Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - CI Build

Data Exchange For Quality Measures STU3 for FHIR R4, published by HL7 International - Clinical Quality Information Work Group. This is not an authorized publication; it is the continuous build for version 3.0.0). This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Change Notes

The Data Exchange For Quality Measures Implementation Guide was developed under the Davinci Project

Changes and Updates for version 0.2.0

  1. Applied all resolutions from STU1 Ballot
  2. Updated and Expanded the Background Section on the Clinical Quality Measures Ecosystem and how this guide fits into that Ecosystem.
  3. Added Guidance on Measure Reporting
  4. Added Use Cases for Colorectal Screening and Venous Thromboembolism Prophylaxis Measure Reporting

Changes and Updates for version 1.0.0

The current official published version of the DEQM IG for FHIR STU3.

  1. Applied all resolutions from May STU1 Ballot

Changes and Updates for version 1.1.0

STU2 Ballot for FHIR R4 Version of the DEQM IG.

  1. Creation of FHIR R4 version.
  2. Additional examples

Changes and Updates for version 2.0.0

The first official published version of the DEQM IG for FHIR R4.

  1. Applied all resolutions from STU2 Ballot

Changes and Updates for version 2.1.0

STU3 Ballot for FHIR R4 Version of the DEQM IG.

  1. Added content for Gaps in Care Reporting
    • Updated Home Page about Gaps in Care Reporting and added new glossary and acronym
    • Updated General Guidance about Gaps in Care Reporting
    • Added Gaps In Care Reporting page under Framework
    • Added Gaps In Care page under Example Use Cases
    • Updated Profiles/Extensions page under FHIR Artifacts adding new profiles and extension defined for Gaps in Care
    • Added Operations page under FHIR Artifacts listing care-gaps operation defined for Gaps in Care
    • Updated Terminology page under FHIR Artifacts adding new code system and value sets defined for Gaps in Care
    • Updated capability statements under FHIR Artifacts adding new capability statements defined for Gaps in Care
    • Updated Examples page with new examples created for Gaps in Care
    • Updated Downloads page with new schematrons for Gaps in Care

Changes and Updates for version 3.0.0

The second official published version of the DEQM IG for FHIR R4.

  1. Applied all resolutions from STU3 Ballot

    Profile Changes:

    • Changed the DEQM Gaps In Care Composition Profile to reference 1..* DEQM Gaps In Care DetectedIssue instead of 0..* (FHIR-29017), (FHIR-29012)
    • Noted in DEQM Gaps in Care Composition Profile that the date range for the Gaps in Care Report is specified using the period element in the DEQM Individual MeasureReport Profile. (FHIR-28971)
    • Added a modifier extension gapStatus to the DEQM Gaps In Care DetectedIssue profile. (FHIR-29017), (FHIR-29012)
    • Updated code in Composition.type to the LOINC code for Gaps in Care Report.(FHIR-29828)
    • Changed patient to 1..1 in DEQM Gaps in Care DetectedIssue profile. (FHIR-28439)
    • Clarified that the reference to the MeasureReport allows linkage to the FHIR Measure resource in DEQM Gaps in Care DetectedIssue profile . (FHIR-28973)
    • Changed DetectedIssue.evidence.detail to reference either DEQM Individual MeasureReport Profile or GuidanceResponse. (FHIR-28486)
    • Updated the DetectedIssue.code to use the new CAREGAP code that was added to the (ActCode code system. (FHIR-31067)
    • Removed DEQM Gaps in Care Individual MeasureReport profile that was in the STU3 Ballot version. Added the extension-populationReference to the DEQM Individual MeasureReport profile instead. Updated the extension-populationReference to reference population criteria id specified in a Measure resource. (FHIR-28497), (FHIR-30407)
    • Updated the DEQM Individual and Summary MeasureReport.reporter to be “Organization that generated the report”. (FHIR-28484)
    • Added documentation to reference populationReference extension and explanation on how to use. (FHIR-28497)
    • Added description on improvementNotation (FHIR-28969)

    care-gap operation updates

    • Changed care-gaps operation to allow 3 parameters to specify measure - id, url, identifier. (FHIR-28483)
    • Updated care-gaps operation practitioner and organization input parameters to be a string(reference). (FHIR-28966)
    • Added a note to the topic parameter to indicate that the type of this parameter is a string with a search type of token so that the coding value can be provided as part of a URL and the operation can be invoked using GET. (FHIR-28967)
    • Added care-gaps operation API call examples. (FHIR-28968)
    • Clarified that the result of the care-gaps operation must be using the Parameters resource. (FHIR-28496)
    • Clarified that the caller of the care-gaps operations SHALL use specified parameters by adding text “a caller”. (FHIR-28965)
  2. Applied resolutions for non-STU3 ballot DEQM trackers
    • Corrected typo. (FHIR-29637)
    • Clarified that the data included in a report will be based on the date the report is run. (FHIR-28953)
    • Updated MedicationAdministration Profile to explain this is an example of how you can use a profile instead of a Measure’s CQL to constrain data used in a Measure. Discussed the pros and cons of each method. (FHIR-29560)
    • Added extension-reporterGroup to DEQM Individual MeasureReport and DEQM Data Exchange MeasureReport. (FHIR-29411)
    • Changed Colorectal Screening example page to use DEQM Data Exchange MeasureReport profile. (FHIR-29561)
    • Updated parameter name in MRP example to “measureReport”. (FHIR-30075)
    • Explained Relationship of Measure and MeasureReport Resources. (FHIR-28373)
    • Updated outdated Figures 3-1 and 3-2. (FHIR-31881)
    • Updated outdated Figures 3-5, 3-6, 3-7, and 3-8. (FHIR-31882)
    • Simplified the Conformance Requirement 1 language for $care-gaps. (FHIR-31902)
    • Updated 2.1.7 Must Support. (FHIR-31961)
    • Updated Figure 1-1 and Figure 2-12 to use the new Quality Improvement Ecosystem diagram.

Changes and Updates for Version xxx

Terminology Updated -Added new value to Gap Status Code System of Non Applicable for when a criteria is not met to include the patient in the Initial Population (FHIR-32980)