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

Extension: DEQM Submit Data Update Type Extension

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType Version: 5.0.0
Standards status: Trial-use Active as of 2025-12-19 Maturity Level: 4 Computable Name: DEQMSubmitDataUpdateType
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.18

This Extension supports the concepts 'incremental' and 'snapshot' and corresponds to the measureScore types in the FHIR R5 version of MeasureReport.

  • The DEQM Consumer Server SHALL use this Extension to advertise whether it supports snapshot or incremental updates for the DEQM Submit Data transaction.
  • The DEQM Producer Client SHALL use this Extension to indicate whether the payload is a snapshot or incremental update for DEQM Submit Data transaction. When responding to the DEQM Collect Data transaction, the DEQM Producer Server SHALL value it 'incremental' if the lastReceivedOn parameter is present or 'snapshot if the lastReceivedOn parameter is absent.

Context of Use

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each Extension Must Have:

  1. url: identifies the meaning of the extension

Example can be found in Datax Measurereport01 and Consumer Server CapabilityStatement

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension Extension
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType"
... value[x] 0..1 code Value of extension
Slice: Unordered, Open by type:$this
... valueCode 0..1 code Value of extension
Binding: DEQM Update Type Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.valueCode Base required DEQM Update Type Value Set 📦5.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Optional Extensions Element
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType"
... Slices for value[x] 0..1 code Value of extension
Slice: Unordered, Closed by type:$this
.... value[x]:valueCode 0..1 code Value of extension
Binding: DEQM Update Type Value Set (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x]:valueCode Base required DEQM Update Type Value Set 📦5.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type code: This Extension supports the concepts 'incremental' and 'snapshot' and corresponds to the measureScore types in the FHIR R5 version of MeasureReport.

  • The DEQM Consumer Server SHALL use this Extension to advertise whether it supports snapshot or incremental updates for the DEQM Submit Data transaction.
  • The DEQM Producer Client SHALL use this Extension to indicate whether the payload is a snapshot or incremental update for DEQM Submit Data transaction. When responding to the DEQM Collect Data transaction, the DEQM Producer Server SHALL value it 'incremental' if the lastReceivedOn parameter is present or 'snapshot if the lastReceivedOn parameter is absent.

Maturity: 4

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension Extension
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType"
... value[x] 0..1 code Value of extension
Slice: Unordered, Open by type:$this
... valueCode 0..1 code Value of extension
Binding: DEQM Update Type Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.valueCode Base required DEQM Update Type Value Set 📦5.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Optional Extensions Element
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType"
... Slices for value[x] 0..1 code Value of extension
Slice: Unordered, Closed by type:$this
.... value[x]:valueCode 0..1 code Value of extension
Binding: DEQM Update Type Value Set (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x]:valueCode Base required DEQM Update Type Value Set 📦5.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type code: This Extension supports the concepts 'incremental' and 'snapshot' and corresponds to the measureScore types in the FHIR R5 version of MeasureReport.

  • The DEQM Consumer Server SHALL use this Extension to advertise whether it supports snapshot or incremental updates for the DEQM Submit Data transaction.
  • The DEQM Producer Client SHALL use this Extension to indicate whether the payload is a snapshot or incremental update for DEQM Submit Data transaction. When responding to the DEQM Collect Data transaction, the DEQM Producer Server SHALL value it 'incremental' if the lastReceivedOn parameter is present or 'snapshot if the lastReceivedOn parameter is absent.

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron