Data Exchange For Quality Measures Implementation Guide
4.0.0-ballot - STU Ballot US

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0-ballot: STU4 (v4.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

Downloads

Package File

The following package file includes an NPM package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and urls in the IG, etc defined as part of this version of the Implementation Guide. 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 in order to make a conformant implementation. See the overview on validating FHIR profiles and resources:

Schematrons

Schematrons are also available for download and listed below:

Examples

all the examples that are used in this Implementation Guide available for download:

Downloadable Copy of Entire Specification

A downloadable version of this IG is available so it can be hosted locally:

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.us.davinci-deqm.r4) and R4B (hl7.fhir.us.davinci-deqm.r4b) are available.

Dependency Table

IGPackageFHIRComment
.. Data Exchange For Quality Measures Implementation Guidehl7.fhir.us.davinci-deqm#4.0.0-ballotR4
... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4Automatically added as a dependency - all IGs depend on HL7 Terminology
... QI-Core Implementation Guidehl7.fhir.us.qicore#5.0.0-ballotR4
.... HL7 Terminology (THO)hl7.terminology.r4#3.1.0R4
.... US Core Implementation Guidehl7.fhir.us.core#5.0.1R4
..... HL7 Terminology (THO)hl7.terminology.r4#3.1.0R4
..... Bulk Data Access IGhl7.fhir.uv.bulkdata#2.0.0R4
..... SMART App Launchhl7.fhir.uv.smart-app-launch#2.0.0R4
..... us.nlm.vsac#0.7.0R4
..... Structured Data Capturehl7.fhir.uv.sdc#3.0.0R4
...... FHIR R4 package : Exampleshl7.fhir.r4.examples#4.0.1R4
.... us.nlm.vsac#0.7.0R4
... US Core Implementation Guidehl7.fhir.us.core#5.0.1R4
... Quality Measure Implementation Guide (STU3)hl7.fhir.us.cqfmeasures#3.0.0R4
.... Clinical Quality Framework Common FHIR Assetsfhir.cqf.common#4.0.1R4
..... Clinical Practice Guidelineshl7.fhir.uv.cpg#1.0.0R4
.... QI-Core Implementation Guidehl7.fhir.us.qicore#4.1.1R4
..... US Corehl7.fhir.us.core#3.1.1R4
..... us.nlm.vsac#0.4.0R4

Package hl7.fhir.uv.bulkdata#2.0.0

FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.uv.smart-app-launch#2.0.0

Package us.nlm.vsac#0.7.0

Package hl7.fhir.r4.examples#4.0.1

Example resources in the R4 version of the FHIR standard

Package hl7.fhir.uv.sdc#3.0.0

The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR.
This includes two components:
* Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains.
*Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package hl7.fhir.us.core#5.0.1

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, Jun 22, 2022 18:06+0000+00:00)

Package us.nlm.vsac#0.7.0

Package hl7.fhir.us.qicore#5.0.0-ballot

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 Fri, Aug 5, 2022 20:04+0000+00:00)

Package hl7.fhir.us.core#5.0.1

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, Jun 22, 2022 18:06+0000+00:00)

Package hl7.fhir.uv.cpg#1.0.0

Implementation guidance for creating Clinical Practice Guidelines with formal artifacts to facilitate sharing and implementation of the guideline (built Thu, Feb 11, 2021 20:29+0000+00:00)

Package fhir.cqf.common#4.0.1

This implementation guide contains common FHIR assets for use in CQFramework content IGs, including FHIRHelpers and the FHIR-ModelInfo libraries. (built Fri, Nov 12, 2021 16:25+1100+11:00)

Package hl7.fhir.us.core#3.1.1

Package us.nlm.vsac#0.4.0

Package hl7.fhir.us.qicore#4.1.1

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, Mar 31, 2022 16:41+0000+00:00)

Package hl7.fhir.us.cqfmeasures#3.0.0

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing electronic Clinical Quality Measures (eCQMs) 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 Thu, Apr 28, 2022 14:46+0000+00:00)

Globals Table

Global Profiles:

TypeSourceProfile
Encounterhl7.fhir.us.qicore#5.0.0-ballotQICore Encounter
Encounterhl7.fhir.us.qicore#5.0.0-ballotQICore Encounter
Encounterhl7.fhir.us.qicore#5.0.0-ballotQICore Encounter
Encounterhl7.fhir.us.qicore#5.0.0-ballotQICore Encounter
Immunizationhl7.fhir.us.qicore#5.0.0-ballotQICore Immunization
Immunizationhl7.fhir.us.qicore#5.0.0-ballotQICore Immunization
Immunizationhl7.fhir.us.qicore#5.0.0-ballotQICore Immunization
Immunizationhl7.fhir.us.qicore#5.0.0-ballotQICore Immunization
Observationhl7.fhir.us.qicore#5.0.0-ballotQICore Observation
Observationhl7.fhir.us.qicore#5.0.0-ballotQICore Observation
Observationhl7.fhir.us.qicore#5.0.0-ballotQICore Observation
Observationhl7.fhir.us.qicore#5.0.0-ballotQICore Observation
Organizationhl7.fhir.us.qicore#5.0.0-ballotQICoreOrganization
Organizationhl7.fhir.us.qicore#5.0.0-ballotQICoreOrganization
Organizationhl7.fhir.us.qicore#5.0.0-ballotQICoreOrganization
Organizationhl7.fhir.us.qicore#5.0.0-ballotQICoreOrganization
Patienthl7.fhir.us.qicore#5.0.0-ballotQICorePatient
Patienthl7.fhir.us.qicore#5.0.0-ballotQICorePatient
Patienthl7.fhir.us.qicore#5.0.0-ballotQICorePatient
Patienthl7.fhir.us.qicore#5.0.0-ballotQICorePatient
Practitionerhl7.fhir.us.qicore#5.0.0-ballotQICore Practitioner
Practitionerhl7.fhir.us.qicore#5.0.0-ballotQICore Practitioner
Practitionerhl7.fhir.us.qicore#5.0.0-ballotQICore Practitioner
Practitionerhl7.fhir.us.qicore#5.0.0-ballotQICore Practitioner
PractitionerRolehl7.fhir.us.qicore#5.0.0-ballotQICorePractitionerRole
PractitionerRolehl7.fhir.us.qicore#5.0.0-ballotQICorePractitionerRole
PractitionerRolehl7.fhir.us.qicore#5.0.0-ballotQICorePractitionerRole
PractitionerRolehl7.fhir.us.qicore#5.0.0-ballotQICorePractitionerRole

All resources of these types must conform to these profiles.

IP Statements

This publication includes IP covered under the following statements.