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="single-gaps-closed-indv-report01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae"/>
</identifier>
<type value="document"/>
<timestamp value="2020-06-30T13:08:53+00:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Composition/gaps-composition02"/>
<resource>
<Composition>
<id value="gaps-composition02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_gaps-composition02"> </a><p class="res-header-id"><b>Generated Narrative: Composition gaps-composition02</b></p><a name="gaps-composition02"> </a><a name="hcgaps-composition02"> </a><a name="gaps-composition02-en-US"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 96315-7}">Gaps in care report</span></p><p><b>date</b>: 2020-06-30 13:08:53+0000</p><p><b>author</b>: <a href="Organization-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient02</p></div>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="96315-7"/>
<display value="Gaps in care report"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<date value="2020-06-30T13:08:53+00:00"/>
<author>🔗
<reference value="Organization/gaps-organization-reportingvendor"/>
</author>
<title value="Care Gap Report for patient gaps-patient02"/>
<section>
<title value="Colorectal Cancer Screening"/>
<focus>🔗
<reference value="MeasureReport/gaps-indv-measurereport03"/>
</focus>
<entry>🔗
<reference value="DetectedIssue/gaps-detectedissue03"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03"/>
<resource>
<DetectedIssue>
<id value="gaps-detectedissue03"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DetectedIssue_gaps-detectedissue03"> </a><p class="res-header-id"><b>Generated Narrative: DetectedIssue gaps-detectedissue03</b></p><a name="gaps-detectedissue03"> </a><a name="hcgaps-detectedissue03"> </a><a name="gaps-detectedissue03-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode CAREGAP}">Caregap</span></p><p><b>patient</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><h3>Evidences</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td><a href="MeasureReport-gaps-indv-measurereport03.html">MeasureReport: extension = Proportion,urn:oid:2.16.840.1.113883.3.2074.1#0015HQN9BD3304E,->Organization GapsReportingVendor01; status = complete; type = individual; measure = http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example; date = 2020-06-30 13:08:52+0000; period = 2020-01-01 --> 2020-12-31; improvementNotation = Increased score indicates improvement</a></td></tr></table></div>
</text>
<modifierExtension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</modifierExtension>
<status value="final"/>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="CAREGAP"/>
<display value="Caregap"/>
</coding>
</code>
<patient>🔗
<reference value="Patient/gaps-patient02"/>
</patient>
<evidence>
<detail>🔗
<reference value="MeasureReport/gaps-indv-measurereport03"/>
</detail>
</evidence>
</DetectedIssue>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
<resource>
<MeasureReport>
<id value="gaps-indv-measurereport03"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_gaps-indv-measurereport03"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport gaps-indv-measurereport03</b></p><a name="gaps-indv-measurereport03"> </a><a name="hcgaps-indv-measurereport03"> </a><a name="gaps-indv-measurereport03-en-US"> </a><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-measure-exm130-example.html">Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>date</b>: 2020-06-30 13:08:52+0000</p><p><b>reporter</b>: <a href="Organization-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>period</b>: 2020-01-01 --> 2020-12-31</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>id</b></p>group-exm130</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>: 1</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>: 1</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>: 1</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>: 0</p></blockquote><p><b>measureScore</b>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter02.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.; period = 2020-03-05 07:00:00+0000 --> 2020-03-05 10:00:00+0000</a></li><li><a href="Patient-gaps-patient02.html">Thomas Ludwich Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></li><li><a href="Procedure-gaps-procedure01.html">Procedure Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</a></li></ul></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>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
<value value="0015HQN9BD3304E"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
<valueReference>🔗
<reference
value="Organization/gaps-organization-reportingvendor"/>
</valueReference>
</extension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<date value="2020-06-30T13:08:52+00:00"/>
<reporter>🔗
<reference value="Organization/gaps-organization-reportingvendor"/>
</reporter>
<period>
<start value="2020-01-01"/>
<end value="2020-12-31"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-exm130">
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</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="0"/>
</population>
<measureScore>
<value value="1.0"/>
</measureScore>
</group>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="initial-population"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="denominator"/>
</extension>
<reference value="Encounter/gaps-encounter02"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="initial-population"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="denominator"/>
</extension>
<reference value="Patient/gaps-patient02"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
<valueString value="numerator"/>
</extension>
<reference value="Procedure/gaps-procedure01"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/gaps/Encounter/gaps-encounter02"/>
<resource>
<Encounter>
<id value="gaps-encounter02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_gaps-encounter02"> </a><p class="res-header-id"><b>Generated Narrative: Encounter gaps-encounter02</b></p><a name="gaps-encounter02"> </a><a name="hcgaps-encounter02"> </a><a name="gaps-encounter02-en-US"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode</a> AMB: ambulatory</p><p><b>type</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 99202}">Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>period</b>: 2020-03-05 07:00:00+0000 --> 2020-03-05 10:00:00+0000</p></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99202"/>
<display
value="Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."/>
</coding>
</type>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<period>
<start value="2020-03-05T07:00:00-00:00"/>
<end value="2020-03-05T10:00:00-00:00"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/gaps/Procedure/gaps-procedure01"/>
<resource>
<Procedure>
<id value="gaps-procedure01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_gaps-procedure01"> </a><p class="res-header-id"><b>Generated Narrative: Procedure gaps-procedure01</b></p><a name="gaps-procedure01"> </a><a name="hcgaps-procedure01"> </a><a name="gaps-procedure01-en-US"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 45384}">Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>performed</b>: 2018-09-10 08:00:00+0000 --> 2018-09-10 09:00:00+0000</p></div>
</text>
<extension
url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
<valueDateTime value="2018-09-10T09:00:00-00:00"/>
</extension>
<status value="completed"/>
<code>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="45384"/>
<display
value="Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/gaps-patient02"/>
</subject>
<performedPeriod>
<start value="2018-09-10T08:00:00-00:00"/>
<end value="2018-09-10T09:00:00-00:00"/>
</performedPeriod>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
<resource>
<Patient>
<id value="gaps-patient02"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_gaps-patient02"> </a><p class="res-header-id"><b>Generated Narrative: Patient gaps-patient02</b></p><a name="gaps-patient02"> </a><a name="hcgaps-patient02"> </a><a name="gaps-patient02-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Thomas Ludwich Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>text: Asian</li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Asian"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="999996992"/>
</identifier>
<name>
<family value="Ludwich"/>
<given value="Thomas"/>
</name>
<gender value="male"/>
<birthDate value="1957-01-01"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
<resource>
<Organization>
<id value="gaps-organization-reportingvendor"/>
<meta>
<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_gaps-organization-reportingvendor"> </a><p class="res-header-id"><b>Generated Narrative: Organization gaps-organization-reportingvendor</b></p><a name="gaps-organization-reportingvendor"> </a><a name="hcgaps-organization-reportingvendor"> </a><a name="gaps-organization-reportingvendor-en-US"> </a><p><b>identifier</b>: Tax ID number/123446789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 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="123446789"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="pay"/>
<display value="Payer"/>
</coding>
</type>
<name value="GapsReportingVendor01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-545-1212"/>
</telecom>
<address>
<line value="13 Drive Street"/>
<city value="Cityplace"/>
<state value="MA"/>
<postalCode value="01101"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</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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