Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "multiple-summ-report",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"type" : "transaction",
"timestamp" : "2020-06-18T20:16:02.653993Z",
"entry" : [
{
"fullUrl" : "urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172",
"resource" : {
"resourceType" : "MeasureReport",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport </b></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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <code>http://example.org/fhir/Measure/measure-medicare-stratification-example</code></p><p><b>period</b>: 2018-01-01 --> 2018-12-31</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 4000</p></blockquote><p><b>measureScore</b>: 0.50</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageType}\">Coverage Type</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/CodeSystem/SOP MEDICARE}\">Medicare</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 243</p></blockquote><p><b>measureScore</b>: 0.62</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageTypeAndClass}\">Coverage Type and Class</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageType}\">Coverage Type</span></p><p><b>value</b>: <span title=\"Codes:{http://example.org/CodeSystem/SOP MEDICARE}\">Medicare</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageClass}\">Coverage Class</span></p><p><b>value</b>: <span title=\"Codes:{http://example.org/CodeSystem/medicare-subgroup Non-LIS/DE,Nondisability}\">Non-LIS/DE,Nondisability</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 103</p></blockquote><p><b>measureScore</b>: 0.69</p></blockquote></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
}
]
}
}
],
"status" : "complete",
"type" : "summary",
"measure" : "http://example.org/fhir/Measure/measure-medicare-stratification-example",
"period" : {
"start" : "2018-01-01",
"end" : "2018-12-31"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"count" : 10000
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"count" : 8000
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 4000
}
],
"measureScore" : {
"value" : 0.50
},
"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://example.org/CodeSystem/stratifier-classifications",
"code" : "CoverageType",
"display" : "Coverage Type"
}
]
}
],
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/SOP",
"code" : "MEDICARE",
"display" : "Medicare"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"count" : 1747
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"count" : 392
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 243
}
],
"measureScore" : {
"value" : 0.62
}
}
]
},
{
"code" : [
{
"coding" : [
{
"system" : "http://example.org/CodeSystem/stratifier-classifications",
"code" : "CoverageTypeAndClass",
"display" : "Coverage Type and Class"
}
]
}
],
"stratum" : [
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/stratifier-classifications",
"code" : "CoverageType",
"display" : "Coverage Type"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/SOP",
"code" : "MEDICARE",
"display" : "Medicare"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/stratifier-classifications",
"code" : "CoverageClass",
"display" : "Coverage Class"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://example.org/CodeSystem/medicare-subgroup",
"code" : "Non-LIS/DE,Nondisability",
"display" : "Non-LIS/DE,Nondisability"
}
]
}
}
],
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
},
"count" : 745
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
},
"count" : 150
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 103
}
],
"measureScore" : {
"value" : 0.69
}
}
]
}
]
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2019-02-21T01:47:54.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </b></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\">version: 4; Last updated: 2019-02-21 01:47:54+0000; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.4",
"value" : "123456789",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "DaVinciHospital01",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 401-555-1212"
}
],
"address" : [
{
"line" : [
"73 Lakewood Street"
],
"city" : "Warwick",
"state" : "RI",
"postalCode" : "02886",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172",
"resource" : {
"resourceType" : "MeasureReport",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport </b></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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"Measure-measure-exm130-example.html\">Colorectal Cancer Screening Measure</a></p><p><b>date</b>: 2019-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Bundle-multiple-summ-report.html#urn-uuid-884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">Bundle: type = transaction; timestamp = 2020-06-18 20:16:02+0000</a></p><p><b>period</b>: 2019-08-01 --> 2019-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ group-1}\">group-1</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 0.66</p></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
}
]
}
}
],
"status" : "complete",
"type" : "summary",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
"date" : "2019-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"
},
"period" : {
"start" : "2019-08-01",
"end" : "2019-09-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "group-1",
"display" : "group-1"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 100
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 60
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 100
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 10
}
],
"measureScore" : {
"value" : 0.66
}
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172",
"resource" : {
"resourceType" : "MeasureReport",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport </b></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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Bundle-multiple-summ-report.html#urn-uuid-884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">Bundle: type = transaction; timestamp = 2020-06-18 20:16:02+0000</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 80</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 100</p></blockquote><p><b>measureScore</b>: 0.8</p></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
}
]
}
}
],
"status" : "complete",
"type" : "summary",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "mrp-group",
"display" : "MRP Group"
}
],
"text" : "MRP Group"
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 100
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 80
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 100
}
],
"measureScore" : {
"value" : 0.8
}
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
}
]
}
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1. Generated 2024-11-13
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