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

: Quality Measure Example - XML Representation

Active as of 2020-01-01

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<Measure xmlns="http://hl7.org/fhir">
  <id value="QualityMeasureExample"/>
  <meta>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-organization">
      <valueString value="HDC"/>
    </extension>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-type">
      <valueString value="Measure Authoring"/>
    </extension>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-name">
      <valueString value="Measure Authoring Tool (MAT)"/>
    </extension>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-version">
      <valueString value="1.0"/>
    </extension>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/process-timestamp">
      <valueDateTime value="2020-01-01T00:00:00Z"/>
    </extension>
    <source value="http://linuxforhealth.org/platform/quality-measure"/>
    <profile
             value="http://linuxforhealth.org/fhir/cdm/StructureDefinition/quality-measure"/>
    <tag>
      <system
              value="http://linuxforhealth.org/fhir/cdm/CodeSystem/process-meta-source-classification"/>
      <code value="derived"/>
    </tag>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/measure-parameter">
    <valueParameterDefinition>
      <name value="measurePeriod"/>
      <use value="out"/>
      <type value="Period"/>
    </valueParameterDefinition>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/measure-parameter">
    <valueParameterDefinition>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/default-value">
        <valueString value="Pharyngitis Testing"/>
      </extension>
      <name value="complianceDisplayName"/>
      <use value="out"/>
      <type value="string"/>
    </valueParameterDefinition>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/measure-parameter">
    <valueParameterDefinition>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/default-value">
        <valueString value="Once yearly"/>
      </extension>
      <name value="complianceFrequency"/>
      <use value="out"/>
      <type value="string"/>
    </valueParameterDefinition>
  </extension>
  <url
       value="https://linuxforhealth.org/fhir/cdm/Measure-QualityMeasureExample.html"/>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="RI"/>
      </coding>
    </type>
    <system value="http://linuxforhealth.org/platform/quality-measure"/>
    <value value="8f3a1491-a07f-4860-8977-e7dac7398175"/>
    <assigner>
      <display value="HDC"/>
    </assigner>
  </identifier>
  <version value="8.0.0"/>
  <name value="Diabetes_HbA1c_Test_Performed"/>
  <status value="active"/>
  <subjectCodeableConcept>
    <coding>
      <system value="http://hl7.org/fhir/resource-types"/>
      <code value="Patient"/>
    </coding>
  </subjectCodeableConcept>
  <date value="2020-01-01"/>
  <publisher value="LinuxForHealth Team"/>
  <contact>
    <name value="Clinical Informatics"/>
    <telecom>
      <system value="email"/>
      <value value="ClinicalInformatics@linuxforhealth.org"/>
    </telecom>
  </contact>
  <description
               value="Percentage of patients 18-75 years of age with diabetes who had a hemoglobin A1c test performed within the measurement period"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="73211009"/>
        <display value="Diabetes mellitus (disorder)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <approvalDate value="2020-01-01"/>
  <lastReviewDate value="2020-01-01"/>
  <effectivePeriod>
    <start value="2020-01-01"/>
  </effectivePeriod>
  <topic>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/definition-topic"/>
      <code value="treatment"/>
    </coding>
  </topic>
  <library value="http://sample-measure-library.com/cql-library"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
    </coding>
  </improvementNotation>
  <guidance
            value="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
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
        </coding>
      </code>
      <description value="Patients 18-75 years of age with diabetes"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="DmHbA1cTest.InInitialPopulation"/>
      </criteria>
    </population>
    <population id="dm-hba1c-num">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
        </coding>
      </code>
      <description
                   value="Patients who have had HbA1c test within the measurement period"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="DmHbA1cTest.InNumerator"/>
      </criteria>
    </population>
    <population id="dm-hba1c-den">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
        </coding>
      </code>
      <description
                   value="Patients 18-75 years of age with diabetes with a visit during the measurement period"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="DmHbA1cTest.InDenominator"/>
      </criteria>
    </population>
    <population id="dm-hba1c-caregap-controlled">
      <code>
        <coding>
          <system
                  value="http://linuxforhealth.org/fhir/cdm/CodeSystem/measure-population-type"/>
          <code value="care-gap"/>
        </coding>
      </code>
      <description value="DM Control - Low Risk"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="DmHbA1cTest.InDmControlled"/>
      </criteria>
    </population>
    <population id="dm-hba1c-caregap-poor-control">
      <code>
        <coding>
          <system
                  value="http://linuxforhealth.org/fhir/cdm/CodeSystem/measure-population-type"/>
          <code value="care-gap"/>
        </coding>
      </code>
      <description value="DM Poor Control - High Risk"/>
      <criteria>
        <language value="text/cql"/>
        <expression value="DmHbA1cTest.InDmPoorControl"/>
      </criteria>
    </population>
  </group>
</Measure>