HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1 STU 5.0.0 - US Realm and Edition 1 - Universal Realm

DESCRIPTION

This implementation guide defines a framework for quality measurement reporting and related use cases by enabling the capabilities of 1) the reporting of quality measurement results, with or without the data involved in calculating those results, and 2) the definition and exchange of the data of interest for a measure or set of measures.

This implementation guide is the international successor of the US-based Data Exchange for Quality Measures (DEQM) IG. The US-based DEQM IG is based upon the previous generation of quality measure representation standards, the HL7 V3-based Quality Reporting Document Architecture (QRDA) and accompanying implementation guides.

See the Universal Realm standard at http://hl7.org/fhir/uv/deqm/1.0.0

See the US Realm standard at http://hl7.org/fhir/us/davinci-deqm/STU5

 

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1 STU 5.0.0 - US Realm and Edition 1 - Universal Realm may also go by the following names or acronyms:

BENEFITS

• Enables automatic data collection and submission limiting the need for manual processing and intervention
• Enable a national standard based on FHIR for data structure and exchange to reduce the burden on clinicians of transforming data between systems
• Defines a FHIR based data model harmonized between clinical decision support and quality measures and quality measure reporting use cases.

IMPLEMENTATIONS/CASE STUDIES

• Centers for Medicare and Medicaid Services (CMS)- Quality Reporting Pilot

DEVELOPMENT BACKGROUND

This Implementation Guide was supported by the Da Vinci initiative which is a private effort to accelerate the adoption of Health Level Seven International Fast Healthcare Interoperability Resources (HL7® FHIR®) as the standard to support and integrate value-based care (VBC) data exchange across communities. Like all Da Vinci Implementation Guides, it follows the HL7 Da Vinci Guiding Principles for exchange of patient health information. As the DEQM IG matures, Da Vinci has handed off the leadership for the maintenance and further development of the IG to the community since the publication of the STU 3.0.0.

The IG is based upon the prior work from the US Core, QI Core, and HEDIS Implementation Guides and the QRDA Category I and III reporting specifications. Changes to this specification are managed by the sponsoring HL7 Clinical Quality Information (CQI) and Clinical Decision Support (CDS) workgroups and are incorporated as part of the standard HL7 balloting process. 

 

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1 STU 5.0.0 - US Realm and Edition 1 - Universal Realm

STU DOCUMENTS

	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1 - Universal Realm See the standard at http://hl7.org/fhir/uv/deqm/1.0.0.	(Submit Feedback on STU)
	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1, STU5 - US Realm See the standard at http://hl7.org/fhir/us/davinci-deqm/STU5.	(Submit Feedback on STU)
	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1, STU4 - US Realm See the standard at http://hl7.org/fhir/us/davinci-deqm/STU4.	Expiration Oct 2025
	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, STU3.1 for FHIR R4 - US Realm See the standard at http://hl7.org/fhir/us/davinci-deqm/STU3.1/.	Expiration Nov 2024
	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, STU3 for FHIR R4 - US Realm See the standard at http://hl7.org/fhir/us/davinci-deqm/STU3.	Expiration Jun 2023
	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Release 1 STU2 for FHIR R4– US Realm Please see the resource detail for link and download instructions.	Expiration Aug 2022
	HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures STU1 for FHIR STU3, Release 1 - US Realm Please see the resource detail for link and download instructions.	Expiration Dec 2021

ADDITIONAL DETAILS

TOPICS

• Clinical Quality
• Decision Support

BALLOT TYPE

• STU

STATUS DATE

2026-09-16

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Healthcare Institutions
• Local and State Departments of Health
• Payors
• Quality Reporting Agencies
• Regulatory Agency
• Standards Development Organizations (SDOs)

FAMILY

• FHIR

CURRENT STATE

• Active

REALM

• Universal
• US Realm