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  1. FHIR Specification Feedback
  2. FHIR-40109

Issues with invariant deqm-4

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • US Da Vinci DEQM (FHIR)
    • 4.0.0-ballot
    • Clinical Quality Information
    • STU
    • DEQM Individual MeasureReport Profile
      DEQM Summary MeasureReport Profile
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      Update the wording of deqm-4 to "If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required."

      The expression should be fixed as stated below:

      MeasureReport.group.extension:groupImprovementNotation

      Invariants Defined on this element
      deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) (: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists())
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      Update the wording of deqm-4 to "If the measure scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required." The expression should be fixed as stated below: MeasureReport.group.extension:groupImprovementNotation Invariants Defined on this element deqm- 4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort) (: extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring').where(valueCodeableConcept.coding.code in ('proportion' | 'ratio' | 'continuous-variable')).exists() implies extension('http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-groupImprovementNotation').exists())
    • Yan Heras/ Bryn Rhodes: 26-0-0
    • Correction
    • Non-substantive

    Description

      The invariant deqm-4 description says "deqm-4: ensure that if scoring is specified on the group, groupImprovementNotation must be (if the scoring type is other than cohort)", which appears to be an incomplete sentence.

      Suggested wording:

      deqm-4: Ensure that if scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the groupImprovementNotation element is required. 

      Also, the deqm-4 constraint does not seem to have been authored correctly. The intent is to ensure when group.scoring is present, then group.groupImprovementNotation is present (except for cohort). However, the deqm-4 constraint is only applied to the groupImprovementNotation element, it does not look like this fulfills the intent. 

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            abdullah.rafiqi Abdullah Rafiqi
            yanheras Yan Heras
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            Dates

              Created:
              Updated:
              Resolved: