HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: ObservationQualityMeasureAttribute

Official URL: http://terminology.hl7.org/ValueSet/v3-ObservationQualityMeasureAttribute Version: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: ObservationQualityMeasureAttribute
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.1.11.20366

Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

Codes used to define various metadata aspects of a health quality measure.


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)



Expansion based on codesystem ActCode v9.0.0 (CodeSystem)

This value set contains 32 concepts.

1  _ObservationQualityMeasureAttributehttp://terminology.hl7.org/CodeSystem/v3-ActCodeObservationQualityMeasureAttribute

Codes used to define various metadata aspects of a health quality measure.

2    AGGREGATEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeaggregate measure observation

Indicates that the observation is carrying out an aggregation calculation, contained in the value element.

2    CMPMSRMTHhttp://terminology.hl7.org/CodeSystem/v3-ActCodecomposite measure method

Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.

2    CMPMSRSCRWGHThttp://terminology.hl7.org/CodeSystem/v3-ActCodecomponent measure scoring weight

An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.

2    COPYhttp://terminology.hl7.org/CodeSystem/v3-ActCodecopyright

Identifies the organization(s) who own the intellectual property represented by the eMeasure.

2    CRShttp://terminology.hl7.org/CodeSystem/v3-ActCodeclinical recommendation statement

Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.

2    DEFhttp://terminology.hl7.org/CodeSystem/v3-ActCodedefinition

Description of individual terms, provided as needed.

2    DISChttp://terminology.hl7.org/CodeSystem/v3-ActCodedisclaimer

Disclaimer information for the eMeasure.

2    FINALDThttp://terminology.hl7.org/CodeSystem/v3-ActCodefinalized date/time

The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.

2    GUIDEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeguidance

Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.

2    IDURhttp://terminology.hl7.org/CodeSystem/v3-ActCodeimprovement notation

Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

2    ITMCNThttp://terminology.hl7.org/CodeSystem/v3-ActCodeitems counted

Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)

2    KEYhttp://terminology.hl7.org/CodeSystem/v3-ActCodekeyword

A significant word that aids in discoverability.

2    MEDThttp://terminology.hl7.org/CodeSystem/v3-ActCodemeasurement end date

The end date of the measurement period.

2    MSDhttp://terminology.hl7.org/CodeSystem/v3-ActCodemeasurement start date

The start date of the measurement period.

2    MSRADJhttp://terminology.hl7.org/CodeSystem/v3-ActCoderisk adjustment

The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.

2    MSRAGGhttp://terminology.hl7.org/CodeSystem/v3-ActCoderate aggregation

Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two).

Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.

2    MSRIMPROVhttp://terminology.hl7.org/CodeSystem/v3-ActCodehealth quality measure improvement notation

Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.

2    MSRJURhttp://terminology.hl7.org/CodeSystem/v3-ActCodejurisdiction

The list of jurisdiction(s) for which the measure applies.

2    MSRRPTRhttp://terminology.hl7.org/CodeSystem/v3-ActCodereporter type

Type of person or organization that is expected to report the issue.

2    MSRRPTTIMEhttp://terminology.hl7.org/CodeSystem/v3-ActCodetimeframe for reporting

The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.

2    MSRSCOREhttp://terminology.hl7.org/CodeSystem/v3-ActCodemeasure scoring

Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)

2    MSRSEThttp://terminology.hl7.org/CodeSystem/v3-ActCodehealth quality measure care setting

Location(s) in which care being measured is rendered

Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).

2    MSRTOPIChttp://terminology.hl7.org/CodeSystem/v3-ActCodehealth quality measure topic type
2    MSRTPhttp://terminology.hl7.org/CodeSystem/v3-ActCodemeasurement period

The time period for which the eMeasure applies.

2    MSRTYPEhttp://terminology.hl7.org/CodeSystem/v3-ActCodemeasure type

Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).

2    RAThttp://terminology.hl7.org/CodeSystem/v3-ActCoderationale

Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.

2    REFhttp://terminology.hl7.org/CodeSystem/v3-ActCodereference

Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.

2    SDEhttp://terminology.hl7.org/CodeSystem/v3-ActCodesupplemental data elements

Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.

2    STRAThttp://terminology.hl7.org/CodeSystem/v3-ActCodestratification

Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).

2    TRANFhttp://terminology.hl7.org/CodeSystem/v3-ActCodetransmission format

Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.

2    USEhttp://terminology.hl7.org/CodeSystem/v3-ActCodenotice of use

Usage notes.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code


2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2022-10-18reviseMarc DuteauTSMGFixing missing metadata; up-349
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26