| Id: |
EXMLogic-FHIR |
| Download cql: |
EXMLogic-FHIR.cql |
| Url: |
EXM Measure |
| Version: |
5.0.0-ballot |
| Identifier: |
value: EXM
|
| Name: |
MeasureEXM |
| Title: |
EXM Measure |
| Status: |
active |
| Experimental: |
true |
| Scoring: |
Proportion
|
| Improvement Notation: |
Increased score indicates improvement
|
| Type: |
process
|
| Date: |
2022-02-22 |
| Publisher: |
HL7 International / Clinical Quality Information |
| Description: |
An example FHIR-based measure
|
| Use Context: |
| code | value |
| program |
eligible-provider |
|
| Jurisdiction: |
US |
| Topic: |
57024-2 |
| Purpose: |
The purpose of this measure is to show how all the elements of a FHIR-based quality measure are represented.
|
| Guidance (Usage): |
Users of this measure should be aware that this is intentionally simplified to show specific aspects of a measure. |
| Copyright: |
Example Copyright Statement
|
| Disclaimer: |
|
| Approval Date: |
2019-02-17 |
| Last Review Date: |
2019-02-17 |
| Effective Period: |
2018-01-01..2018-12-31 |
| Supplemental Data Elements: |
SDE Ethnicity
SDE Race
SDE Payer
SDE Sex
|
| Libraries: |
|
| Related Artifact Dependencies: |
http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
Diagnosis Role
Payer
Psychiatric/Mental Health Diagnosis
|
| Parameters: |
| name | use | min | max | type |
| Measurement Period |
in |
0 |
1 |
Period |
| SDE Sex |
out |
0 |
1 |
Coding |
| Stratifier 3 |
out |
0 |
* |
Encounter |
| Stratifier 4 |
out |
0 |
* |
Encounter |
| SDE Payer |
out |
0 |
* |
Resource |
| Initial Population |
out |
0 |
* |
Encounter |
| SDE Ethnicity |
out |
0 |
* |
Coding |
| SDE Race |
out |
0 |
* |
Coding |
| Stratifier 1 |
out |
0 |
* |
Encounter |
| Stratifier 2 |
out |
0 |
* |
Encounter |
|
| DataRequirements: |
| Type | Must Support | Valueset Name | Valueset |
| Patient |
|
|
|
| Patient |
url
extension
value
|
|
|
| Patient |
url
extension
value
|
|
|
| Encounter |
period
|
|
|
| Coverage |
type
period
|
Payer
|
Payer |
|
| Direct Reference Codes: |
|
| Logic Definitions: |
| Group | Scoring | Population Criteria | Expression |
| group-1 |
Measure scoring:
Proportion
|
|
|
Initial Population |
define "Initial Population" :
"Inpatient Encounter" Encounter
|
|
|
Numerator |
|
|
|
Denominator |
|
| Library Name | Name |
| EXMLogic-FHIR |
SDE Sex |
|
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
|
| Library Name | Name |
| EXMLogic-FHIR |
Inpatient Encounter |
|
define "Inpatient Encounter" :
["Encounter"] Encounter
where LengthInDays(Encounter.period) <= 120
and Encounter.period ends during "Measurement Period"
|
| Library Name | Name |
| EXMLogic-FHIR |
Stratifier 3 |
|
define "Stratifier 3" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null
|
| Library Name | Name |
| EXMLogic |
Stratifier 4 |
|
define "Stratifier 4" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter) is null
|
| Library Name | Name |
| EXMLogic-FHIR |
SDE Payer |
|
define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}
|
| Library Name | Name |
| EXMLogic |
Initial Population |
|
define "Initial Population" :
"Inpatient Encounter" Encounter
|
| Library Name | Name |
| EXMLogic-FHIR |
SDE Ethnicity |
|
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
|
| Library Name | Name |
| EXMLogic |
SDE Race |
|
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
|
| Library Name | Name |
| EXMLogic-FHIR |
Stratifier 1 |
|
define "Stratifier 1" :
"Inpatient Encounter" Encounter
where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")
|
| Library Name | Name |
| EXMLogic-FHIR |
Stratifier 2 |
|
define "Stratifier 2" :
"Inpatient Encounter" Encounter
where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"
|
|