{ "resourceType": "Measure", "id": "measure-publishable-exm", "meta": { "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm" ] }, "text": { "status": "extensions", "div": "
\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
Id: measure-publishable-exm
Url: http://example.org/fhir/measures/publishable-measure-exm
Version: 2.0.0
Identifier: \n \n

\n type: \n

\n \n \n

\n value: EXM-123\n

\n \n
Identifier: \n \n

\n type: \n

\n \n \n

\n value: urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74\n

\n \n
Identifier: \n \n

\n type: \n

\n \n \n

\n value: urn:uuid:b366f29b-347f-464e-8064-c83842d825c7\n

\n \n
Identifier: \n \n

\n type: \n

\n \n \n

\n value: NQF-123\n

\n \n
Identifier: \n \n

\n type: \n

\n \n \n

\n value: CMS-123\n

\n \n
Name: PublishableMeasureEXM
Title: EXM Publishable Measure
Status: active
Experimental: true
Scoring: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-scoring\n

\n \n \n

\n code: proportion\n

\n \n \n

\n display: Proportion\n

\n \n \n \n \n
Improvement Notation: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-improvement-notation\n

\n \n \n

\n code: increase\n

\n \n \n

\n display: Increased score indicates improvement\n

\n \n \n \n \n
Type: \n \n \n \n

\n system: http://terminology.hl7.org/CodeSystem/measure-type\n

\n \n \n

\n code: process\n

\n \n \n \n \n \n
Date: 2019-02-17
Publisher: Clinical Quality Information WG
Description: An example FHIR-based publishable measure
Supplemental Data: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
expressionsystem
SDE Ethnicityhttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Racehttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Payerhttp://terminology.hl7.org/CodeSystem/measure-data-usage
SDE Sexhttp://terminology.hl7.org/CodeSystem/measure-data-usage
\n
Use Context: \n \n \n \n \n \n \n \n \n
codevalue
programeligible-provider
\n
Jurisdiction: US
Topic: 57024-2
Purpose: The purpose of this measure is to...
Usage: Users of this measure should be aware of...
Copyright: Example Copyright Statement
Disclaimer: Example disclaimer
Approval Date: 2019-02-17
Last Review Date: 2019-02-17
Effective Period: 2018-01-01..2018-12-31
Related Artifacts: \n \n \n

References

\n
    \n \n
  • 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.
    https://pubmed.ncbi.nlm.nih.gov/16278359/
    • \n \n
  • Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"
    https://pubmed.ncbi.nlm.nih.gov/23091044/
    • \n \n
  • 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.
    https://pubmed.ncbi.nlm.nih.gov/19739972/
    • \n \n
\n \n \n \n

Components

\n
    \n \n
  • \n \n
  • \n \n
\n \n \n \n \n
\n
" }, "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis", "valueCode": "Encounter" } ], "url": "http://example.org/fhir/measures/publishable-measure-exm", "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type", "code": "short-name" } ] }, "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm", "value": "EXM-123" }, { "use": "official", "type": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type", "code": "version-independent" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74" }, { "use": "official", "type": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type", "code": "version-specific" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:b366f29b-347f-464e-8064-c83842d825c7" }, { "use": "official", "type": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type", "code": "endorser" } ] }, "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf", "value": "NQF-123", "assigner": { "display": "NQF" } }, { "use": "official", "type": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type", "code": "publisher" } ] }, "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms", "value": "CMS-123", "assigner": { "display": "CMS" } } ], "version": "2.0.0", "name": "PublishableMeasureEXM", "title": "EXM Publishable Measure", "status": "active", "experimental": true, "date": "2019-02-17", "publisher": "Clinical Quality Information WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/cqi/index.cfm" } ] } ], "description": "An example FHIR-based publishable measure", "useContext": [ { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "program" }, "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs", "code": "ep-ec" } ], "text": "eligible-provider" } } ], "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US" } ] } ], "purpose": "The purpose of this measure is to...", "usage": "Users of this measure should be aware of...", "copyright": "Example Copyright Statement", "approvalDate": "2019-02-17", "lastReviewDate": "2019-02-17", "effectivePeriod": { "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": { "value": 1, "system": "http://unitsofmeasure.org", "code": "a" } } ], "start": "2018-01-01", "end": "2018-12-31" }, "topic": [ { "coding": [ { "system": "http://loinc.org", "code": "57024-2" } ], "text": "Health Quality Measure Document" } ], "author": [ { "name": "Example Measure Content Developer" } ], "relatedArtifact": [ { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation", "valueBoolean": true } ], "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.", "url": "https://pubmed.ncbi.nlm.nih.gov/16278359/" }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation", "valueBoolean": true } ], "type": "citation", "citation": "Infectious Diseases Society of America. 2012. \"Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.\"", "url": "https://pubmed.ncbi.nlm.nih.gov/23091044/" }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation", "valueBoolean": true } ], "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.", "url": "https://pubmed.ncbi.nlm.nih.gov/19739972/" }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus", "valueCode": "draft" } ], "type": "composed-of" }, { "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate", "valueDate": "2019-01-01" } ], "type": "composed-of" } ], "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/EXMPublishableLibrary" ], "disclaimer": "Example disclaimer", "scoring": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-scoring", "code": "proportion", "display": "Proportion" } ] }, "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-type", "code": "process" } ] } ], "riskAdjustment": "Risk adjustment for this measure is performed by...", "rateAggregation": "Rate aggregation for this measure is performed by...", "rationale": "Rationale for this measure is...", "clinicalRecommendationStatement": "The clinical recommendation statement for this measure is...", "improvementNotation": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code": "increase", "display": "Increased score indicates improvement" } ] }, "_definition": [ { "extension": [ { "extension": [ { "url": "term", "valueString": "Term" }, { "url": "definition", "valueMarkdown": "A term used in the measure that bears clearly definition to communicate the measure intent" } ], "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm" } ] } ], "guidance": "Additional guidance provided to help communicate the intent of the measure", "group": [ { "id": "group-1", "population": [ { "id": "initial-population", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "initial-population", "display": "Initial Population" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Initial Population" } }, { "id": "numerator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "numerator", "display": "Numerator" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Numerator" } }, { "id": "denominator", "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-population", "code": "denominator", "display": "Denominator" } ] }, "criteria": { "language": "text/cql.identifier", "expression": "Denominator" } } ] } ], "supplementalData": [ { "id": "sde-ethnicity", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Ethnicity" } }, { "id": "sde-race", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Race" } }, { "id": "sde-payer", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Payer" } }, { "id": "sde-sex", "usage": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage", "code": "supplemental-data" } ] } ], "criteria": { "language": "text/cql.identifier", "expression": "SDE Sex" } } ] }