LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

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: Quality Measure Example - JSON Representation

Active as of 2020-01-01

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{
  "resourceType" : "Measure",
  "id" : "QualityMeasureExample",
  "meta" : {
    "extension" : [
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-organization",
        "valueString" : "HDC"
      },
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-type",
        "valueString" : "Measure Authoring"
      },
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-name",
        "valueString" : "Measure Authoring Tool (MAT)"
      },
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-version",
        "valueString" : "1.0"
      },
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-timestamp",
        "valueDateTime" : "2020-01-01T00:00:00Z"
      }
    ],
    "source" : "http://linuxforhealth.org/platform/quality-measure",
    "profile" : [
      "http://linuxforhealth.org/fhir/cdm/StructureDefinition/quality-measure"
    ],
    "tag" : [
      {
        "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/process-meta-source-classification",
        "code" : "derived"
      }
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"QualityMeasureExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Measure \"QualityMeasureExample\" </p><p style=\"margin-bottom: 0px\">Information Source: http://linuxforhealth.org/platform/quality-measure!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-quality-measure.html\">Quality Measure</a></p><p style=\"margin-bottom: 0px\">Tag: <span title=\"{http://linuxforhealth.org/fhir/cdm/CodeSystem/process-meta-source-classification http://linuxforhealth.org/fhir/cdm/CodeSystem/process-meta-source-classification}\">http://linuxforhealth.org/fhir/cdm/CodeSystem/process-meta-source-classification</span></p></div><p><b>Measure Parameter</b>: </p><p><b style=\"color: maroon\">Exception generating Narrative: type org.hl7.fhir.r5.model.ParameterDefinition not handled - should not be here</b></p></div>"
  },
  "extension" : [
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/measure-parameter",
      "valueParameterDefinition" : {
        "name" : "measurePeriod",
        "use" : "out",
        "type" : "Period"
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/measure-parameter",
      "valueParameterDefinition" : {
        "extension" : [
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/default-value",
            "valueString" : "Pharyngitis Testing"
          }
        ],
        "name" : "complianceDisplayName",
        "use" : "out",
        "type" : "string"
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/measure-parameter",
      "valueParameterDefinition" : {
        "extension" : [
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/default-value",
            "valueString" : "Once yearly"
          }
        ],
        "name" : "complianceFrequency",
        "use" : "out",
        "type" : "string"
      }
    }
  ],
  "url" : "https://linuxforhealth.org/fhir/cdm/Measure-QualityMeasureExample.html",
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "RI"
          }
        ]
      },
      "system" : "http://linuxforhealth.org/platform/quality-measure",
      "value" : "8f3a1491-a07f-4860-8977-e7dac7398175",
      "assigner" : {
        "display" : "HDC"
      }
    }
  ],
  "version" : "8.0.0",
  "name" : "Diabetes_HbA1c_Test_Performed",
  "status" : "active",
  "subjectCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/resource-types",
        "code" : "Patient"
      }
    ]
  },
  "date" : "2020-01-01",
  "publisher" : "LinuxForHealth Team",
  "contact" : [
    {
      "name" : "Clinical Informatics",
      "telecom" : [
        {
          "system" : "email",
          "value" : "ClinicalInformatics@linuxforhealth.org"
        }
      ]
    }
  ],
  "description" : "Percentage of patients 18-75 years of age with diabetes who had a hemoglobin A1c test performed within the measurement period",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "73211009",
            "display" : "Diabetes mellitus (disorder)"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "approvalDate" : "2020-01-01",
  "lastReviewDate" : "2020-01-01",
  "effectivePeriod" : {
    "start" : "2020-01-01"
  },
  "topic" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
          "code" : "treatment"
        }
      ]
    }
  ],
  "library" : [
    "http://sample-measure-library.com/cql-library"
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "proportion"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process"
        }
      ]
    }
  ],
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase"
      }
    ]
  },
  "guidance" : "Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure.  Patients with a diagnosis of secondary diabetes due to another condition should not be included.",
  "group" : [
    {
      "population" : [
        {
          "id" : "dm-hba1c-initial-pop",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "description" : "Patients 18-75 years of age with diabetes",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "DmHbA1cTest.InInitialPopulation"
          }
        },
        {
          "id" : "dm-hba1c-num",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ]
          },
          "description" : "Patients who have had HbA1c test within the measurement period",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "DmHbA1cTest.InNumerator"
          }
        },
        {
          "id" : "dm-hba1c-den",
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
              }
            ]
          },
          "description" : "Patients 18-75 years of age with diabetes with a visit during the measurement period",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "DmHbA1cTest.InDenominator"
          }
        },
        {
          "id" : "dm-hba1c-caregap-controlled",
          "code" : {
            "coding" : [
              {
                "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/measure-population-type",
                "code" : "care-gap"
              }
            ]
          },
          "description" : "DM Control - Low Risk",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "DmHbA1cTest.InDmControlled"
          }
        },
        {
          "id" : "dm-hba1c-caregap-poor-control",
          "code" : {
            "coding" : [
              {
                "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/measure-population-type",
                "code" : "care-gap"
              }
            ]
          },
          "description" : "DM Poor Control - High Risk",
          "criteria" : {
            "language" : "text/cql",
            "expression" : "DmHbA1cTest.InDmPoorControl"
          }
        }
      ]
    }
  ]
}