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
<Parameters xmlns="http://hl7.org/fhir">
<id value="multiple-gaps-indv-report02"/>
<parameter>
<name value="return"/>
<resource>
<Bundle>
<id value="single-gaps-closed-indv-report02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:7396eb14-8f5c-4fe1-b023-1c6838152136"/>
</identifier>
<type value="document"/>
<timestamp value="2020-07-07T13:08:53+00:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Composition/gaps-composition03"/>
<resource>
<Composition>
<id value="gaps-composition03"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="96315-7"/>
<display value="Gaps in care report"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/gaps-patient01"/>
</subject>
<date value="2020-07-07T13:08:53+00:00"/>
<author>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</author>
<title value="Care Gap Report for patient gaps-patient01"/>
<section>
<title value="Colorectal Cancer Screening"/>
<focus>🔗
<reference value="MeasureReport/gaps-indv-measurereport04"/>
</focus>
<entry>🔗
<reference value="DetectedIssue/gaps-detectedissue05"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue05"/>
<resource>
<DetectedIssue>
<id value="gaps-detectedissue05"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
</meta>
<modifierExtension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</modifierExtension>
<status value="final"/>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="CAREGAP"/>
<display value="Caregap"/>
</coding>
</code>
<patient>🔗
<reference value="Patient/gaps-patient01"/>
</patient>
<evidence>
<detail>🔗
<reference value="MeasureReport/gaps-indv-measurereport04"/>
</detail>
</evidence>
</DetectedIssue>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04"/>
<resource>
<MeasureReport>
<id value="gaps-indv-measurereport04"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
</meta>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
<value value="0015HQN9BD3304E"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
<valueReference>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</valueReference>
</extension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
<subject>🔗
<reference value="Patient/gaps-patient01"/>
</subject>
<date value="2020-07-07T13:08:52+00:00"/>
<reporter>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</reporter>
<period>
<start value="2020-01-01"/>
<end value="2020-12-31"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-exm130">
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
<display value="Denominator Exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<measureScore>
<value value="1.0"/>
</measureScore>
</group>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="initial-population"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="denominator"/>
</extension>
<reference value="Encounter/gaps-encounter03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="initial-population"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="denominator"/>
</extension>
<reference value="Patient/gaps-patient01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="numerator"/>
</extension>
<reference value="Procedure/gaps-procedure02"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Encounter/gaps-encounter03"/>
<resource>
<Encounter>
<id value="gaps-encounter03"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
</meta>
<status value="finished"/>
<class>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99202"/>
<display
value="Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."/>
</coding>
</type>
<subject>🔗
<reference value="Patient/gaps-patient01"/>
</subject>
<period>
<start value="2020-07-06T07:07:00-00:00"/>
<end value="2020-07-06T10:11:00-00:00"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Procedure/gaps-procedure02"/>
<resource>
<Procedure>
<id value="gaps-procedure02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
</meta>
<extension
url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
<valueDateTime value="2020-07-06T09:00:00-00:00"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="45384"/>
<display
value="Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/gaps-patient01"/>
</subject>
<performedPeriod>
<start value="2020-07-06T08:00:00-00:00"/>
<end value="2020-07-06T09:00:00-00:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Patient/gaps-patient01"/>
<resource>
<Patient>
<id value="gaps-patient01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="999995992"/>
</identifier>
<name>
<family value="Susan"/>
<given value="Parker"/>
</name>
<gender value="female"/>
<birthDate value="1965-01-01"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
<resource>
<Organization>
<id value="gaps-organization-reportingvendor"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="123446789"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="pay"/>
<display value="Payer"/>
</coding>
</type>
<name value="GapsReportingVendor01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-545-1212"/>
</telecom>
<address>
<line value="13 Drive Street"/>
<city value="Cityplace"/>
<state value="MA"/>
<postalCode value="01101"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>
</resource>
</parameter>
<parameter>
<name value="return"/>
<resource>
<Bundle>
<id value="single-gaps-closed-indv-report01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:80c493d0-e3c7-4e63-81fe-81fb3b16b9ab"/>
</identifier>
<type value="document"/>
<timestamp value="2020-07-07T13:08:53+00:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Composition/gaps-composition02"/>
<resource>
<Composition>
<id value="gaps-composition02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="96315-7"/>
<display value="Gaps in care report"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<date value="2020-07-07T13:08:53+00:00"/>
<author>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</author>
<title value="Care Gap Report for patient gaps-patient02"/>
<section>
<title value="Colorectal Cancer Screening"/>
<focus>🔗
<reference value="MeasureReport/gaps-indv-measurereport03"/>
</focus>
<entry>🔗
<reference value="DetectedIssue/gaps-detectedissue03"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03"/>
<resource>
<DetectedIssue>
<id value="gaps-detectedissue03"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
</meta>
<modifierExtension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</modifierExtension>
<status value="final"/>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="CAREGAP"/>
<display value="Caregap"/>
</coding>
</code>
<patient>🔗
<reference value="Patient/gaps-patient02"/>
</patient>
<evidence>
<detail>🔗
<reference value="MeasureReport/gaps-indv-measurereport03"/>
</detail>
</evidence>
</DetectedIssue>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
<resource>
<MeasureReport>
<id value="gaps-indv-measurereport03"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
</meta>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
<value value="0015HQN9BD3304E"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
<valueReference>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</valueReference>
</extension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<date value="2020-07-07T13:08:53+00:00"/>
<reporter>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</reporter>
<period>
<start value="2020-01-01"/>
<end value="2020-12-31"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-exm130">
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
<display value="Denominator Exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<measureScore>
<value value="1.0"/>
</measureScore>
</group>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="initial-population"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="denominator"/>
</extension>
<reference value="Encounter/gaps-encounter02"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="initial-population"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="denominator"/>
</extension>
<reference value="Patient/gaps-patient02"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="numerator"/>
</extension>
<reference value="Procedure/gaps-procedure01"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Encounter/gaps-encounter02"/>
<resource>
<Encounter>
<id value="gaps-encounter02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
</meta>
<status value="finished"/>
<class>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99202"/>
<display
value="Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."/>
</coding>
</type>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<period>
<start value="2020-03-05T07:00:00-00:00"/>
<end value="2020-03-05T10:00:00-00:00"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Procedure/gaps-procedure01"/>
<resource>
<Procedure>
<id value="gaps-procedure01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
</meta>
<extension
url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
<valueDateTime value="2018-09-10T09:00:00-00:00"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="45384"/>
<display
value="Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<performedPeriod>
<start value="2018-09-10T08:00:00-00:00"/>
<end value="2018-09-10T09:00:00-00:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
<resource>
<Patient>
<id value="gaps-patient02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="999996992"/>
</identifier>
<name>
<family value="Ludwich"/>
<given value="Thomas"/>
</name>
<gender value="male"/>
<birthDate value="1957-01-01"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
<resource>
<Organization>
<id value="gaps-organization-reportingvendor"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="123446789"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="pay"/>
<display value="Payer"/>
</coding>
</type>
<name value="GapsReportingVendor01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-545-1212"/>
</telecom>
<address>
<line value="13 Drive Street"/>
<city value="Cityplace"/>
<state value="MA"/>
<postalCode value="01101"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>
</resource>
</parameter>
</Parameters>
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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