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
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:
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.
| IG | Package | FHIR | Comment |
|---|---|---|---|
| hl7.fhir.uv.deqm#1.0.0-ballot | R4 | ||
| hl7.terminology.r4#7.1.0 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology | |
| hl7.fhir.uv.extensions.r4#5.2.0 | R4 | ||
| hl7.fhir.uv.extensions.r4#current | R4 | ||
| hl7.fhir.uv.cqm#current | R4 | ||
| hl7.fhir.uv.crmi#1.0.0 | R4 | ||
| hl7.terminology#5.5.0 | R4 | ||
| hl7.fhir.uv.extensions.r4#1.0.0 | R4 | ||
| hl7.fhir.uv.extensions.r4#5.1.0 | R4 | ||
| hl7.fhir.uv.cql#2.0.0 | R4 | ||
| hl7.terminology.r4#6.5.0 | R4 | ||
| hl7.fhir.us.qicore#7.0.1 | R4 | for example references | |
| hl7.fhir.uv.tools.r4#1.1.2 | R4 | for 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) |
Global Profiles:
All resources of these types must conform to these profiles.
This publication includes IP covered under the following statements.
| Parameter | Value |
|---|---|
| system-version | SNOMED CT[Intl] |
| system-version | DEQM Care Gap Reasons Code System v1.0.0-ballot |
| 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 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/shareablevalueset|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/OperationDefinition/Measure-care-gaps|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Measure|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Patient|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Group|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Organization|4.0.1 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Location|4.0.1 |
| default-valueset-version | DEQM Gaps In Care Gap Status Value Set v1.0.0-ballot |
| 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 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1 |
| default-valueset-version | MeasureDataUsage v1.0.1 |
| default-canonical-version | http://hl7.org/fhir/uv/cqm/ImplementationGuide/hl7.fhir.uv.cqm|2.0.0-ballot |
| default-canonical-version | http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure|1.0.0 |
| 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 |
| default-canonical-version | http://hl7.org/fhir/uv/deqm/OperationDefinition/care-gaps|1.0.0-ballot |
| 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 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Coverage|4.0.1 |
| default-valueset-version | Payer Type v20221118 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1 |
| default-valueset-version | Encounter Inpatient v20200307 |
| default-canonical-version | http://hl7.org/fhir/StructureDefinition/Condition|4.0.1 |
| 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 |
| default-valueset-version | Injectable Factor Xa Inhibitor for VTE Prophylaxis v20210220 |
| 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 |