Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## Extension: DEQM Submit Data Update Type Extension

Official URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType | Version: 1.0.0-ballot | Highlight text changes?
Standards status: Trial-use Active as of 2026-04-07 | Maturity Level: 4 | Computable Name: DEQMSubmitDataUpdateType

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.

Context of Use

This extension may be used on the following element(s)

- Element ID: `CapabilityStatement.rest.resource.operation`
- Element ID: `MeasureReport`

### Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each Extension Must Have:

1. url: identifies the meaning of the extension

Example can be found in Datax Measurereport01 and Consumer Server CapabilityStatement

Usage info

Usages:

- Use this Extension: DEQM Data Exchange MeasureReport Profile
- Examples for this Extension: ConsumerServerCapabilityStatement, MeasureReport/datax-measurereport01, MeasureReport/datax-measurereport02, MeasureReport/datax-measurereport03... Show 4 more, Parameters/col-collect-obs, Parameters/col-submit-obs, Parameters/mrp-submit-obs and Parameters/mrp-submit-task

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  |  | Extension |
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType"
value[x] |  | 0..1 | code | Value of extension Slice: Unordered, Open by type:$this
valueCode |  | 0..1 | code | Value of extension Binding: DEQM Update Type Value Set (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.valueCode | Base | required | DEQM Update Type Value Set | 📦1.0.0-ballot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Optional Extensions Element
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType"
Slices for value[x] |  | 0..1 | code | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode |  | 0..1 | code | Value of extension Binding: DEQM Update Type Value Set (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x]:valueCode | Base | required | DEQM Update Type Value Set | 📦1.0.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Simple Extension with the type code: 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.

Maturity: 4

Differential ViewDifferential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  |  | Extension |
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType"
value[x] |  | 0..1 | code | Value of extension Slice: Unordered, Open by type:$this
valueCode |  | 0..1 | code | Value of extension Binding: DEQM Update Type Value Set (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.valueCode | Base | required | DEQM Update Type Value Set | 📦1.0.0-ballot | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Optional Extensions Element
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType"
Slices for value[x] |  | 0..1 | code | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode |  | 0..1 | code | Value of extension Binding: DEQM Update Type Value Set (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x]:valueCode | Base | required | DEQM Update Type Value Set | 📦1.0.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Simple Extension with the type code: 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.

Maturity: 4

Other representations of profile: CSV, Excel, Schematron