Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot International 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 1.0.0-ballot 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

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Package File

The following package file includes an NPM (Node Package Manager) package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and URLs in the implementation guide (IG), etc. defined as part of this version of the IG. This file should be the first choice whenever generating any implementation artifacts since it contains all of the rules about what makes the profiles valid. Implementers will still need to be familiar with the content of the specification and profiles that apply to make a conformant implementation.

See the overview on validating FHIR profiles and resources:

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.uv.deqm.r4) and R4B (hl7.fhir.uv.deqm.r4b) are available.

Dependency Table

IGPackageFHIRComment
.. Data Exchange For Quality Measures Implementation Guidehl7.fhir.uv.deqm#1.0.0-ballotR4
... HL7 Terminology (THO)hl7.terminology.r4#7.1.0R4Automatically added as a dependency - all IGs depend on HL7 Terminology
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#currentR4
... Quality Measure Implementation Guidehl7.fhir.uv.cqm#currentR4
.... Canonical Resource Management Infrastructure Implementation Guidehl7.fhir.uv.crmi#1.0.0R4
..... HL7 Terminology (THO)hl7.terminology#5.5.0R4
...... FHIR Extensions Packhl7.fhir.uv.extensions.r4#1.0.0R4
..... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.1.0R4
.... Using CQL With FHIRhl7.fhir.uv.cql#2.0.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#6.5.0R4
... QI-Core Implementation Guidehl7.fhir.us.qicore#7.0.1R4for example references
... FHIR Tooling Extensions IGhl7.fhir.uv.tools.r4#1.1.2R4for example references

Package hl7.fhir.uv.extensions.r4#5.2.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.extensions.r4#current

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Wed, Mar 25, 2026 05:08+0000+00:00)

Package hl7.fhir.uv.extensions.r4#1.0.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.crmi#1.0.0

This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Fri, May 31, 2024 16:38+0000+00:00)

Package hl7.fhir.uv.cql#2.0.0

This implementation guide defines profiles, operations and guidance for the use of CQL with FHIR, both as a mechanism for querying, as well as inline and integrated usage as part of knowledge artifacts. (built Tue, Jul 8, 2025 14:47+0000+00:00)

Package hl7.fhir.uv.cqm#current

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Wed, Mar 25, 2026 03:26+0000+00:00)

Package hl7.fhir.us.qicore#7.0.1

The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Thu, Jul 17, 2025 16:55+0000+00:00)

Package hl7.fhir.uv.tools.r4#1.1.2

This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

Globals Table

Global Profiles:

TypeSourceProfile
Encounterhl7.fhir.us.qicore#7.0.1QICore Encounter
Immunizationhl7.fhir.us.qicore#7.0.1QICore Immunization
Observationhl7.fhir.us.qicore#7.0.1QICore Simple Observation
Organizationhl7.fhir.us.qicore#7.0.1QICore Organization
Patienthl7.fhir.us.qicore#7.0.1QICore Patient
Practitionerhl7.fhir.us.qicore#7.0.1QICore Practitioner
PractitionerRolehl7.fhir.us.qicore#7.0.1QICore PractitionerRole

All resources of these types must conform to these profiles.

IP Statements

This publication includes IP covered under the following statements.

Expansion Parameters

Parameter Value
system-version SNOMED CT[Intl]
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system-version DEQM Care Gap Remark Code System v1.0.0-ballot
system-version DEQM Gaps In Care Gap Status Code System v1.0.0-ballot
system-version DEQM Update Type Code System v1.0.0-ballot
system-version DEQM Remark Reason CodeSystem v1.0.0-ballot
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default-canonical-version http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
default-canonical-version http://hl7.org/fhir/StructureDefinition/Location|4.0.1
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default-canonical-version http://hl7.org/fhir/StructureDefinition/Library|4.0.1
default-canonical-version http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary|1.0.0
system-version Measure Stratifier Type Codes v1.0.0
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default-valueset-version MeasureDataUsage v1.0.1
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default-canonical-version http://hl7.org/fhir/OperationDefinition/Measure-collect-data|4.0.1
default-canonical-version http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/OperationDefinition/Measure-data-requirements|4.0.1
default-canonical-version http://hl7.org/fhir/OperationDefinition/Measure-submit-data|4.0.1
default-canonical-version http://hl7.org/fhir/uv/deqm/OperationDefinition/bulk-submit-data|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarebundle|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/deqm/OperationDefinition/evaluate|1.0.0-ballot
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default-canonical-version http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/deqm/SearchParameter/measurereport-category|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-subjectlistmeasurereport|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary|1.0.0
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default-canonical-version http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1
default-valueset-version General Surgery v20210220
default-valueset-version Gynecological Surgery v20210220
default-valueset-version Hip Fracture Surgery v20210220
default-valueset-version Hip Replacement Surgery v20210220
default-valueset-version Intracranial Neurosurgery v20210220
default-valueset-version Knee Replacement Surgery v20210220
default-valueset-version Urological Surgery v20210220
default-canonical-version http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1
default-valueset-version Comfort Measures v20210220
default-valueset-version Observation Services v20210611
default-valueset-version Emergency Department Visit v20210611
default-valueset-version General or Neuraxial Anesthesia v20210220
default-canonical-version http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1
default-valueset-version Low Dose Unfractionated Heparin for VTE Prophylaxis v20240203
default-valueset-version Low Molecular Weight Heparin for VTE Prophylaxis v20230117
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default-valueset-version Warfarin v20210220
default-valueset-version Device Application v20191029
default-valueset-version Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment v20220212
default-valueset-version Atrial Fibrillation or Flutter v20240209
default-valueset-version Venous Thromboembolism v20210220
default-canonical-version http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
default-valueset-version INR v20210220
default-valueset-version Unfractionated Heparin v20210220
default-valueset-version Direct Thrombin Inhibitor v20240203
default-valueset-version Glycoprotein IIb IIIa Inhibitors v20230117
default-canonical-version http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1
default-valueset-version Venous foot pumps v20210220
default-valueset-version Intermittent pneumatic compression devices v20230117
default-valueset-version Graduated compression stockings v20240203
default-valueset-version Pap Test v20170504
default-valueset-version HPV Test v20170504
default-valueset-version Hysterectomy with No Residual Cervix v20240112
default-valueset-version Flexible Sigmoidoscopy v20171219
default-valueset-version CT Colonography v20190315
default-valueset-version Total Colectomy v20240112
default-valueset-version Malignant Neoplasm of Colon v20240112
default-valueset-version Fecal Occult Blood Test (FOBT) v20171219
default-valueset-version sDNA FIT Test v20171219
default-valueset-version Colonoscopy v20171219
default-canonical-version http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient|7.0.1
default-canonical-version http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter|7.0.1
default-canonical-version http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location|7.0.1
default-canonical-version http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task|7.0.1
default-canonical-version http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization|7.0.1
default-canonical-version http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner|7.0.1
default-canonical-version http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-attestationmeasure|1.0.0
default-canonical-version http://hl7.org/fhir/uv/deqm/Library/library-mrp-example|1.0.0-ballot
default-canonical-version http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-proportionmeasure|1.0.0
default-canonical-version http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure|1.0.0