DRAFT SMART Guidelines L3 SOP, published by TBD. This is not an authorized publication; it is the continuous build for version 0.2.1). This version is based on the current content of https://github.com/DigitalSQR/smart-ig-starter-kit and changes regularly. See the Directory of published versions

Indicators

Indicators are a machine-readable expressions that define the indicator and its input variables, population, and stratifiers. Indicators are expressed using FHIR Measure resource.

Inputs:

• L2 indicator definition
• Data dictionary
• CQL dependencies

Outputs:

• Measure FHIR artifact
• Example MeasureReport corresponding to the test / example data included

Activities:

Measures are defined using CQL. The activities to define such Measures are:

• Create the Measure resource instance and populate metadata (author, title, description, etc.)

• Create the device “cqf-tooling” as the value for the extension http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem

• group.id must be the same as the name of the measure
• add the Library that is containing the definitions.

create scoring From scoring, see what populations are permitted https://build.fhir.org/ig/HL7/cqf-measures/measure-conformance.html#conformance-requirement-3-8

• How to figure out?

• If known, add the scoring, type, and improvementNotation

• data requirements:
  • add codes that are used directly in the measure Add the libraries that contain the functions http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
• From the Indicator definition, create the group(s), population(s) and stratifier(s)
  • Add description, and the CQL expression that will be available from a CQL library

Stratifiers: combined or not? We must create a set of stratifiers which is the permutations that you care about.

Can we use measurereport to capture multiple values and computationally firgure out what are the figures behind Could we have a way toadd parameters to subject.reference containing the values of each other stratifier for that person?

TO DO: Must be a profile of computable-measure-cqfm ? TO DO: Effective data requirements as a library? TO DO: Data requirement in effective-data-requirements - is it a search parameter?

Output Criteria / Definition of Done:

• Indicators shall conform to the SGMeasure profile.

• All the input variables shall be in the measure’s terms.

• All terms shall part of the Data Dictionary

• At least one example MeasureReport should be provided
  • The example MeasureReport should indicate in which conditions
• There should be a package with all that is needed to evaluate the Measure and the $evaluate-measure operation, with example data included or available.

Change tracking

Tooling:

Tool	Usage	Doc
CQF Ruler	A FHIR server to upload the artifacts and test the $evaluate-measure	​Testing Measures

Informative examples

Known issues and dependencies: