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  1. FHIR Specification Feedback
  2. FHIR-22761

Support PI and IA measure reporting

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci DEQM (FHIR)
    • Clinical Quality Information
    • Profiles and Extensions
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      Accept proposal to address Promoting Interoperability (PI) and Improvement Activity (IA) with an example

      Example to be fully developed. Discussed to resolve by use supplemental data on November 1, 2019. These are basically attestation statements (model as questionnaire response or observation). Final example to be developed.

      Resolution is "persuasive" and to provide an example. An example of a proportion and a true/false PI measure will be required (not necessarily defined as an eCQM). I.e., a measure resource without a CQL library.

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      Accept proposal to address Promoting Interoperability (PI) and Improvement Activity (IA) with an example Example to be fully developed. Discussed to resolve by use supplemental data on November 1, 2019. These are basically attestation statements (model as questionnaire response or observation). Final example to be developed. Resolution is "persuasive" and to provide an example. An example of a proportion and a true/false PI measure will be required (not necessarily defined as an eCQM). I.e., a measure resource without a CQL library.
    • Ben Hamlin/Juliet Rubini: 26-0-0
    • Enhancement
    • Non-substantive

    Description

      The latest versions of QRDA III support communication of attestation measures (PI and IA). For example:

      Examples taken from attached:

      <!-- PI_PPHI_1 which is an example of PI measure with reporting metric of yes/no ->
      <entry>
      <organizer classCode="CLUSTER" moodCode="EVN">
      <!      - Implied template Measure Reference templateId ->
      <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
      <!      - Promoting Interoperability Numerator Measure Performed Measure Reference and Results templateId ->
      <templateId root="2.16.840.1.113883.10.20.27.3.29"
      extension="2016-09-01"/>
      <id root="ac575aef-7062-4ea2-b723-df517cfa470a"/>
      <statusCode code="completed"/>
      <reference typeCode="REFR">
      <!      - Reference to a particular PI measure's unique identifier. ->
      <externalDocument classCode="DOC" moodCode="EVN">
      <!      - extension is the unique identifier for a PI measure. ->
      <id root="2.16.840.1.113883.3.7031" extension="PI_PPHI_1"/>
      <!      - PI measure title ->
      <text>Security Risk Analysis</text>
      </externalDocument>
      </reference>
      <component>
      <observation classCode="OBS" moodCode="EVN">
      <!      - Measure Performed templateId -->
      <templateId root="2.16.840.1.113883.10.20.27.3.27"
      extension="2016-09-01"/>
      <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"
      codeSystemName="ActCode" displayName="Assertion"/>
      <statusCode code="completed"/>
      <value xsi:type="CD" code="Y" codeSystem="2.16.840.1.113883.12.136"
      codeSystemName="Yes/no indicator (HL7 Table 0136)" displayName="Yes"/>
      </observation>
      </component>
      </organizer>
      </entry>

      <!-- improvement activity: IA_EPA_3 ->
      <entry>
      <organizer classCode="CLUSTER" moodCode="EVN">
      <!      - Implied template Measure Reference templateId ->
      <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
      <!      - Improvement Activity Performed Reference and Results templateId ->
      <templateId root="2.16.840.1.113883.10.20.27.3.33"
      extension="2016-09-01"/>
      <!      - Improvement Activity Performed Reference and Results CMS ->
      <templateId root="2.16.840.1.113883.3.249.20.3.1" extension="2018-05-01"/>
      <id root="ac575aef-7062-4ea2-b723-df517cfa470a"/>
      <statusCode code="completed"/>
      <reference typeCode="REFR">
      <!      - Reference to a particular improvement activity's unique identifier. ->
      <externalDocument classCode="DOC" moodCode="EVN">
      <!      - extension is the unique identifier for an improvement activity. ->
      <id root="2.16.840.1.113883.3.7034" extension="IA_EPA_3"/>
      <!      - Improvement activity narrative text (for reference) ->
      <text>Collection and use of patient experience and satisfaction data on access</text>
      </externalDocument>
      </reference>
      <component>
      <observation classCode="OBS" moodCode="EVN">
      <!      - Measure Performed templateId ->
      <templateId root="2.16.840.1.113883.10.20.27.3.27"
      extension="2016-09-01"/>
      <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"
      codeSystemName="ActCode" displayName="Assertion"/>
      <statusCode code="completed"/>
      <value xsi:type="CD" code="Y" displayName="Yes"
      codeSystemName="Yes/no indicator (HL7 Table 0136)"
      codeSystem="2.16.840.1.113883.12.136"/>
      </observation>
      </component>
      <!      - Performance period specified at the Improvement Activities individual activity level ->
      <!      - Note: Performance period for Improvement Activities could be specified either at the performance category level or individual activity level, but not both. ->
      <!      - <component>
      <act classCode="ACT" moodCode="EVN">
      <!- Reporting Parameters Act -->
      <templateId root="2.16.840.1.113883.10.20.17.3.8"/>
      <id root="95944FB8-241B-11E5-1027-09173F13E4C5"/>
      <code code="252116004" codeSystem="2.16.840.1.113883.6.96"
      displayName="Observation Parameters"/>
      <effectiveTime>
      <low value="20190301"/>
      <high value="20190705"/>
      </effectiveTime>
      </act>
      </component>      ->
      </organizer>
      </entry>

      Attachments

        1. 2019_CMS_QRDA_III_Schematrons_and_Sample_Files_0.zip
          91 kB

        Activity

          People

            dan_donahue Dan Donahue
            bryn.rhodes Bryn Rhodes
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            Dates

              Created:
              Updated:
              Resolved: