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Type:
Bug/Issue
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Resolution: Deferred for Future Release
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Priority:
Moderate
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Component/s: None
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None
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MADiE
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QI-Core
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MADiE 1.1.13
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Yes
MADiE Measure exports have a Measure resource that tries to add direct reference codes (DRC) to the relatedArtifact array.
MADiE puts the code in the relatedArtifact.id, and the relatedArtifact.url has the code system URL, e.g.,
{ "id": "active", "display": "allergy-active", "url": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" }
,...
{ "id": "active", "display": "active", "url": "http://terminology.hl7.org/CodeSystem/condition-clinical" }
This may cause duplicate "id", or "id" with invalid characters, but also is not the correct way to add DRCs.
http://hl7.org/fhir/us/cqfmeasures/STU3/StructureDefinition-cqfm-directReferenceCode.html is an extension intended for DRC.
As the examples associated with the extension link above show, the Measure.contained has a Library resource
"contained": [ { "resourceType": "Library", "id": "effective-data-requirements", "extension": [ { "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding": { "system": "http://snomed.info/sct", "version": "http://snomed.info/sct/731000124108/version/201709", "code": "428361000124107", "display": "Discharge to home for hospice care (procedure)" } },...
referenced from Measure.extension:
{
"id": "effective-data-requirements",
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference": {
"reference": "#effective-data-requirements"
}
}
CMS104 and CMS1074 use the cqfm-directReferenceCode for some DRC, but other measures do not use that extension at all. All measures that I examined have the problematic relatedArtifact method of documenting DRC.