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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:MeasureReport ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "summ-contained-supplemental"] ; #
fhir:meta [
fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport summ-contained-supplemental</b></p><a name=\"summ-contained-supplemental\"> </a><a name=\"hcsumm-contained-supplemental\"> </a><a name=\"summ-contained-supplemental-en-US\"> </a><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>Supplemental Data Extension</b>: <a href=\"#hcsumm-contained-supplemental/60e33dd8-9150-45d7-8429-9d7f1e3e2fd6\">Observation Male</a></p><p><b>Supplemental Data Extension</b>: <a href=\"#hcsumm-contained-supplemental/7d622f95-a4b6-4ca7-a6e1-d473106ca276\">Observation Female</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <code>http://example.org/fhir/Measure/AlaraCTFHIRMeasure</code></p><p><b>date</b>: 2024-02-07 14:48:48+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2025-01-01 00:00:00+0000 --> 2025-12-31 23:59:59+0000</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>656763860f81f93fca7d762b</blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>2D0D08DB-219D-4C41-AB53-DE21F006D602</blockquote><p><b>Measure Report Population Description</b>: </p><div><p>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.</p>\n</div><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>BCE3902C-1D78-41A4-A6C6-7913CD71D5F3</blockquote><p><b>Measure Report Population Description</b>: </p><div><p>Equals Initial Population</p>\n</div><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>3C6FDFA9-8CE2-43E8-97C5-1E8D87F6CBC4</blockquote><p><b>Measure Report Population Description</b>: </p><div><p>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.</p>\n</div><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><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>1F700B85-7AB2-4BEE-BC8C-6C08CEF5E660</blockquote><p><b>Measure Report Population Description</b>: </p><div><p>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.</p>\n</div><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 20</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>bdb43039-ae40-4daf-8390-eaac2880f6d6</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator-exclusion}\">Numerator Exclusion</span></p><p><b>count</b>: 5</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>1032faf0-a5d2-44f3-b4fb-c52a0acd3f93</blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exception}\">Denominator Exception</span></p><p><b>count</b>: 0</p></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #60e33dd8-9150-45d7-8429-9d7f1e3e2fd6</b></p><a name=\"summ-contained-supplemental/60e33dd8-9150-45d7-8429-9d7f1e3e2fd6\"> </a><a name=\"hcsumm-contained-supplemental/60e33dd8-9150-45d7-8429-9d7f1e3e2fd6\"> </a><a name=\"summ-contained-supplemental/60e33dd8-9150-45d7-8429-9d7f1e3e2fd6-en-US\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <code>https://madie.cms.gov/Measure/AlaraCTFHIR</code></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender M}\">Male</span></p><p><b>subject</b>: <a href=\"Patient-patient03.html\">Virginia Hartman (official) Female, DoB: 1983-09-12 ( Medical record number: 34567 (use: usual, ))</a></p><p><b>effective</b>: 2018-09-30 14:15:04+0000</p><p><b>performer</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner Emile Zieme(official)</a></p><p><b>value</b>: 4</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #7d622f95-a4b6-4ca7-a6e1-d473106ca276</b></p><a name=\"summ-contained-supplemental/7d622f95-a4b6-4ca7-a6e1-d473106ca276\"> </a><a name=\"hcsumm-contained-supplemental/7d622f95-a4b6-4ca7-a6e1-d473106ca276\"> </a><a name=\"summ-contained-supplemental/7d622f95-a4b6-4ca7-a6e1-d473106ca276-en-US\"> </a><blockquote><p><b>Measure info</b></p><ul><li>measure: <code>https://madie.cms.gov/Measure/AlaraCTFHIR</code></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender F}\">Female</span></p><p><b>subject</b>: <a href=\"Patient-patient03.html\">Virginia Hartman (official) Female, DoB: 1983-09-12 ( Medical record number: 34567 (use: usual, ))</a></p><p><b>effective</b>: 2018-09-30 14:15:04+0000</p><p><b>performer</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner Emile Zieme(official)</a></p><p><b>value</b>: 16</p></blockquote></div>"
] ; #
fhir:contained ( [
a fhir:Observation ;
fhir:id [ fhir:v "60e33dd8-9150-45d7-8429-9d7f1e3e2fd6" ] ;
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "measure"^^xsd:anyURI ] ;
fhir:value [
fhir:v "https://madie.cms.gov/Measure/AlaraCTFHIR"^^xsd:anyURI ;
fhir:link <https://madie.cms.gov/Measure/AlaraCTFHIR> ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"^^xsd:anyURI ] ] ) ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M" ] ] ) ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/patient03" ] ] ;
fhir:effective [ fhir:v "2018-09-30T14:15:04.424Z"^^xsd:dateTime ] ;
( fhir:performer [
fhir:reference [ fhir:v "Practitioner/practitioner02" ] ] ) ;
fhir:value [ fhir:v "4"^^xsd:integer ]
] [
a fhir:Observation ;
fhir:id [ fhir:v "7d622f95-a4b6-4ca7-a6e1-d473106ca276" ] ;
( fhir:extension [
( fhir:extension [
fhir:url [ fhir:v "measure"^^xsd:anyURI ] ;
fhir:value [
fhir:v "https://madie.cms.gov/Measure/AlaraCTFHIR"^^xsd:anyURI ;
fhir:link <https://madie.cms.gov/Measure/AlaraCTFHIR> ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"^^xsd:anyURI ] ] ) ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"^^xsd:anyURI ] ;
fhir:code [ fhir:v "F" ] ] ) ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/patient03" ] ] ;
fhir:effective [ fhir:v "2018-09-30T14:15:04.424Z"^^xsd:dateTime ] ;
( fhir:performer [
fhir:reference [ fhir:v "Practitioner/practitioner02" ] ] ) ;
fhir:value [ fhir:v "16"^^xsd:integer ]
] ) ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ] ] ) ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "sde-sex" ] ] ) ;
fhir:reference [ fhir:v "#60e33dd8-9150-45d7-8429-9d7f1e3e2fd6" ] ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-supplementalData"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "sde-sex" ] ] ) ;
fhir:reference [ fhir:v "#7d622f95-a4b6-4ca7-a6e1-d473106ca276" ] ]
] ) ; #
fhir:status [ fhir:v "complete"] ; #
fhir:type [ fhir:v "summary"] ; #
fhir:measure [
fhir:v "http://example.org/fhir/Measure/AlaraCTFHIRMeasure"^^xsd:anyURI ;
fhir:link <http://example.org/fhir/Measure/AlaraCTFHIRMeasure>
] ; #
fhir:date [ fhir:v "2024-02-07T14:48:48+00:00"^^xsd:dateTime] ; #
fhir:reporter [
fhir:reference [ fhir:v "Organization/organization01" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2025-01-01T00:00:00+00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2025-12-31T23:59:59+00:00"^^xsd:dateTime ]
] ; #
fhir:group ( [
fhir:id [ fhir:v "656763860f81f93fca7d762b" ] ;
( fhir:population [
fhir:id [ fhir:v "2D0D08DB-219D-4C41-AB53-DE21F006D602" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription"^^xsd:anyURI ] ;
fhir:value [ fhir:v "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." ] ] ) ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ] ] ) ] ;
fhir:count [ fhir:v "50"^^xsd:integer ] ] [
fhir:id [ fhir:v "BCE3902C-1D78-41A4-A6C6-7913CD71D5F3" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Equals Initial Population" ] ] ) ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ] ] ) ] ;
fhir:count [ fhir:v "50"^^xsd:integer ] ] [
fhir:id [ fhir:v "3C6FDFA9-8CE2-43E8-97C5-1E8D87F6CBC4" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription"^^xsd:anyURI ] ;
fhir:value [ fhir:v "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." ] ] ) ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exclusion" ] ;
fhir:display [ fhir:v "Denominator Exclusion" ] ] ) ] ;
fhir:count [ fhir:v "10"^^xsd:integer ] ] [
fhir:id [ fhir:v "1F700B85-7AB2-4BEE-BC8C-6C08CEF5E660" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-populationDescription"^^xsd:anyURI ] ;
fhir:value [ fhir:v "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." ] ] ) ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ] ] ) ] ;
fhir:count [ fhir:v "20"^^xsd:integer ] ] [
fhir:id [ fhir:v "bdb43039-ae40-4daf-8390-eaac2880f6d6" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-exclusion" ] ;
fhir:display [ fhir:v "Numerator Exclusion" ] ] ) ] ;
fhir:count [ fhir:v "5"^^xsd:integer ] ] [
fhir:id [ fhir:v "1032faf0-a5d2-44f3-b4fb-c52a0acd3f93" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exception" ] ;
fhir:display [ fhir:v "Denominator Exception" ] ] ) ] ;
fhir:count [ fhir:v "0"^^xsd:integer ] ] )
] ) . #
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1. Generated 2024-10-21
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