Implement the Da Vinci DEQM (Data Exchange for Quality Measures) individual reporting workflow to submit a patient-level quality measure report from a provider to a payer or registry

domain: hl7.org/fhir/us/davinci-deqm · 5 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Assemble a DEQM Individual MeasureReport Bundle containing the MeasureReport, the patient's clinical supporting resources (Observation, Encounter, Condition), and an Organization resource for the submitter
  2. POST the Bundle to the receiver's FHIR server using the \$submit-data operation on the Measure endpoint: POST /Measure/{id}/\$submit-data
  3. Include the measureReport parameter pointing to the MeasureReport and resource parameters for each supporting clinical resource in the Parameters wrapper
  4. Verify the response is HTTP 200 with an empty body or OperationOutcome with severity information; handle 422 for validation failures
  5. Confirm the MeasureReport status is complete and the measure URL in MeasureReport.measure matches the canonical Measure URL registered with the receiver

Known gotchas

Related routes

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Implement the Da Vinci PDex Payer Data Exchange to enable a new payer to request a member's clinical and claims history from a prior payer during the plan-to-plan data exchange workflow
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Implement a FHIR-based prior authorization workflow end-to-end using Da Vinci PAS: submit the prior authorization request bundle, handle real-time pend responses, poll for final determination, and process approve and deny outcomes
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