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 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

Downloads

Package File

The following package file includes an NPM package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and urls in the IG, etc defined as part of this version of the Implementation Guide. This file should be the first choice whenever generating any implementation artifacts since it contains all of the rules about what makes the profiles valid. Implementers will still need to be familiar with the content of the specification and profiles that apply in order to make a conformant implementation. See the overview on validating FHIR profiles and resources:

• Package

Schematrons

Schematrons are also available for download and listed below:

• Structuredefinition Datax Measurereport Deqm

• Structuredefinition Extension Alternatescoretype

• Structuredefinition Extension Calculateddate

• Structuredefinition Extension Certificationidentifier

• Structuredefinition Extension Criteriareference

• Structuredefinition Extension Datalocation

• Structuredefinition Extension Gapstatus

• Structuredefinition Extension Groupimprovementnotation

• Structuredefinition Extension Measurescoring

• Structuredefinition Extension Populationreference

• Structuredefinition Extension Reportergroup

• Structuredefinition Extension Reportingprogram

• Structuredefinition Extension Reportingvendor

• Structuredefinition Extension Submitdataupdatetype

• Structuredefinition Extension Supplementaldata

• Structuredefinition Gaps Bundle Deqm

• Structuredefinition Gaps Composition Deqm

• Structuredefinition Gaps Detectedissue Deqm

• Structuredefinition Gaps Group Deqm

• Structuredefinition Gaps Guidanceresponse Detailedcaregap

• Structuredefinition Indv Measurereport Deqm

• Structuredefinition Indv Measurereport List

• Structuredefinition Medicationadministration Deqm

• Structuredefinition Reasondetail

• Structuredefinition Subjectlist Measurereport Deqm

• Structuredefinition Summary Measurereport Deqm

Examples

all the examples that are used in this Implementation Guide available for download:

• XML
• JSON

Downloadable Copy of Entire Specification

A downloadable version of this IG is available so it can be hosted locally:

• Downloadable Copy

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.us.davinci-deqm.r4) and R4B (hl7.fhir.us.davinci-deqm.r4b) are available.

Dependency Table

Package hl7.fhir.uv.extensions.r4#1.0.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.bulkdata#2.0.0 FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.r4.examples#4.0.1 Example resources in the R4 version of the FHIR standard

Package hl7.fhir.uv.sdc#3.0.0 The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. This includes two components: * Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains. *Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package hl7.fhir.us.core#5.0.1 The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, Jun 22, 2022 19:44+0000+00:00)

Package hl7.fhir.us.qicore#5.0.0 The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Tue, Apr 4, 2023 13:39+0000+00:00)

Package hl7.fhir.uv.cpg#1.0.0 Implementation guidance for creating Clinical Practice Guidelines with formal artifacts to facilitate sharing and implementation of the guideline (built Thu, Feb 11, 2021 20:29+0000+00:00)

Package fhir.cqf.common#4.0.1 This implementation guide contains common FHIR assets for use in CQFramework content IGs, including FHIRHelpers and the FHIR-ModelInfo libraries. (built Fri, Nov 12, 2021 16:25+1100+11:00)

Package hl7.fhir.us.cqfmeasures#4.0.0 The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Mon, Aug 28, 2023 19:34+0000+00:00)

Globals Table

Global Profiles:

Type	Source	Profile
Encounter	hl7.fhir.us.qicore#5.0.0	QICore Encounter
Encounter	hl7.fhir.us.qicore#5.0.0	QICore Encounter
Encounter	hl7.fhir.us.qicore#5.0.0	QICore Encounter
Immunization	hl7.fhir.us.qicore#5.0.0	QICore Immunization
Immunization	hl7.fhir.us.qicore#5.0.0	QICore Immunization
Immunization	hl7.fhir.us.qicore#5.0.0	QICore Immunization
Observation	hl7.fhir.us.qicore#5.0.0	QICore Observation
Observation	hl7.fhir.us.qicore#5.0.0	QICore Observation
Observation	hl7.fhir.us.qicore#5.0.0	QICore Observation
Organization	hl7.fhir.us.qicore#5.0.0	QICore Organization
Organization	hl7.fhir.us.qicore#5.0.0	QICore Organization
Organization	hl7.fhir.us.qicore#5.0.0	QICore Organization
Patient	hl7.fhir.us.qicore#5.0.0	QICore Patient
Patient	hl7.fhir.us.qicore#5.0.0	QICore Patient
Patient	hl7.fhir.us.qicore#5.0.0	QICore Patient
Practitioner	hl7.fhir.us.qicore#5.0.0	QICore Practitioner
Practitioner	hl7.fhir.us.qicore#5.0.0	QICore Practitioner
Practitioner	hl7.fhir.us.qicore#5.0.0	QICore Practitioner
PractitionerRole	hl7.fhir.us.qicore#5.0.0	QICore PractitionerRole
PractitionerRole	hl7.fhir.us.qicore#5.0.0	QICore PractitionerRole
PractitionerRole	hl7.fhir.us.qicore#5.0.0	QICore PractitionerRole

All resources of these types must conform to these profiles.

IP Statements

This publication includes IP covered under the following statements.

• Copyright HL7. Licensed under creative commons public domain
  Show Usage
  • identifierType: Bundle/multiple-indv-mrp-obs-report, Bundle/multiple-indv-mrp-task-report... Show 31 more, Bundle/multiple-summ-report, Bundle/sde-example-patient-data-bundle, Bundle/single-gaps-closed-indv-report01, Bundle/single-gaps-closed-indv-report02, Bundle/single-gaps-open-indv-report01, Bundle/single-indv-col-obs-report, Bundle/single-indv-mrp-obs-report, Bundle/single-indv-mrp-task-report, Bundle/single-indv-vte-report-option1, Bundle/single-indv-vte-report-option7, DVPayer04, DaVinciHospital01, DaVinciHospital02, DaVinciHospital03, GapsReportingVendor01, Parameters/col-submit-collect-obs, Parameters/mrp-submit-obs, Parameters/mrp-submit-task, Parameters/multiple-gaps-indv-report01, Parameters/multiple-gaps-indv-report02, Parameters/single-gaps-closed-indv-report01, Parameters/single-gaps-closed-indv-report02, Parameters/single-gaps-open-indv-report01, Patient/gaps-patient01, Patient/gaps-patient02, Patient/patient01, Patient/patient02, Patient/patient03, Practitioner/practitioner01, Practitioner/practitioner02 and Practitioner/practitioner03
• ISO Maintains the copyright on the country codes, and controls it's use carefully. For futher details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: BulkSubmitData, CareGapREason... Show 52 more, CareGapReasons, CareGaps, ConsumerClientCapabilityStatement, ConsumerServerCapabilityStatement, DEQM, DEQMAlternateScoreTypeExtension, DEQMCalculatedDateExtension, DEQMCertificationIdentifierExtension, DEQMCriteriaReferenceExtension, DEQMDataExchangeMeasureReportProfile, DEQMDataLocationExtension, DEQMEvaluateMeasure, DEQMGapStatusModifierExtension, DEQMGapsInCareBundle, DEQMGapsInCareCompositionProfile, DEQMGapsInCareDetectedIssueProfile, DEQMGapsInCareGroupProfile, DEQMGapsStatusCodeSystem, DEQMGapsStatusValueSet, DEQMGroupImprovementNotationExtension, DEQMIndividualMeasureReportList, DEQMIndividualMeasureReportProfile, DEQMLibraryEXM124Example, DEQMLibraryEXM130Example, DEQMLibraryMRPExample, DEQMLibraryVenousThromboembolismProphylaxis, DEQMMeasureCervicalCancerScreeningExample, DEQMMeasureColorectalCancerScreeningExample, DEQMMeasureMRPExample, DEQMMeasureScoringExtension, DEQMMedicationAdministrationProfile, DEQMPopulationReferenceExtension, DEQMReporterGroupExtension, DEQMReportingProgramExtension, DEQMSubjectListMeasureReport, DEQMSubmitDataUpdateType, DEQMSummaryMeasureReportProfile, DEQMSupplementalDataExtension, DEQMUpdateTypeCodeSystem, DEQMUpdateTypeValueSet, DEQMVenousThromboembolismProphylaxis, DEQMreportingVendorExtension, DateOfLastPowerOutage, DetailedCareGapGuidanceResponse, EXMPromotingInteroperabilityMeasure, GapsInCareClientCapabilityStatement, GapsInCareServerCapabilityStatement, ProducerClientCapabilityStatement, ProducerServerCapabilityStatement, ReasonDetail, ReceiverServerCapabilityStatement and ReporterClientCapabilityStatement
• Most of the information on the CDC and ATSDR websites is not subject to copyright, is in the public domain, and may be freely used or reproduced without obtaining copyright permission.</p>

  For information and exceptions regarding use of CDC material please see https://www.cdc.gov/other/agencymaterials.html.

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  • CDC Race and Ethnicity: Bundle/multiple-indv-mrp-obs-report, Bundle/multiple-indv-mrp-task-report... Show 25 more, Bundle/sde-example-patient-data-bundle, Bundle/single-gaps-closed-indv-report01, Bundle/single-gaps-closed-indv-report02, Bundle/single-gaps-open-indv-report01, Bundle/single-indv-col-obs-report, Bundle/single-indv-mrp-obs-report, Bundle/single-indv-mrp-task-report, Bundle/single-indv-vte-report-option1, Bundle/single-indv-vte-report-option7, MeasureReport/indv-measurreport-stratification-example, MeasureReport/sde-example, Parameters/col-submit-collect-obs, Parameters/mrp-submit-obs, Parameters/mrp-submit-task, Parameters/multiple-gaps-indv-report01, Parameters/multiple-gaps-indv-report02, Parameters/single-gaps-closed-indv-report01, Parameters/single-gaps-closed-indv-report02, Parameters/single-gaps-open-indv-report01, Patient/gaps-patient01, Patient/gaps-patient02, Patient/nhsn-iip-ip101, Patient/patient01, Patient/patient02 and Patient/patient03
  </li>
• The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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  • Unified Code for Units of Measure (UCUM): Bundle/sde-example-patient-data-bundle, Bundle/single-indv-vte-report-option1... Show 4 more, EXMPromotingInteroperabilityMeasure, MeasureReport/sde-example, MedicationAdministration/medicationadministration01 and MedicationRequest/nhsn-iip-add101-10
• This is an extensible set.
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  • SubscriberPolicyholder Relationship Codes: Bundle/single-indv-mrp-obs-report, Bundle/single-indv-mrp-task-report, Coverage/coverage01, Parameters/mrp-submit-obs and Parameters/mrp-submit-task
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: Bundle/sde-example-patient-data-bundle, Bundle/single-gaps-closed-indv-report01... Show 19 more, Bundle/single-gaps-closed-indv-report02, Bundle/single-gaps-open-indv-report01, Bundle/single-indv-col-obs-report, Composition/gaps-composition01, Composition/gaps-composition02, Composition/gaps-composition03, DEQMGapsInCareCompositionProfile, DEQMLibraryVenousThromboembolismProphylaxis, DEQMVenousThromboembolismProphylaxis, EXMPromotingInteroperabilityMeasure, GuidanceResponse/detailedguidanceresponse01, GuidanceResponse/detailedguidanceresponse02, Observation/DNA-occultblood, Parameters/col-submit-collect-obs, Parameters/multiple-gaps-indv-report01, Parameters/multiple-gaps-indv-report02, Parameters/single-gaps-closed-indv-report01, Parameters/single-gaps-closed-indv-report02 and Parameters/single-gaps-open-indv-report01
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  • SNOMED Clinical Terms® (SNOMED CT®): Bundle/multiple-indv-mrp-obs-report, Bundle/multiple-indv-mrp-task-report... Show 11 more, Bundle/sde-example-patient-data-bundle, Bundle/single-indv-vte-report-option1, Bundle/single-indv-vte-report-option7, Condition/nhsn-iip-con101, Encounter/encounter01, Encounter/encounter02, Encounter/encounter03, MeasureReport/sde-example, MedicationAdministration/medicationadministration01, Parameters/mrp-submit-obs and Parameters/mrp-submit-task
• Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.
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  • RxNorm: Bundle/sde-example-patient-data-bundle, Bundle/single-indv-vte-report-option1... Show 4 more, MeasureReport/sde-example, MedicationAdministration/medicationadministration01, MedicationRequest/nhsn-iip-add101 and MedicationRequest/nhsn-iip-add101-10
</ul>