This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.1.0: STU 2 Ballot 1) 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 
Summary Measure Reporting Interactions
Introduction
A summary report contains calculated summary data for one or more Clinical Quality Measures (CQMs) for a specified population of patients within a particular health system over a specific period of time. For example, for a colorectal cancer screening CQM, “the data-of-interest” is the patient counts of initial population, denominator, denominator exclusions, and numerator respectively for a specified population of patients. Summary reports may also contain summary data for stratifier criteria (such as gender or age) as defined in a CQM.
The Summary reporting scenario is supported by the DEQM Summary MeasureReport Profile. Transactions between Reporters (for example, organizations that deliver care to patients, such as a practice or hospital) and Receivers (organizations that want to evaluate CQMs, such as quality reporting programs) are triggered by specific administrative events such as the submission of summary level quality reports for CQMs to various quality reporting programs.
Profiles
The following resources are used in the summary reporting scenario:
| Resource Type | Profile Name | Link to Profile |
|---|---|---|
| Measure | CQFM Measure Profile | CQFM Measure |
| Summary MeasureReport | DEQM Summary MeasureReport Profile | DEQM Summary MeasureReport Profile |
| Organization | DEQM Organization Profile | DEQM Organization |
Summary Measure Reporting
When the results of a quality measure are completed for a population at the end of a reporting period, they are POSTed to the quality measure Receiver’s FHIR Server. The report may only consist of the Summary MeasureReport in which case it is POSTed to the MeasureReport endpoint. If there are other referenced resources all the resources are bundled together as a set of POST interactions and sent as a single transaction interaction using the Standard FHIR API.
Usage
for a single MeasureReport:
POST|[base]/MeasureReport
for a Bundle Transaction:
POST|[base]
Examples
Scenario:
Payer X who is acting in the role of a Reporter submits a MRP Summary Report for MRP for period P to Receiver Z. The body of the request is MeasureReport resource containing the required summary data for MRP attestation for the period. An HTTP Status success code is returned on successful submission.
POST Summary Report
POST [base]/MeasureReport
Request body
{
"resourceType": "MeasureReport",
"id": "summ-measurereport01",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: summ-measurereport01</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Aug 1, 2018 12:00:00 AM --> Sep 1, 2018 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td><td>100</td></tr></table><p><b>measureScore</b>: 100</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: 4456 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '4456' = '4456', given as '4456'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Male <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'male' = 'Male', given as 'Male'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td><td>50</td></tr></table><p><b>measureScore</b>: 100</p></blockquote></blockquote></blockquote></div>"
},
"status": "complete",
"type": "summary",
"measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"date": "2018-09-05T16:59:52.404Z",
"reporter": {
"reference": "Organization/organization01"
},
"period": {
"start": "2018-08-01",
"end": "2018-09-01"
},
"group": [
{
"code": {
"coding": [
{
"system": "http://example.org",
"code": "112",
"display": "112"
}
]
},
"population": [
{
"code": {
"coding": [
{
"system": "http://example.org",
"code": "initial-population",
"display": "Initial Population"
}
]
},
"count": 100
}
],
"measureScore": {
"value": 100
},
"stratifier": [
{
"code": [
{
"coding": [
{
"system": "http://example.org",
"code": "4456",
"display": "4456"
}
]
}
],
"stratum": [
{
"value": {
"coding": [
{
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
]
},
"population": [
{
"code": {
"coding": [
{
"system": "http://example.org",
"code": "initial-population",
"display": "Initial Population"
}
]
},
"count": 50
}
],
"measureScore": {
"value": 100
}
}
]
}
]
}
]
}
Response
HTTP/1.1 200 OK
[other headers]
For for an example of a Summary MeasureReport with counts for multiple populations and stratifiers specified in an eCQM see the Medicare Stratification Example and the COL Summary MeasureReport.
