Data Exchange For Quality Measures STU2 for FHIR R4
2.0.0 - STU2 Release

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.0.0: STU 2) 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems complying with the implementation guide are expected to declare conformance to one or more of the following capability statements.

Producer Server CapabilityStatement

This profile defines the expected capabilities of a Da Vinci DEQM Producer Server when conforming to the Da Vinci DEQM Implementation Guide. Producers include systems that are primary producers of patient healthcare information. This CapabilityStatement resource includes the complete list of the recommended Da Vinci DEQM profiles and RESTful operations that a Da Vinci DEQM Producer Server could support. Servers have the option of choosing from this list based on their local use cases and other contextual requirements.

Consumer Server CapabilityStatement

This profile defines the expected capabilities of a Da Vinci DEQM Consumer Server when conforming to the Da Vinci DEQM Implementation Guide. Consumers include systems that are primary consumers of patient healthcare information and systems that consume data from Producers. This CapabilityStatement resource includes the complete list of the recommended Da Vinci DEQM profiles and RESTful operations that a Da Vinci DEQM Consumer Server could support. Servers have the option of choosing from this list based on their local use cases and other contextual requirements.

Receiver Server CapabilityStatement

This profile defines the expected capabilities of a Da Vinci DEQM Receiver Server when conforming to the Da Vinci DEQM Implementation Guide. Receivers include systems that are primary receivers of Measure data such as payers as well as public health and other healthcare-related agencies. This CapabilityStatement resource includes the complete list of the recommended Da Vinci DEQM profiles and RESTful operations that a Da Vinci DEQM Receiver Server could support. Servers have the option of choosing from this list based on their local use cases and other contextual requirements.

Reporter Client CapabilityStatement

This profile defines the expected capabilities of a Da Vinci DEQM Reporter Client when conforming to the Da Vinci DEQM Implementation Guide. Reporters include systems that are primary reporters of patient healthcare information and systems that consume data from Producers. This CapabilityStatement resource includes the complete list of the recommended Da Vinci DEQM profiles and RESTful operations that a Da Vinci DEQM Reporter Client could support. Clients have the option of choosing from this list based on their local use cases and other contextual requirements.

Producer Client CapabilityStatement

This profile defines the expected capabilities of a Da Vinci DEQM Producer Client when conforming to the Da Vinci DEQM Implementation Guide. Producers include systems that are primary producers of patient healthcare information. This CapabilityStatement resource includes the complete list of the recommended Da Vinci DEQM profiles and RESTful operations that are Da Vinci DEQM Producer Client could support. Clients have the option of choosing from this list based on their local use cases and other contextual requirements.

Consumer Client CapabilityStatement

This profile defines the expected capabilities of a Da Vinci DEQM Consumer Client when conforming to the Da Vinci DEQM Implementation Guide. Consumers include systems that are primary consumers of patient healthcare information and systems that consume data from Producers. This CapabilityStatement resource includes the complete list of the recommended Da Vinci DEQM profiles and RESTful operations that a Da Vinci DEQM Consumer Client could support. Clients have the option of choosing from this list based on their local use cases and other contextual requirements.

Structures: Resource Profiles

These define constraints on FHIR resources that need to be complied with by conformant implementations

DEQM Practitioner Profile

The DEQM Practitioner Profile defines the constraints for representing the practitioner who performed the measure or to which is attesting.

DEQM Summary MeasureReport Profile

MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The DEQM Summary MeasureReport Profile defined here is used when a measure is reported to an aggregator for a group of patients. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 3 report. Unlike the DEQM Individual MeasureReport Profile, the report is typically transacted as a single MeasureReport report.

DEQM Individual MeasureReport Profile

MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. The DEQM Individual MeasureReport Profile defined here is used when a measure is reported to an aggregator for one specific patient. It contains all of the data that is relevant to generate the report including the measure outcome and is similar to a QRDA Category 1 report. In addition to the MeasureReport, the report would be collected in a Bundle with the Organization, Patient and any other resources that were used to calculate this measure.

DEQM Data Exchange MeasureReport Profile

MeasureReport is used as an organizer for both data exchange for measure and for measure reporting. Three profiles on the MeasureReport resource are defined in this guide to delineate these different uses. When a data producer needs to send data to a data consumer, they use the DEQM Data-Exchange MeasureReport Profile defined here. The type element in this profile is set to “data-collection”. Along with the MeasureReport profile, the data producer sends the Organization, Patient and any relevant resources for the measure they have produced data on. When a data producer sends a MeasureReport and the associated data, they may not have all the data that is required to calculate the measure report. Additional data may need to be collected later or there may be additional data used in the measure that the aggregator owns such as a continuous coverage period requirement.

DEQM Coverage Profile

The DEQM Coverage Profile defines the constraints for representing the subscriber information to the Payer. This along with the patient first name, last name, date of birth and gender allows the payer to identify the member in their system.

DEQM Organization Profile

The DEQM Organization Profile defines the constraints for representing the organization for which the practitioner was working when he performed the measure to which he is attesting.

DEQM MedicationAdministration Profile

The DEQM MedicationAdministration Profile describes the event of a patient consuming or otherwise being administered a medication

Structures: Extension Definitions

These define constraints on FHIR data types that need to be complied with by conformant implementations

DEQM Measure Scoring Extension

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure

DEQM Alternate Score Type Extension

Possible value types for the measureScore elements in addition to the standard Quantity type. The alternate type is determined by the Quality Measure Aggregate Method extension used on the Measure. The reported type of the measureScore for continuous variable measures is determined by the result type of the aggregate method operation. This extension corresponds to the measureScore types in the FHIR R5 version of MeasureReport.

DEQM Reporter Group Extension

Group of practitioners responsible for a report. This extension is used to provide the capability to allow the participating practitioners to be documented.

DEQM Reporting Vendor Extension

A reference to the vendor who queried the data, calculated results and/or generated the report. The ‘reporting vendor’ is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report.

DEQM Certification Identifier Extension

An identifier that represents the EHR certication number (CERHT). See Certified EHR Technology For more information. This Extension is used when the receiver is interested in getting EHR certification information in the report.

DEQM Submit Data Update Type Extension

This Extension supports the concepts ‘incremental’ and ‘snapshot’ and corresponds to the measureScore types in the FHIR R5 version of MeasureReport.

  • The DEQM Consumer Server SHALL use this Extension to advertise whether it supports snapshot or incremental updates for the DEQM Submit Data transaction.
  • The DEQM Producer Client SHALL use this Extension to indicate whether the payload is a snapshot or incremental update for DEQM Submit Data transaction. When responding to the DEQM Collect Data transaction, the DEQM Producer Server SHALL value it ‘incremental’ if the lastReceivedOn parameter is present or ‘snapshot if the lastReceivedOn parameter is absent.

Terminology: Value Sets

These define sets of codes used by systems conforming with this implementation guide

DEQM Update Type Value Set

Concepts for how a DEQM Consumer supports data exchange updates. The choices are snapshot or incremental updates

Terminology: Code Systems

These define new code systems used by systems conforming with this implementation guide

DEQM Update Type Code System

Concepts for how a DEQM Consumer supports data exchange updates. The choices are snapshot or incremental updates

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like

Organization02

DEQM Organization02 example

Patient02

DEQM Patient02 example

Summ Medicare Stratification Example

DEQM Summ Medicare Stratification Example example

Location03

DEQM Location03 example

Summ Measurereport01

DEQM Summ Measurereport01 example

Datax Measurereport02

DEQM Datax Measurereport02 example

Mrp Submit Task

DEQM Mrp Submit Task example

Multiple Indv Mrp Obs Report

DEQM Multiple Indv Mrp Obs Report example

Measure Mrp Example

DEQM Measure Mrp Example example

Measure Date of Last Power Outage

DEQM Measure Date of Last Power Outage example

Datax Measurereport03

DEQM Datax Measurereport03 example

Location02

DEQM Location02 example

Single Indv Vte Report Option 1

DEQM Single Indv Vte Report example using MedicationAdministration

Single Indv Vte Report Option 7

DEQM Single Indv Vte Report example using MedicationRequest

Col Submit Collect Obs

DEQM Col Submit Collect Obs example

Patient03

DEQM Patient03 example

Coverage01

DEQM Coverage01 example

Organization03

DEQM Organization03 example

Library Mrp Example

DEQM Library Mrp Example example

Organization04

DEQM Organization04 example

Mrp Submit Obs

DEQM Mrp Submit Obs example

Observation01

DEQM Observation01 example

Observation02

DEQM Observation02 example

Observation03

DEQM Observation03 example

Multiple Summ Report

DEQM Multiple Summ Report example

DEQM Software System Example

DEQM DEQM Software System Example example

Indv Measurereport01

DEQM Indv Measurereport01 example

Indv Measurereport02

DEQM Indv Measurereport02 example

Multiple Indv Mrp Task Report

DEQM Multiple Indv Mrp Task Report example

Encounter01

DEQM Encounter01 example

Encounter02

DEQM Encounter02 example

Encounter03

DEQM Encounter03 example

DNA Occult Blood

DEQM DNA Occult Blood example

Single Indv Mrp Task Report

DEQM Single Indv Mrp Task Report example

Single Indv Col Obs Report

DEQM Single Indv Col Obs Report example

Practitioner01

DEQM Practitioner01 example

Practitioner02

DEQM Practitioner02 example

Practitioner03

DEQM Practitioner03 example

Group01

DEQM Group01 example

Indv Measurereport03

DEQM Indv Measurereport03 example

Indv Measurreport Stratification Example

DEQM Indv Measurreport Stratification Example

Coverage02

DEQM Coverage02 example

Location01

DEQM Location01 example

Single Indv Mrp Obs Report

DEQM Single Indv Mrp Obs Report example

Summ Measurereport02

DEQM Summ Measurereport02 example

Summary MeasureReport Date of Last Power Outage

DEQM Summary Measurereport Date of Last Power Outage example

Datax Measurereport01

DEQM Datax Measurereport01 example

Task01

DEQM Task01 example

Task02

DEQM Task02 example

Task03

DEQM Task03 example

Organization01

DEQM Organization01 example

Coverage03

DEQM Coverage03 example

Patient01

DEQM Patient01 example