Data Exchange For Quality Measures Implementation Guide
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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

Extension: DEQM Group Improvement Notation Extension

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation Version: 5.0.0-ballot
Active as of 2024-08-27 Computable Name: DEQMGroupImprovementNotationExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.11

Indicates whether improvement in the measure group is noted by an increase or decrease in the measure score.

Context of Use

This extension may be used on the following element(s):

  • Element ID MeasureReport.group

Mandatory Data Elements and Terminology

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

Each Extension Must Have:

  1. url: identifies the meaning of the extension

Introduction

This extension allows improvement notation to be specified at the group level rather than the measure level. However, it should be noted that if you specify improvement notation at the measure level it cannot be specified at the group level and if you specify it at the group level you must specify it for all groups and not at the measure level.

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Indicates whether improvement in the measure group is noted by an increase or decrease in the measure score.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation"
... value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Open by type:$this
... valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation"
... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (extensible)

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Indicates whether improvement in the measure group is noted by an increase or decrease in the measure score.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation"
... value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Open by type:$this
... valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation"
... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (extensible)

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]:valueCodeableConceptextensibleMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation
from the FHIR Standard