Data Exchange For Quality Measures Implementation Guide
5.0.0-ballot - STU5 Ballot
Data Exchange For Quality Measures Implementation Guide
5.0.0-ballot - STU5 Ballot
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="multiple-summ-report"/>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<type value="transaction"/>
<timestamp value="2020-06-18T20:16:02.653993Z"/>
<entry>
<fullUrl value="urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172"/>
<resource>
<MeasureReport>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_null"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <code>http://example.org/fhir/Measure/measure-medicare-stratification-example</code></p><p><b>period</b>: 2018-01-01 --> 2018-12-31</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 4000</p></blockquote><p><b>measureScore</b>: 0.50</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageType}">Coverage Type</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://example.org/CodeSystem/SOP MEDICARE}">Medicare</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 243</p></blockquote><p><b>measureScore</b>: 0.62</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageTypeAndClass}">Coverage Type and Class</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageType}">Coverage Type</span></p><p><b>value</b>: <span title="Codes:{http://example.org/CodeSystem/SOP MEDICARE}">Medicare</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://example.org/CodeSystem/stratifier-classifications CoverageClass}">Coverage Class</span></p><p><b>value</b>: <span title="Codes:{http://example.org/CodeSystem/medicare-subgroup Non-LIS/DE,Nondisability}">Non-LIS/DE,Nondisability</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 103</p></blockquote><p><b>measureScore</b>: 0.69</p></blockquote></blockquote></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="complete"/>
<type value="summary"/>
<measure
value="http://example.org/fhir/Measure/measure-medicare-stratification-example"/>
<period>
<start value="2018-01-01"/>
<end value="2018-12-31"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count value="10000"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<count value="8000"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="4000"/>
</population>
<measureScore>
<value value="0.50"/>
</measureScore>
<stratifier>
<code>
<coding>
<system
value="http://example.org/CodeSystem/stratifier-classifications"/>
<code value="CoverageType"/>
<display value="Coverage Type"/>
</coding>
</code>
<stratum>
<value>
<coding>
<system value="http://example.org/CodeSystem/SOP"/>
<code value="MEDICARE"/>
<display value="Medicare"/>
</coding>
</value>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count value="1747"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<count value="392"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="243"/>
</population>
<measureScore>
<value value="0.62"/>
</measureScore>
</stratum>
</stratifier>
<stratifier>
<code>
<coding>
<system
value="http://example.org/CodeSystem/stratifier-classifications"/>
<code value="CoverageTypeAndClass"/>
<display value="Coverage Type and Class"/>
</coding>
</code>
<stratum>
<component>
<code>
<coding>
<system
value="http://example.org/CodeSystem/stratifier-classifications"/>
<code value="CoverageType"/>
<display value="Coverage Type"/>
</coding>
</code>
<value>
<coding>
<system value="http://example.org/CodeSystem/SOP"/>
<code value="MEDICARE"/>
<display value="Medicare"/>
</coding>
</value>
</component>
<component>
<code>
<coding>
<system
value="http://example.org/CodeSystem/stratifier-classifications"/>
<code value="CoverageClass"/>
<display value="Coverage Class"/>
</coding>
</code>
<value>
<coding>
<system
value="http://example.org/CodeSystem/medicare-subgroup"/>
<code value="Non-LIS/DE,Nondisability"/>
<display value="Non-LIS/DE,Nondisability"/>
</coding>
</value>
</component>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count value="745"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<count value="150"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="103"/>
</population>
<measureScore>
<value value="0.69"/>
</measureScore>
</stratum>
</stratifier>
</group>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"/>
<resource>
<Organization>
<meta>
<versionId value="4"/>
<lastUpdated value="2019-02-21T01:47:54.000+00:00"/>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 4; Last updated: 2019-02-21 01:47:54+0000; </p><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="123456789"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="DaVinciHospital01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-555-1212"/>
</telecom>
<address>
<line value="73 Lakewood Street"/>
<city value="Warwick"/>
<state value="RI"/>
<postalCode value="02886"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172"/>
<resource>
<MeasureReport>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_null"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-summary-measurereport-deqm.html">DEQM Summary MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href="Measure-measure-exm130-example.html">Colorectal Cancer Screening Measure</a></p><p><b>date</b>: 2019-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="Bundle-multiple-summ-report.html#urn-uuid-884cb1a4-b1a0-11ea-b615-a4d18ccf5172">Bundle: type = transaction; timestamp = 2020-06-18 20:16:02+0000</a></p><p><b>period</b>: 2019-08-01 --> 2019-09-01</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/ group-1}">group-1</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 0.66</p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="complete"/>
<type value="summary"/>
<measure
value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
<date value="2019-09-05T16:59:52.404Z"/>
<reporter>
<reference value="urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"/>
</reporter>
<period>
<start value="2019-08-01"/>
<end value="2019-09-01"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<code>
<coding>
<system value="http://example.org/fhir/"/>
<code value="group-1"/>
<display value="group-1"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="100"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="60"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="100"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
<display value="Denominator Exclusion"/>
</coding>
</code>
<count value="10"/>
</population>
<measureScore>
<value value="0.66"/>
</measureScore>
</group>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172"/>
<resource>
<MeasureReport>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_null"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-summary-measurereport-deqm.html">DEQM Summary MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href="Measure-measure-mrp-example.html">MRP Measure</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="Bundle-multiple-summ-report.html#urn-uuid-884cb1a4-b1a0-11ea-b615-a4d18ccf5172">Bundle: type = transaction; timestamp = 2020-06-18 20:16:02+0000</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/ mrp-group}">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 80</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 100</p></blockquote><p><b>measureScore</b>: 0.8</p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="complete"/>
<type value="summary"/>
<measure
value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example"/>
<date value="2018-09-05T16:59:52.404Z"/>
<reporter>
<reference value="urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"/>
</reporter>
<period>
<start value="2018-08-01"/>
<end value="2018-09-01"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<code>
<coding>
<system value="http://example.org/fhir/"/>
<code value="mrp-group"/>
<display value="MRP Group"/>
</coding>
<text value="MRP Group"/>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="100"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="80"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="100"/>
</population>
<measureScore>
<value value="0.8"/>
</measureScore>
</group>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
</Bundle>
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-27
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