Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "single-gaps-closed-indv-report02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:e2eaf470-f7ca-453f-8fd7-232a07f1b63c"
},
"type" : "document",
"timestamp" : "2020-07-07T13:08:53+00:00",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition03",
"resource" : {
"resourceType" : "Composition",
"id" : "gaps-composition03",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"gaps-composition03\"> </a></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\">Resource Composition "gaps-composition03" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-composition-deqm.html\">DEQM Gaps In Care Composition Profile</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Gaps in care report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#96315-7)</span></p><p><b>date</b>: 2020-07-07 13:08:53+0000</p><p><b>author</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient01</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96315-7",
"display" : "Gaps in care report"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"date" : "2020-07-07T13:08:53+00:00",
"author" : [
{
"reference" : "Organization/gaps-organization-reportingvendor"
}
],
"title" : "Care Gap Report for patient gaps-patient01",
"section" : [
{
"title" : "Colorectal Cancer Screening",
"focus" : {
"reference" : "MeasureReport/gaps-indv-measurereport04"
},
"entry" : [
{
"reference" : "DetectedIssue/gaps-detectedissue04"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue04",
"resource" : {
"resourceType" : "DetectedIssue",
"id" : "gaps-detectedissue04",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DetectedIssue</b><a name=\"gaps-detectedissue04\"> </a></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\">Resource DetectedIssue "gaps-detectedissue04" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-detectedissue-deqm.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><blockquote><p><b>modifierExtension[http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus]</b></p></blockquote><p><b>status</b>: final</p><p><b>code</b>: Caregap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-ActCode.html\">ActCode</a>#CAREGAP)</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</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-measurereport04\">See above (MeasureReport/gaps-indv-measurereport04)</a></td></tr></table></div>"
},
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status",
"code" : "open-gap"
}
]
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "CAREGAP",
"display" : "Caregap"
}
]
},
"patient" : {
"reference" : "Patient/gaps-patient01"
},
"evidence" : [
{
"detail" : [
{
"reference" : "MeasureReport/gaps-indv-measurereport04"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "gaps-indv-measurereport04",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"gaps-indv-measurereport04\"> </a></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\">Resource MeasureReport "gaps-indv-measurereport04" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id:\u00a00015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><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-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: 2020-07-07 13:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> "DaVinciHospital01"</p><p><b>period</b>: 2020-01-01 --> 2020-12-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</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>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#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-encounter03\">See above (Encounter/gaps-encounter03)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li><li><a href=\"#Procedure_gaps-procedure02\">See above (Procedure/gaps-procedure02)</a></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
"valueIdentifier" : {
"system" : "urn:oid:2.16.840.1.113883.3.2074.1",
"value" : "0015HQN9BD3304E"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
"valueReference" : {
"reference" : "Organization/gaps-organization-reportingvendor"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"date" : "2020-07-07T13:08:52+00:00",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2020-01-01",
"end" : "2020-12-31"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"id" : "group-exm130",
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 0
}
],
"measureScore" : {
"value" : 1.0
}
}
],
"evaluatedResource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "initial-population"
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "denominator"
}
],
"reference" : "Encounter/gaps-encounter03"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "initial-population"
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "denominator"
}
],
"reference" : "Patient/gaps-patient01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
"valueString" : "numerator"
}
],
"reference" : "Procedure/gaps-procedure02"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter03",
"resource" : {
"resourceType" : "Encounter",
"id" : "gaps-encounter03",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"gaps-encounter03\"> </a></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\">Resource Encounter "gaps-encounter03" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: 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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99202)</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>period</b>: 2020-07-06 07:07:00+0000 --> 2020-07-06 10:11:00+0000</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99202",
"display" : "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."
}
]
}
],
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"period" : {
"start" : "2020-07-06T07:07:00-00:00",
"end" : "2020-07-06T10:11:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Procedure/gaps-procedure02",
"resource" : {
"resourceType" : "Procedure",
"id" : "gaps-procedure02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"gaps-procedure02\"> </a></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\">Resource Procedure "gaps-procedure02" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-procedure.html\">QICore Procedure</a></p></div><p><b>QICore Not Done Recorded</b>: 2020-07-06 09:00:00+0000</p><p><b>status</b>: completed</p><p><b>code</b>: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#45384)</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>performed</b>: 2020-07-06 08:00:00+0000 --> 2020-07-06 09:00:00+0000</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded",
"valueDateTime" : "2020-07-06T09:00:00-00:00"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45384",
"display" : "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"performedPeriod" : {
"start" : "2020-07-06T08:00:00-00:00",
"end" : "2020-07-06T09:00:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient01",
"resource" : {
"resourceType" : "Patient",
"id" : "gaps-patient01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"gaps-patient01\"> </a></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\">Resource Patient "gaps-patient01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = '2028-9', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Asian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = '2135-2', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: 999995992\u00a0(use:\u00a0USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "text",
"valueString" : "Asian"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "999995992"
}
],
"name" : [
{
"family" : "Susan",
"given" : [
"Parker"
]
}
],
"gender" : "female",
"birthDate" : "1965-01-01"
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
"resource" : {
"resourceType" : "Organization",
"id" : "gaps-organization-reportingvendor",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"gaps-organization-reportingvendor\"> </a></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\">Resource Organization "gaps-organization-reportingvendor" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123446789\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Payer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html\">Organization type</a>#pay)</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>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.4",
"value" : "123446789",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "pay",
"display" : "Payer"
}
]
}
],
"name" : "GapsReportingVendor01",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 401-545-1212"
}
],
"address" : [
{
"line" : [
"13 Drive Street"
],
"city" : "Cityplace",
"state" : "MA",
"postalCode" : "01101",
"country" : "USA"
}
]
}
}
]
}
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#4.0.0 based on FHIR 4.0.1. Generated 2023-10-03
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