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NQF59New.xml
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NQF59New.xml
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<?xml version="1.0" encoding="UTF-8"?>
<QualityMeasureDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="urn:hl7-org:v3 ../../../query-health/Standards/hqmf/schemas/EMeasureNew.xsd"
xmlns="urn:hl7-org:v3"
classCode="DOC">
<typeId root="2.16.840.1.113883.1.3" extension="POQM_HD00001"/>
<id root="0"/>
<code code="57024-2" codeSystem="2.16.840.1.113883.6.1"/>
<title>Sample Quality Measure Document</title>
<text>This is the measure description.</text>
<statusCode code="completed"/>
<setId root="0"/>
<versionNumber value="1"/>
<author typeCode="AUT" contextControlCode="OP">
<assignedPerson classCode="ASSIGNED"/>
</author>
<custodian typeCode="CST">
<assignedPerson classCode="ASSIGNED"/>
</custodian>
<component>
<measureDescriptionSection>
<code code="34089-3" codeSystem="2.16.840.1.113883.6.1"/>
<title>Measure Description Section</title>
<text>This is a description of the measure.</text>
</measureDescriptionSection>
</component>
<component>
<dataCriteriaSection>
<code code="57025-9" codeSystem="2.16.840.1.113883.6.1"/>
<title>Data Criteria Section</title>
<text>This section describes the data criteria.</text>
<!-- Define the measure parameters as observations in event mood -->
<entry>
<localVariableName>StartDate</localVariableName>
<observationCriteria>
<id root="0" extension="StartDate"/>
<code code="52832-3" codeSystem="2.16.840.1.113883.6.1"/>
<value xsi:type="TS" value="20100101"/>
</observationCriteria>
</entry>
<entry>
<localVariableName>EndDate</localVariableName>
<observationCriteria>
<id root="0" extension="EndDate"/>
<code code="52833-1" codeSystem="2.16.840.1.113883.6.1"/>
<value xsi:type="TS" value="20101231"/>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween17and64</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween17and64"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="17" unit="a"/>
<high value="64" unit="a" inclusive="true"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween17and21</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween17and21"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="17" unit="a"/>
<high value="21" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween22and29</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween22and29"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="22" unit="a"/>
<high value="29" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween30and39</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween30and39"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="30" unit="a"/>
<high value="39" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween40and49</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween40and49"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="40" unit="a"/>
<high value="49" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween50and59</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween50and59"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="50" unit="a"/>
<high value="59" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>ageBetween60and64</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween60and64"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<value xsi:type="IVL_PQ">
<low value="60" unit="a"/>
<high value="64" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>dummyAge1</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween60and64"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<effectiveTime>
<low value="20100101"/>
<high value="20111231"/>
</effectiveTime>
<value xsi:type="IVL_PQ">
<low value="60" unit="a"/>
<high value="64" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>dummyAge2</localVariableName>
<observationCriteria>
<id root="0" extension="ageBetween60and64"/>
<code code="424144002" codeSystem="2.16.840.1.113883.6.96"
displayName="Age"/>
<effectiveTime>
<low value="20100101"/>
</effectiveTime>
<value xsi:type="IVL_PQ">
<low value="60" unit="a"/>
<high value="64" unit="a"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>genderMale</localVariableName>
<observationCriteria>
<id root="0" extension="genderMale"/>
<code code="263495000" codeSystem="2.16.840.1.113883.6.96"
displayName="Gender"/>
<value xsi:type="CD" codeSystem="2.16.840.1.113883.5.1"
code="M"/>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>genderFemale</localVariableName>
<observationCriteria>
<id root="0" extension="genderFemale"/>
<code code="263495000" codeSystem="2.16.840.1.113883.6.96"
displayName="Gender"/>
<value xsi:type="CD" codeSystem="2.16.840.1.113883.5.1"
code="F"/>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Demographics"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>EDorInpatientEncounter</localVariableName>
<encounterCriteria>
<id root="0" extension="EDorInpatientEncounter"/>
<code valueSet="2.16.840.1.113883.3.464.1.42"/>
<!-- EDorInpatientEncounterValueSet -->
<effectiveTime>
<high nullFlavor="DER">
<expression>EndDate.add(new PQ(-2,"a"))</expression>
</high>
</effectiveTime>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Encounter"/>
</observationReference>
</definition>
</encounterCriteria>
</entry>
<entry>
<localVariableName>AmbulatoryEncounter</localVariableName>
<subsetCode code="PREVSUM"/>
<encounterCriteria>
<id root="0" extension="AmbulatoryEncounter"/>
<code valueSet="2.16.840.1.113883.3.464.1.1142"/>
<!-- AmbulatoryEncounterValueSet -->
<effectiveTime>
<high nullFlavor="DER">
<expression>EndDate.add(new PQ(-2,"a"))</expression>
</high>
</effectiveTime>
<repeatNumber>
<low value="2" inclusive="true"/>
</repeatNumber>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Encounter"/>
</observationReference>
</definition>
</encounterCriteria>
</entry>
<entry>
<localVariableName>DummyProcedure</localVariableName>
<observationCriteria>
<id root="0" extension="DummyProcedure"/>
<statusCode code="completed"/>
<code codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.1"
displayName="" code="127355002"/>
<effectiveTime>
<low value="20100101"/>
<high value="20111231"/>
</effectiveTime>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Procedure"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>HasDiabetes</localVariableName>
<observationCriteria>
<id root="0" extension="HasDiabetes"/>
<statusCode code="completed"/>
<value xsi:type="CD" valueSet="2.16.840.1.113883.3.464.1.37"/>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Problem"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>HasGestationalDiabetes</localVariableName>
<observationCriteria>
<id root="0" extension="HasGestationalDiabetes"/>
<effectiveTime>
<low nullFlavor="DER">
<expression>StartDate</expression>
</low>
<high nullFlavor="DER">
<expression>EndDate</expression>
</high>
</effectiveTime>
<value xsi:type="CD" valueSet="2.16.840.1.113883.3.464.1.67"/>
<!-- DiabetesValueSet" -->
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Problem"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>HasPolycysticOvaries</localVariableName>
<observationCriteria>
<id root="0" extension="HasPolycysticOvaries"/>
<effectiveTime>
<low nullFlavor="DER">
<expression>StartDate.add(new PQ(-1,"a"))</expression>
</low>
<high nullFlavor="DER">
<expression>EndDate</expression>
</high>
</effectiveTime>
<value xsi:type="CD" valueSet="2.16.840.1.113883.3.464.1.98"/>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Problem"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>HasSteroidInducedDiabetes</localVariableName>
<observationCriteria>
<id root="0" extension="HasSteroidInducedDiabetes"/>
<effectiveTime>
<low nullFlavor="DER">
<expression>StartDate</expression>
</low>
<high nullFlavor="DER">
<expression>EndDate</expression>
</high>
</effectiveTime>
<value xsi:type="CD" valueSet="2.16.840.1.113883.3.464.1.113"/>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="Problem"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>HbA1C</localVariableName>
<subsetCode code="RECENT"/>
<observationCriteria>
<id root="0" extension="HbA1C"/>
<code valueSet="2.16.840.1.113883.3.464.1.72"/>
<statusCode code="completed"/>
<value xsi:type="IVL_PQ">
<low value="9" unit="%"/>
</value>
<definition>
<observationReference moodCode="DEF">
<id root="0" extension="LabResults"/>
</observationReference>
</definition>
</observationCriteria>
</entry>
<entry>
<localVariableName>DiabetesMedAdministered</localVariableName>
<substanceAdministrationCriteria>
<id root="0" extension="DiabetesMedAdministered"/>
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="DER">
<expression>StartDate.add(new PQ(-2,"a"))</expression>
</low>
</effectiveTime>
<participant typeCode="CSM">
<roleParticipant classCode="THER">
<code valueSet="2.16.840.1.113883.3.464.1.94"/>
</roleParticipant>
</participant>
<definition>
<substanceAdministrationReference moodCode="DEF">
<id root="0" extension="Medication"/>
</substanceAdministrationReference>
</definition>
</substanceAdministrationCriteria>
</entry>
<entry>
<localVariableName>DiabetesMedIntended</localVariableName>
<substanceAdministrationCriteria moodCode="INT">
<id root="0" extension="DiabetesMedIntended"/>
<effectiveTime xsi:type="IVL_TS">
<high nullFlavor="DER">
<expression>EndDate.add(new PQ(-2,"a"))</expression>
</high>
</effectiveTime>
<participant typeCode="CSM">
<roleParticipant classCode="THER">
<code valueSet="2.16.840.1.113883.3.464.1.94"/>
</roleParticipant>
</participant>
<definition>
<substanceAdministrationReference moodCode="DEF">
<id root="0" extension="Medication"/>
</substanceAdministrationReference>
</definition>
</substanceAdministrationCriteria>
</entry>
<entry>
<localVariableName>DiabetesMedSupplied</localVariableName>
<supplyCriteria>
<id root="0" extension="DiabetesMedSupplied"/>
<effectiveTime xsi:type="IVL_TS">
<high nullFlavor="DER">
<expression>EndDate.add(new PQ(-2,"a"))</expression>
</high>
</effectiveTime>
<participant typeCode="PRD">
<roleParticipant classCode="THER">
<code valueSet="2.16.840.1.113883.3.464.1.94"/>
</roleParticipant>
</participant>
<definition>
<supplyReference moodCode="DEF">
<id root="0" extension="RX"/>
</supplyReference>
</definition>
</supplyCriteria>
</entry>
<entry>
<localVariableName>DiabetesMedOrdered</localVariableName>
<supplyCriteria moodCode="RQO">
<id root="0" extension="DiabetesMedOrdered"/>
<effectiveTime xsi:type="IVL_TS">
<high nullFlavor="DER">
<expression>EndDate.add(new PQ(-2,"a"))</expression>
</high>
</effectiveTime>
<participant typeCode="PRD">
<roleParticipant classCode="THER">
<code valueSet="2.16.840.1.113883.3.464.1.94"/>
</roleParticipant>
</participant>
<definition>
<supplyReference moodCode="DEF">
<id root="0" extension="RX"/>
</supplyReference>
</definition>
</supplyCriteria>
</entry>
</dataCriteriaSection>
</component>
<component>
<populationCriteriaSection>
<code code="57026-7" codeSystem="2.16.840.1.113883.6.1"/>
<title>Population Criteria Section</title>
<text>This section describes the Initial Patient Population,
Numerator, Denominator, Denominator Exceptions, and Measure
Populations</text>
<entry>
<patientPopulationCriteria>
<id root="c75181d0-73eb-11de-8a39-0800200c9a66"
extension="IPP"/>
<precondition>
<observationReference>
<id root="0" extension="ageBetween17and64"/>
</observationReference>
</precondition>
</patientPopulationCriteria>
</entry>
<entry>
<denominatorCriteria>
<id root="c75181d0-73eb-11de-8a39-0800200c9a66"
extension="DENOM"/>
<precondition>
<atLeastOneTrue>
<precondition>
<allTrue>
<precondition>
<observationReference>
<id root="0" extension="HasDiabetes"/>
</observationReference>
</precondition>
<precondition>
<atLeastOneTrue>
<precondition>
<encounterReference>
<id root="0"
extension="EDorInpatientEncounter"/>
</encounterReference>
</precondition>
<precondition>
<encounterReference>
<id root="0" extension="AmbulatoryEncounter"/>
</encounterReference>
</precondition>
</atLeastOneTrue>
</precondition>
</allTrue>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="DiabetesMedAdministered"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference moodCode="INT">
<id root="0" extension="DiabetesMedIntended"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<supplyReference>
<id root="0" extension="DiabetesMedSupplied"/>
</supplyReference>
</precondition>
<precondition>
<supplyReference moodCode="RQO">
<id root="0" extension="DiabetesMedOrdered"/>
</supplyReference>
</precondition>
</atLeastOneTrue>
</precondition>
</denominatorCriteria>
</entry>
<entry>
<numeratorCriteria>
<id root="c75181d0-73eb-11de-8a39-0800200c9a66"
extension="NUMER"/>
<precondition>
<observationReference>
<id root="0" extension="HbA1C"/>
</observationReference>
</precondition>
</numeratorCriteria>
</entry>
<entry>
<denominatorExceptionCriteria>
<id root="c75181d0-73eb-11de-8a39-0800200c9a66"
extension="DENEXCEP"/>
<precondition>
<allTrue>
<precondition>
<observationReference>
<id root="0" extension="HasPolycysticOvaries"/>
</observationReference>
</precondition>
<precondition>
<observationReference>
<id root="0" extension="HasDiabetes"/>
</observationReference>
</precondition>
</allTrue>
</precondition>
<precondition>
<observationReference>
<id root="0" extension="HasSteroidInducedDiabetes"/>
</observationReference>
</precondition>
<precondition>
<observationReference>
<id root="0" extension="HasGestationalDiabetes"/>
</observationReference>
</precondition>
</denominatorExceptionCriteria>
</entry>
<entry>
<localVariableName>Age</localVariableName>
<stratifierCriteria>
<id root="c75181d0-73eb-11de-8a39-0800200c9a66"
extension="CLASSIFIER1"/>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="ageBetween17and21"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="ageBetween22and29"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="ageBetween30and39"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="ageBetween40and49"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="ageBetween50and59"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="ageBetween60and64"/>
</substanceAdministrationReference>
</precondition>
</stratifierCriteria>
</entry>
<entry>
<localVariableName>Gender</localVariableName>
<stratifierCriteria>
<id root="c75181d0-73eb-11de-8a39-0800200c9a66"
extension="CLASSIFIER2"/>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="genderMale"/>
</substanceAdministrationReference>
</precondition>
<precondition>
<substanceAdministrationReference>
<id root="0" extension="genderFemale"/>
</substanceAdministrationReference>
</precondition>
</stratifierCriteria>
</entry>
</populationCriteriaSection>
</component>
</QualityMeasureDocument>