Data Exchange For Quality Measures R4 Artifacts Implementation Guide: STU1 Ballot 1 (for FHIR 3.5.0)

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

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/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: 33 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 (preferred)
... text 0..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..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ1..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... name SΣI1..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
... experimental Σ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1CodeableConcept, Reference(Group)E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible)
... date SΣ1..1dateTimeDate last changed
... publisher SΣ1..1stringName of the publisher (organization or individual)
... contact SΣ1..*ContactDetailContact details for the publisher
... description SΣ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... purpose S0..1markdownWhy this measure is defined
... usage S0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... 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
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example)
... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
... library S1..*canonical(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 risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation SΣ1..1codeincrease | decrease
Binding: MeasureImprovementNotation (required)
... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... 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 if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... 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 if unrecognized
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... 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 if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 1..1ExpressionHow the measure should be stratified
... 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 if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible)
.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

Summary

Mandatory: 18 elements
Must-Support: 33 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 (preferred)
... text 0..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..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ1..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... name SΣI1..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
... experimental Σ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1CodeableConcept, Reference(Group)E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible)
... date SΣ1..1dateTimeDate last changed
... publisher SΣ1..1stringName of the publisher (organization or individual)
... contact SΣ1..*ContactDetailContact details for the publisher
... description SΣ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... purpose S0..1markdownWhy this measure is defined
... usage S0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... 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
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example)
... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
... library S1..*canonical(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 risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation SΣ1..1codeincrease | decrease
Binding: MeasureImprovementNotation (required)
... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... 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 if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... 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 if unrecognized
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... 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 if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 1..1ExpressionHow the measure should be stratified
... 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 if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible)
.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

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.

Use cases: