Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0
US
Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0
US
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.1.0: STU 3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Parameters",
"id" : "multiple-gaps-indv-report02",
"parameter" : [
{
"name" : "return",
"resource" : {
"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:7396eb14-8f5c-4fe1-b023-1c6838152136"
},
"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"
]
},
"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-detectedissue05"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue05",
"resource" : {
"resourceType" : "DetectedIssue",
"id" : "gaps-detectedissue05",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
]
},
"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" : "closed-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"
]
},
"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-populationReference",
"valueString" : "initial-population"
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "denominator"
}
],
"reference" : "Encounter/gaps-encounter03"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "initial-population"
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "denominator"
}
],
"reference" : "Patient/gaps-patient01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"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"
]
},
"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" : "99201",
"display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."
}
]
}
],
"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"
]
},
"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 through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"
}
]
},
"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"
]
},
"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"
]
},
"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"
}
]
}
}
]
}
},
{
"name" : "return",
"resource" : {
"resourceType" : "Bundle",
"id" : "single-gaps-closed-indv-report01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:80c493d0-e3c7-4e63-81fe-81fb3b16b9ab"
},
"type" : "document",
"timestamp" : "2020-07-07T13:08:53+00:00",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition02",
"resource" : {
"resourceType" : "Composition",
"id" : "gaps-composition02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
]
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96315-7",
"display" : "Gaps in care report"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"date" : "2020-07-07T13:08:53+00:00",
"author" : [
{
"reference" : "Organization/gaps-organization-reportingvendor"
}
],
"title" : "Care Gap Report for patient gaps-patient02",
"section" : [
{
"title" : "Colorectal Cancer Screening",
"focus" : {
"reference" : "MeasureReport/gaps-indv-measurereport03"
},
"entry" : [
{
"reference" : "DetectedIssue/gaps-detectedissue03"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03",
"resource" : {
"resourceType" : "DetectedIssue",
"id" : "gaps-detectedissue03",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
]
},
"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" : "closed-gap"
}
]
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "CAREGAP",
"display" : "Caregap"
}
]
},
"patient" : {
"reference" : "Patient/gaps-patient02"
},
"evidence" : [
{
"detail" : [
{
"reference" : "MeasureReport/gaps-indv-measurereport03"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "gaps-indv-measurereport03",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"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-patient02"
},
"date" : "2020-07-07T13:08:53+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-populationReference",
"valueString" : "initial-population"
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "denominator"
}
],
"reference" : "Encounter/gaps-encounter02"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "initial-population"
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "denominator"
}
],
"reference" : "Patient/gaps-patient02"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueString" : "numerator"
}
],
"reference" : "Procedure/gaps-procedure01"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter02",
"resource" : {
"resourceType" : "Encounter",
"id" : "gaps-encounter02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"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" : "99201",
"display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."
}
]
}
],
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"period" : {
"start" : "2020-03-05T07:00:00-00:00",
"end" : "2020-03-05T10:00:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Procedure/gaps-procedure01",
"resource" : {
"resourceType" : "Procedure",
"id" : "gaps-procedure01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded",
"valueDateTime" : "2018-09-10T09:00:00-00:00"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45384",
"display" : "Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"performedPeriod" : {
"start" : "2018-09-10T08:00:00-00:00",
"end" : "2018-09-10T09:00:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient02",
"resource" : {
"resourceType" : "Patient",
"id" : "gaps-patient02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"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" : "999996992"
}
],
"name" : [
{
"family" : "Ludwich",
"given" : [
"Thomas"
]
}
],
"gender" : "male",
"birthDate" : "1957-01-01"
}
},
{
"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"
]
},
"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 Work Group. Package hl7.fhir.us.davinci-deqm#3.1.0 based on FHIR 4.0.1. Generated 2022-11-21
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