End-to-End Quality Reporting

DEQM Summary MeasureReport (QRDA Category III replacement) — live from this server's aggregates

The pipeline

  1. Calculate — the Re-evaluate CQL button on each measure dashboard runs official cqm-execution CQL on cds1 and stores per-patient flags and aggregates on this server.
  2. Build — the live report links below generate a DEQM STU5 Summary MeasureReport from those aggregates at the moment you click, on this server, in M.
  3. Validate — the Validate button sends the live report to the HL7 validator (davinci-deqm 5.0.0 package, hosted on cds1) and records the outcome below.
  4. Submit — the Submit button sends the transaction Bundle (reporter Organization + MeasureReport) to the hosted reference DEQM receiver (deqm-test-server on cds1) and records the receiver response below.

This replaces QRDA Category III aggregate reporting on the CMS FHIR dQM path. Live exports are tagged setsum-live with cohort provenance; frozen artifacts under the MeasureReport index hold the reviewed official-cql freeze used for exchange.

Per-patient Individual MeasureReports (QRDA Category I analogue) live on each measure dashboard's curated cohort table — open a measure below, then use the live indv report / Validate / Submit controls on a patient row.

Active measures — live reports

CMS IDMeasureIPP / DENOM / NUMER / DENEXRateAs ofProvenanceLive reportValidateSubmitFrozen (official-cql)
CMS122v14Diabetes: Glycemic Status Assessment Greater Than 9%5 / 4 / 0 / 0 (n=9)0.0%2026-07-26c0x IPP→CQLreport · submission Bundle {…}TJSON

summary-deqm · index
CMS125v14Breast Cancer Screening0 / 0 / 0 / 0 (n=9)n/a2026-07-25selected-9 CQL (IPP/DENOM/NUMER=0 in this cohort)report · submission Bundle {…}TJSON

summary-deqm · index
CMS130v14Colorectal Cancer Screening13 / 9 / 1 / 0 (n=17)11.1%2026-07-26c0x IPP→CQLreport · submission Bundle {…}TJSON

summary-deqm · index
CMS138v14Tobacco Use: Screening and Cessation Intervention26 / 26 / 2 / 0 (n=33)7.7%2026-07-29fhirdev live /fhir CQL (26 IPP / 26 DENOM / 2 NUMER; AssessmentPerformed)report · submission Bundle {…}TJSON

summary-deqm · index
CMS165v14Controlling High Blood Pressure19 / 16 / 15 / 0 (n=23)93.8%2026-07-26c0x IPP→CQL (19 IPP / 16 DENOM / 15 NUMER)report · submission Bundle {…}TJSON

summary-deqm · index
CMS2v15Screening for Depression and Follow-Up Plan6 / 6 / 0 / 0 (n=18)0.0%2026-07-25selected-18 CQL (NUMER=0 in this cohort)report · submission Bundle {…}TJSON

summary-deqm · index

Evidence log

Each validate/submit run (summary or individual) is recorded here (newest first). The latest run per measure/step[/patient] links to its full outcome.

WhenMeasureStepOutcomeDetail
No runs recorded yet — use Validate / Submit above or on a measure dashboard.

Reporter for this server

Live reports from this server are attributed to VistaPlex FHIR Quality Demo (fhirdev) (Organization/vistaplex-demo).

The submission Bundle carries this Organization so the receiver can resolve MeasureReport.reporter.