
			</text>
			<entry typeCode="DRIV">
				<observation classCode="OBS" moodCode="EVN.CRT">
					<id root="c75181d0-73eb-11de-8a39-0800200c9a66"/>
					<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
					<value xsi:type="CD" code="IPP" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="HL7 Observation Value" displayName="Included in Initial Patient Population"/>
					<sourceOf typeCode="PRCN">
						<encounter classCode="ENC" moodCode="CRT">
							<sourceOf typeCode="GEN">
								<!-- Physical encounter with principal encounter diagnosis of well child -->
								<encounter classCode="ENC" moodCode="EVN.CRT">
									<id root="c751a8e2-73eb-11de-8a39-0800200c9a66"/>
								</encounter>
							</sourceOf>
							<sourceOf typeCode="COMP">
								<observation classCode="OBS" moodCode="EVN.CRT">
									<participant typeCode="SBJ">
										<roleParticipant classCode="PAT"/>
									</participant>
									<sourceOf typeCode="GEN">
										<!-- Age 2-18 -->
										<observation classCode="OBS" moodCode="EVN.CRT">
											<id root="42e2aef0-73c4-11de-8a39-0800200c9a66"/>
										</observation>
									</sourceOf>
								</observation>
							</sourceOf>
						</encounter>
					</sourceOf>
				</observation>
			</entry>
			<entry typeCode="DRIV">
				<observation classCode="OBS" moodCode="EVN.CRT">
					<id root="c751a8e4-73eb-11de-8a39-0800200c9a66"/>
					<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
					<value xsi:type="CD" code="DENOM" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="HL7 Observation Value" displayName="Included in Denominator"/>
					<sourceOf typeCode="PRCN">
						<!-- Initial patient population -->
						<observation classCode="OBS" moodCode="EVN.CRT">
							<id root="c75181d0-73eb-11de-8a39-0800200c9a66"/>
						</observation>
					</sourceOf>
				</observation>
			</entry>
			<entry typeCode="DRIV">
				<observation classCode="OBS" moodCode="EVN.CRT">
					<id root="c751a8e5-73eb-11de-8a39-0800200c9a66"/>
					<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
					<value xsi:type="CD" code="NUMER" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="HL7 Observation Value" displayName="Included in Numerator"/>
					<sourceOf typeCode="PRCN">
						<encounter classCode="ENC" moodCode="CRT">
							<sourceOf typeCode="PRCN">
								<!-- Denominator -->
								<observation classCode="OBS" moodCode="EVN.CRT">
									<id root="c751a8e4-73eb-11de-8a39-0800200c9a66"/>
								</observation>
							</sourceOf>
							<sourceOf typeCode="COMP">
								<observation classCode="OBS" moodCode="EVN.CRT">
									<participant typeCode="SBJ">
										<roleParticipant classCode="PAT"/>
									</participant>
									<sourceOf typeCode="GEN">
										<!-- BMI percentile measured -->
										<observation classCode="OBS" moodCode="EVN.CRT">
											<id root="2b888760-73bb-11de-8a39-0800200c9a66"/>
										</observation>
									</sourceOf>
								</observation>
							</sourceOf>
						</encounter>
					</sourceOf>
				</observation>
			</entry>
		</section>
	</component>
</QualityMeasureDocument>

