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 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Parameters;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "single-gaps-closed-indv-report01"];
fhir:Parameters.parameter [
fhir:index 0;
fhir:Parameters.parameter.name [ fhir:value "return" ];
fhir:Parameters.parameter.resource [
a fhir:Bundle;
fhir:Resource.id [ fhir:value "single-gaps-closed-indv-report01" ];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm> ] ];
fhir:Bundle.identifier [
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Identifier.value [ fhir:value "urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae" ] ];
fhir:Bundle.type [ fhir:value "document" ];
fhir:Bundle.timestamp [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime ];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Composition/gaps-composition02" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Composition/gaps-composition02> ], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03> ], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03> ], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Encounter/gaps-encounter02" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Encounter/gaps-encounter02> ], [
fhir:index 4;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Procedure/gaps-procedure01" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Procedure/gaps-procedure01> ], [
fhir:index 5;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Patient/gaps-patient02" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Patient/gaps-patient02> ], [
fhir:index 6;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor" ];
fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> ] ]
].
<http://example.org/fhir/gaps/Composition/gaps-composition02> a fhir:Composition;
fhir:Resource.id [ fhir:value "gaps-composition02"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm> ]
];
fhir:Composition.status [ fhir:value "final"];
fhir:Composition.type [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:96315-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "96315-7" ];
fhir:Coding.display [ fhir:value "Gaps in care report" ] ]
];
fhir:Composition.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
];
fhir:Composition.date [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime];
fhir:Composition.author [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
];
fhir:Composition.title [ fhir:value "Care Gap Report for patient gaps-patient02"];
fhir:Composition.section [
fhir:index 0;
fhir:Composition.section.title [ fhir:value "Colorectal Cancer Screening" ];
fhir:Composition.section.focus [
fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport03" ] ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "DetectedIssue/gaps-detectedissue03" ] ]
].
<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03> a fhir:DetectedIssue;
fhir:Resource.id [ fhir:value "gaps-detectedissue03"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm> ]
];
fhir:DomainResource.modifierExtension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status" ];
fhir:Coding.code [ fhir:value "closed-gap" ] ] ]
];
fhir:DetectedIssue.status [ fhir:value "final"];
fhir:DetectedIssue.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "CAREGAP" ];
fhir:Coding.display [ fhir:value "Caregap" ] ]
];
fhir:DetectedIssue.patient [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
];
fhir:DetectedIssue.evidence [
fhir:index 0;
fhir:DetectedIssue.evidence.detail [
fhir:index 0;
fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport03" ] ]
].
<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03> a fhir:MeasureReport;
fhir:Resource.id [ fhir:value "gaps-indv-measurereport03"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm> ]
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
fhir:Coding.code [ fhir:value "proportion" ] ] ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
fhir:Extension.valueIdentifier [
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ] ]
];
fhir:MeasureReport.status [ fhir:value "complete"];
fhir:MeasureReport.type [ fhir:value "individual"];
fhir:MeasureReport.measure [
fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example";
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
];
fhir:MeasureReport.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
];
fhir:MeasureReport.date [ fhir:value "2020-06-30T13:08:52+00:00"^^xsd:dateTime];
fhir:MeasureReport.reporter [
fhir:Reference.reference [ fhir:value "Organization/organization01" ]
];
fhir:MeasureReport.period [
fhir:Period.start [ fhir:value "2020-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2020-12-31"^^xsd:date ]
];
fhir:MeasureReport.improvementNotation [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
fhir:Coding.code [ fhir:value "increase" ] ]
];
fhir:MeasureReport.group [
fhir:index 0;
fhir:Element.id [ fhir:value "group-exm130" ];
fhir:MeasureReport.group.population [
fhir:index 0;
fhir:MeasureReport.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "initial-population" ];
fhir:Coding.display [ fhir:value "Initial Population" ] ] ];
fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ] ], [
fhir:index 1;
fhir:MeasureReport.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "numerator" ];
fhir:Coding.display [ fhir:value "Numerator" ] ] ];
fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ] ], [
fhir:index 2;
fhir:MeasureReport.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "denominator" ];
fhir:Coding.display [ fhir:value "Denominator" ] ] ];
fhir:MeasureReport.group.population.count [ fhir:value "1"^^xsd:integer ] ], [
fhir:index 3;
fhir:MeasureReport.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "denominator-exclusion" ];
fhir:Coding.display [ fhir:value "Denominator Exclusion" ] ] ];
fhir:MeasureReport.group.population.count [ fhir:value "0"^^xsd:integer ] ];
fhir:MeasureReport.group.measureScore [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ]
];
fhir:MeasureReport.evaluatedResource [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "initial-population" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ];
fhir:Reference.reference [ fhir:value "Encounter/gaps-encounter02" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "initial-population" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ];
fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
fhir:Extension.valueString [ fhir:value "numerator" ] ];
fhir:Reference.reference [ fhir:value "Procedure/gaps-procedure01" ]
].
<http://example.org/fhir/gaps/Encounter/gaps-encounter02> a fhir:Encounter;
fhir:Resource.id [ fhir:value "gaps-encounter02"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter> ]
];
fhir:Encounter.status [ fhir:value "finished"];
fhir:Encounter.class [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "AMB" ];
fhir:Coding.display [ fhir:value "ambulatory" ]
];
fhir:Encounter.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
fhir:Coding.code [ fhir:value "99201" ];
fhir:Coding.display [ fhir:value "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." ] ]
];
fhir:Encounter.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
];
fhir:Encounter.period [
fhir:Period.start [ fhir:value "2020-03-05T07:00:00-00:00"^^xsd:dateTime ];
fhir:Period.end [ fhir:value "2020-03-05T10:00:00-00:00"^^xsd:dateTime ]
].
<http://example.org/fhir/gaps/Procedure/gaps-procedure01> a fhir:Procedure;
fhir:Resource.id [ fhir:value "gaps-procedure01"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure> ]
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded" ];
fhir:Extension.valueDateTime [ fhir:value "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
fhir:Coding.code [ fhir:value "45384" ];
fhir:Coding.display [ fhir:value "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" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
];
fhir:Procedure.performedPeriod [
fhir:Period.start [ fhir:value "2018-09-10T08:00:00-00:00"^^xsd:dateTime ];
fhir:Period.end [ fhir:value "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
].
<http://example.org/fhir/gaps/Patient/gaps-patient02> a fhir:Patient;
fhir:Resource.id [ fhir:value "gaps-patient02"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient> ]
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2028-9" ];
fhir:Coding.display [ fhir:value "Asian" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Asian" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2135-2" ];
fhir:Coding.display [ fhir:value "Hispanic or Latino" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Hispanic or Latino" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "usual" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "MR" ];
fhir:Coding.display [ fhir:value "Medical Record Number" ] ] ];
fhir:Identifier.system [ fhir:value "http://hospital.smarthealthit.org" ];
fhir:Identifier.value [ fhir:value "999996992" ]
];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Ludwich" ];
fhir:HumanName.given [
fhir:value "Thomas";
fhir:index 0 ]
];
fhir:Patient.gender [ fhir:value "male"];
fhir:Patient.birthDate [ fhir:value "1957-01-01"^^xsd:date].
<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization;
fhir:Resource.id [ fhir:value "gaps-organization-reportingvendor"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization> ]
];
fhir:Organization.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "TAX" ];
fhir:Coding.display [ fhir:value "Tax ID number" ] ] ];
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ];
fhir:Identifier.value [ fhir:value "123446789" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "www.irs.gov" ] ]
];
fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
fhir:Organization.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
fhir:Coding.code [ fhir:value "pay" ];
fhir:Coding.display [ fhir:value "Payer" ] ]
];
fhir:Organization.name [ fhir:value "GapsReportingVendor01"];
fhir:Organization.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "(+1) 401-545-1212" ]
];
fhir:Organization.address [
fhir:index 0;
fhir:Address.line [
fhir:value "13 Drive Street";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Cityplace" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "01101" ];
fhir:Address.country [ fhir:value "USA" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
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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