Data Exchange For Quality Measures Implementation Guide: STU1 Ballot 1 (for FHIR 3.0.1)

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

StructureDefinition-measure-deqm

added bryn’s deqm library and measure profiles. cleaned up terminology topofpage

source file: source/pages/_includes/measure-deqm-intro.md

The DEQM Measure Profile describes a shareable, published measure resource that can be used to define an electronic clinical quality measure

Mandatory Data Elements and Terminology

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

Each Measure must have:

  1. A canonical url
  2. At least one identifier
  3. A content version
  4. A valid, machine-friendly name
  5. A human-friendly title
  6. The measure type
  7. At least one population group with at least one population within it
  8. The type of population criteria
  9. A date the measure content was last changed
  10. Publisher and contact information
  11. Concise description of the measure content
  12. A date the measure content was approved by the publisher
  13. A date when the measure content was last reviewed
  14. At least one library containing population criteria definitions for the measure
  15. The scoring method used for the measure
  16. The meaning of a higher score

Each Measure should have (Must Support):

  1. A clear description of the purpose of the measure
  2. Clinical usage notes for the measure
  3. The period during which the measure content can be effectively applied
  4. Clear indication of the expected contexts of use for the measure content
  5. Intended jurisdictions for the measure content
  6. Contributors to the measure content
  7. Relevant topics for the measure content
  8. Information on contributors to the measure content
  9. Copyright information
  10. Provide related information such as supporting evidence, citations, and documentation
  11. A legal disclaimer relating to the use of the measure content
  12. Stratification information if appropriate
  13. Supplemental data where appropriate

Additional Profile specific implementation guidance:

None

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/measure-deqm

Published on Tue Jun 19 00:00:00 AEST 2018 as a active by Da Vinci Project.

This profile builds on Measure

Summary

Mandatory: 18 elements
Must-Support: 30 elements

Structures

This structure refers to these other structures:

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I0..*A quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url SΣ1..1uriLogical URI to reference this measure (globally unique)
... identifier SΣ1..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... name SΣ1..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
... experimental ?!Σ0..1booleanFor testing purposes, not real usage
... date SΣ1..1dateTimeDate this was last changed
... publisher SΣ1..1stringName of the publisher (organization or individual)
... description SΣ1..1markdownNatural language description of the measure
... purpose S0..1markdownWhy this measure is defined
... usage S0..1stringDescribes the clinical usage of the measure
... approvalDate S1..1dateWhen the measure was approved by publisher
... lastReviewDate S1..1dateWhen the measure was last reviewed
... effectivePeriod SΣ0..1PeriodWhen the measure is expected to be used
... useContext SΣ0..*UsageContextContext the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... topic S0..*CodeableConceptE.g. Education, Treatment, Assessment, etc
Binding: DefinitionTopic (example)
... contributor S0..*ContributorA content contributor
... contact SΣ1..*ContactDetailContact details for the publisher
... copyright S0..1markdownUse and/or publishing restrictions
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc
... library S1..*Reference(profile-library-deqm)Logic used by the measure
... disclaimer SΣ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring SΣ1..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible)
... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣ1..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... riskAdjustment Σ0..1stringHow is risk adjustment applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownWhy does this measure exist
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation SΣ1..1stringincrease | decrease
Binding: DEQM Improvement Notation Value Set (required)
... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... set Σ0..1stringThe measure set, e.g. Preventive Care and Screening
... group SI1..*BackboneElementPopulation criteria group
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 1..1IdentifierUnique identifier
.... name 0..1stringShort name
.... description 0..1stringSummary description
.... population SI1..*BackboneElementPopulation criteria
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier 0..1IdentifierUnique identifier
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... name 0..1stringShort name
..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1stringThe name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
.... stratifier SI0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier 0..1IdentifierThe identifier for the stratifier used to coordinate the reported data back to this stratifier
..... criteria 0..1stringHow the measure should be stratified
..... path 0..1stringPath to the stratifier
... supplementalData SI0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 0..1IdentifierIdentifier, unique within the measure
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible)
.... criteria 0..1stringExpression describing additional data to be reported
.... path 0..1stringPath to the supplemental data element

doco Documentation for this format

Summary

Mandatory: 18 elements
Must-Support: 30 elements

Structures

This structure refers to these other structures:

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I0..*A quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url SΣ1..1uriLogical URI to reference this measure (globally unique)
... identifier SΣ1..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... name SΣ1..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
... experimental ?!Σ0..1booleanFor testing purposes, not real usage
... date SΣ1..1dateTimeDate this was last changed
... publisher SΣ1..1stringName of the publisher (organization or individual)
... description SΣ1..1markdownNatural language description of the measure
... purpose S0..1markdownWhy this measure is defined
... usage S0..1stringDescribes the clinical usage of the measure
... approvalDate S1..1dateWhen the measure was approved by publisher
... lastReviewDate S1..1dateWhen the measure was last reviewed
... effectivePeriod SΣ0..1PeriodWhen the measure is expected to be used
... useContext SΣ0..*UsageContextContext the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... topic S0..*CodeableConceptE.g. Education, Treatment, Assessment, etc
Binding: DefinitionTopic (example)
... contributor S0..*ContributorA content contributor
... contact SΣ1..*ContactDetailContact details for the publisher
... copyright S0..1markdownUse and/or publishing restrictions
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc
... library S1..*Reference(profile-library-deqm)Logic used by the measure
... disclaimer SΣ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring SΣ1..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible)
... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣ1..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... riskAdjustment Σ0..1stringHow is risk adjustment applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownWhy does this measure exist
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation SΣ1..1stringincrease | decrease
Binding: DEQM Improvement Notation Value Set (required)
... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... set Σ0..1stringThe measure set, e.g. Preventive Care and Screening
... group SI1..*BackboneElementPopulation criteria group
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 1..1IdentifierUnique identifier
.... name 0..1stringShort name
.... description 0..1stringSummary description
.... population SI1..*BackboneElementPopulation criteria
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier 0..1IdentifierUnique identifier
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... name 0..1stringShort name
..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1stringThe name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
.... stratifier SI0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... identifier 0..1IdentifierThe identifier for the stratifier used to coordinate the reported data back to this stratifier
..... criteria 0..1stringHow the measure should be stratified
..... path 0..1stringPath to the stratifier
... supplementalData SI0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... identifier 0..1IdentifierIdentifier, unique within the measure
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible)
.... criteria 0..1stringExpression describing additional data to be reported
.... path 0..1stringPath to the supplemental data element

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron


Quick Start

Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.

source file: source/pages/_includes/measure-deqm-search.md

Use cases: