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  1. FHIR Specification Feedback
  2. FHIR-30146

Section 2.4 - DEQM references

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    • Change Request
    • Resolution: Persuasive with Modification
    • Medium
    • US Da Vinci CDex (FHIR)
    • 0.2.0 [deprecated]
    • Patient Care
    • (NA)
    • 2.4
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       The intent is to provide an example where more generic approach to getting Clinical Data is appropriate vs using a more use case specific IG.  The commenter is sensitive to using DEQM as an example and we agree may give the wrong impression.  However, It is not in the scope of this IG to instruct on implementation of DEQM.

       

      Instead we will remove this example and provide a more generic scenario which not covered by another Da Vinci IG.

      "Payer Seeks Insured Person Active Conditions from Provider to confirm medical necessity."

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       The intent is to provide an example where more generic approach to getting Clinical Data is appropriate vs using a more use case specific IG.  The commenter is sensitive to using DEQM as an example and we agree may give the wrong impression.  However, It is not in the scope of this IG to instruct on implementation of DEQM.   Instead we will remove this example and provide a more generic scenario which not covered by another Da Vinci IG. "Payer Seeks Insured Person Active Conditions from Provider to confirm medical necessity."
    • Eric Haas/Jay Lyle : 9-0-5
    • Clarification
    • Non-substantive

    Description

      The example of DEQM assumes the reader understands the bullets apply to DEQM: "

      For example, the Data Exchange For Quality Measures (DEQM) Implementation Guide provides a standard method of reporting Quality Measures. CDex can be used [perhaps add 'for reporting quality measure results - explains better the content] when:

      1. The measure is not yet implementable using DEQM [_next an example of why a measure isn't yet implementable using DEQM]_
      2. A Provider has not implemented DEQM [_so does that mean providers can ignore DEQM and always use CDex? If not, please clarify.]_
      3. Additional information is required for audit of the Quality Measure. [_an example is really important here - what kind of information is required for audit that wouldn't be in the DEQM? - and if such exists shouldn't that represent a need for a tracker to DEQM?]_

      ALSO - FIGURE 1 - Quality Measurement includes 2 artifacts - DEQM and Gaps in Care - these are contained in one IG. Shouldn't the diagram reflect the one IG?

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              feisenberg Floyd Eisenberg
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