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Packagehl7.fhir.us.cqfmeasures
Resource TypeMeasure
IdMeasure-EXM55-FHIR.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/cqf-measures/Measure-EXM55-FHIR.html
URLhttp://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR
Version5.0.0
Statusactive
Date2022-02-22
NameEXM55
TitleEXM55 - Median Emergency Department Visit Duration
Realmus
Authorityhl7
DescriptionThis example illustrates a continuous variable measure represented as a FHIR eCQM

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Knowledge Artifact Metadata
Name (machine-readable) EXM55
Title (human-readable) EXM55 - Median Emergency Department Visit Duration
Status Active
Experimental true
Description

This example illustrates a continuous variable measure represented as a FHIR eCQM
Approval Date 2019-03-08
Effective Period 2018-01-01..2018-12-31
Use Context Venue = EH
Topic Health Quality Measure Document
Measure Steward HL7 International / Clinical Quality Information
Steward Contact Details http://www.hl7.org/Special/committees/cqi
Measure Metadata
Version Number 5.0.0
Measure Scoring Continuous Variable
Measure Type Process
Improvement Notation Decreased score indicates improvement
Population Basis Encounter
Measure Population Criteria
Initial Population Description: No description provided Logic Definition: Initial Population
Measure Population Description: No description provided Logic Definition: Measure Population
Measure Population Exclusion Description: No description provided Logic Definition: Measure Population Exclusion
Measure Observation Description: No description provided Logic Definition: Measure Observation
Stratifier Code: Stratification 1
Stratifier Code: Stratification 2
Stratifier Code: Stratification 3
Measure Logic
Primary Library EXM55 - Median Emergency Department Visit Duration Library (Example Continuous Variable Measure Library)
Dependency Description: Library FHIRHelpers
Resource: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
Canonical URL: http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
Dependency Description: Code system Diagnosis Role
Resource: Diagnosis Role
Canonical URL: http://terminology.hl7.org/CodeSystem/diagnosis-role
Dependency Description: 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
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299
Dependency Description: Value set Emergency Department Visit
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
Dependency Description: Value set Hospital Settings
Resource: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126
Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126
Direct Reference Code Display: Billing
Code: billing
System: http://terminology.hl7.org/CodeSystem/diagnosis-role
Parameter Name: Measurement Period
Use: In
Min Cardinality: 0
Max Cardinality: 1
Type: Period
Parameter Name: Stratification 3
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Stratification 2
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Measure Population Exclusion
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Stratification 1
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Initial Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Parameter Name: Measure Population
Use: Out
Min Cardinality: 0
Max Cardinality: *
Type: Encounter
Measure Logic Data Requirements
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: period, hospitalization, hospitalization.admitSource, type, status
Code Filter(s):
Path: type
ValueSet: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292
Data Requirement Type: Encounter
Profile(s): Encounter
Must Support Elements: period
Data Requirement Type: Condition
Profile(s): Condition
Must Support Elements: id
Code Filter(s):
Path: id
Measure Logic Definitions
Logic Definition Library Name: EXM55-FHIR 
define "Inpatient Encounter" :
  ["Encounter"] Encounter
    where LengthInDays(Encounter.period) <= 120
      and Encounter.period ends during "Measurement Period"
Logic Definition Library Name: EXM55-FHIR 
define "Stratification 3" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter) is null
Logic Definition Library Name: EXM55-FHIR 
define "Stratification 2" :
  "Inpatient Encounter" Encounter
    where PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient"
Logic Definition Library Name: EXM55-FHIR 
define "Measure Population Exclusion" :
  "Inpatient Encounter" Encounter
    with ["Encounter" : "Emergency Department Visit"] ED
      such that ED.period ends 1 hour or less before start of Encounter.period
        and ED.status = 'finished'
        and ED.hospitalization.admitSource in "Hospital Settings"
Logic Definition Library Name: EXM55-FHIR 
define "Stratification 1" :
  "Inpatient Encounter" Encounter
    where not (PrincipalDiagnosis(Encounter).code in "Psychiatric/Mental Health Patient")
Logic Definition Library Name: EXM55-FHIR 
define "Initial Population" :
  "Inpatient Encounter" Encounter
    with ["Encounter" : "Emergency Department Visit"] ED
     such that ED.status = 'finished'
       and ED.period ends 1 hour or less before start of Encounter.period
Logic Definition Library Name: EXM55-FHIR 
define "Measure Population" :
  "Initial Population"
Generated using version 0.4.6 of the sample-content-ig Liquid templates

Source1

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  "id": "EXM55-FHIR",
  "meta": {
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      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cql-measure-cqfm"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
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  "contained": [
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            },
            {
              "url": "displaySequence",
              "valueInteger": 5
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "EXM55-FHIR"
            },
            {
              "url": "name",
              "valueString": "Measure Population"
            },
            {
              "url": "statement",
              "valueString": "define \"Measure Population\" :\n  \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 6
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        }
      ],
      "url": "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-exm55",
      "version": "1.0.0",
      "name": "ModuleDefinitionLibraryEXM55",
      "title": "Module Definition Library - EXM55",
      "status": "active",
      "experimental": true,
      "type": {
        "coding": [
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            "system": "http://terminology.hl7.org/CodeSystem/library-type",
            "code": "module-definition"
          }
        ]
      },
      "date": "2022-02-22T10:37:03-07:00",
      "description": "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
      "relatedArtifact": [
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          "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",
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        },
        {
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          "display": "Value set Hospital Settings",
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      ],
      "parameter": [
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          "use": "in",
          "min": 0,
          "max": "1",
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        },
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          "profile": [
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          ],
          "mustSupport": [
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            "hospitalization",
            "hospitalization.admitSource",
            "type",
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            }
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          ],
          "mustSupport": [
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          ]
        },
        {
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          "profile": [
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          ],
          "mustSupport": [
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          ],
          "codeFilter": [
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            }
          ]
        }
      ]
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  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode": "Encounter"
    },
    {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem",
      "valueReference": {
        "reference": "Device/software-system-example"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
      "valueCanonical": "#effective-data-requirements-exm55"
    }
  ],
  "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM55-FHIR",
  "identifier": [
    {
      "use": "official",
      "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm",
      "value": "55"
    }
  ],
  "version": "5.0.0",
  "name": "EXM55",
  "title": "EXM55 - Median Emergency Department Visit Duration",
  "status": "active",
  "experimental": true,
  "date": "2022-02-22",
  "publisher": "HL7 International / Clinical Quality Information",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description": "This example illustrates a continuous variable measure represented as a FHIR eCQM",
  "useContext": [
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        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "venue",
        "display": "Venue"
      },
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        "coding": [
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            "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes",
            "code": "eh",
            "display": "EH"
          }
        ]
      }
    }
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  "jurisdiction": [
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      "coding": [
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          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
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  "approvalDate": "2019-03-08",
  "lastReviewDate": "2019-03-08",
  "effectivePeriod": {
    "start": "2018-01-01",
    "end": "2018-12-31"
  },
  "topic": [
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      "coding": [
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          "system": "http://loinc.org",
          "code": "57024-2",
          "display": "Health Quality Measure Document"
        }
      ]
    }
  ],
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  ],
  "scoring": {
    "coding": [
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        "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code": "continuous-variable",
        "display": "Continuous Variable"
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    ]
  },
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          "system": "http://terminology.hl7.org/CodeSystem/measure-type",
          "code": "process"
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  ],
  "improvementNotation": {
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        "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code": "decrease",
        "display": "Decreased score indicates improvement"
      }
    ]
  },
  "group": [
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      "population": [
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          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Initial Population"
          }
        },
        {
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "measure-population",
                "display": "Measure Population"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Measure Population"
          }
        },
        {
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "measure-population-exclusion",
                "display": "Measure Population Exclusion"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Measure Population Exclusion"
          }
        },
        {
          "extension": [
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              "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"
            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "measure-observation",
                "display": "Measure Observation"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Measure Observation"
          }
        }
      ],
      "stratifier": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population",
                    "display": "Initial Population"
                  }
                ]
              }
            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://example.org/stratification",
                "code": "Stratification 1",
                "display": "Stratification 1"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Stratification 1"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population",
                    "display": "Initial Population"
                  }
                ]
              }
            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://example.org/stratification",
                "code": "Stratification 2",
                "display": "Stratification 2"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Stratification 2"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population",
                    "display": "Initial Population"
                  }
                ]
              }
            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://example.org/stratification",
                "code": "Stratification 3",
                "display": "Stratification 3"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Stratification 3"
          }
        }
      ]
    }
  ]
}