Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5 United States of America flag

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

Example MeasureReport: Measurereport with contained data

Generated Narrative: MeasureReport summ-contained-supplemental

DEQM Measure Scoring Extension: Proportion

Supplemental Data Extension: Observation Male

Supplemental Data Extension: Observation Female

status: Complete

type: Summary

measure: http://example.org/fhir/Measure/AlaraCTFHIRMeasure

date: 2024-02-07 14:48:48+0000

reporter: Organization DaVinciHospital01

period: 2025-01-01 00:00:00+0000 --> 2025-12-31 23:59:59+0000

group

id

656763860f81f93fca7d762b

population

id

2D0D08DB-219D-4C41-AB53-DE21F006D602

Measure Report Population Description:

All diagnostic CT exams performed on adults (aged 18 years and older) during the measurement period that have a non-missing CT Dose and Image Quality Category, a Calculated CT Size-Adjusted Dose value, and a Calculated CT Global Noise value. CT exams with missing patient age, Calculated CT Size-Adjusted Dose, or Calculated CT Global Noise are technical exclusions from the initial population and will be calculated in the translation software. Technical exclusions will be flagged, corrected whenever possible, and tracked at the accountable entity level by the translation software.

code: Initial Population

count: 50

population

id

BCE3902C-1D78-41A4-A6C6-7913CD71D5F3

Measure Report Population Description:

Equals Initial Population

code: Denominator

count: 50

population

id

3C6FDFA9-8CE2-43E8-97C5-1E8D87F6CBC4

Measure Report Population Description:

CT exams that cannot be categorized by anatomical area or by clinical indication, either because they are simultaneous exams of multiple body regions outside of four commonly encountered multiple region groupings, or because there is insufficient data for their classification based on diagnosis and procedure codes, are assigned a CT Dose and Image Quality Category (LOINC 96914-7) value using the LOINC Answer list (LL5824-9) of Full body LA31771-1. This value identifies exams that are excluded from the calculation. These exams are included in the initial population because they have a non-missing CT Dose and Image Quality Category but are then excluded in the eCQM because the value is full body.

code: Denominator Exclusion

count: 10

population

id

1F700B85-7AB2-4BEE-BC8C-6C08CEF5E660

Measure Report Population Description:

Calculated CT Size-Adjusted Dose greater than or equal to a threshold specific to the CT Dose and Image Quality Category, or Calculated CT Global Noise value greater than or equal to a threshold specific to the CT Dose and Image Quality Category.

code: Numerator

count: 20

population

id

bdb43039-ae40-4daf-8390-eaac2880f6d6

code: Numerator Exclusion

count: 5

population

id

1032faf0-a5d2-44f3-b4fb-c52a0acd3f93

code: Denominator Exception

count: 0

Generated Narrative: Observation #60e33dd8-9150-45d7-8429-9d7f1e3e2fd6

Measure info

  • measure: https://madie.cms.gov/Measure/AlaraCTFHIR

status: Final

code: Male

subject: Virginia Hartman (official) Female, DoB: 1983-09-12 ( Medical record number: 34567 (use: usual, ))

effective: 2018-09-30 14:15:04+0000

performer: Practitioner Emile Zieme(official)

value: 4

Generated Narrative: Observation #7d622f95-a4b6-4ca7-a6e1-d473106ca276

Measure info

  • measure: https://madie.cms.gov/Measure/AlaraCTFHIR

status: Final

code: Female

subject: Virginia Hartman (official) Female, DoB: 1983-09-12 ( Medical record number: 34567 (use: usual, ))

effective: 2018-09-30 14:15:04+0000

performer: Practitioner Emile Zieme(official)

value: 16