R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Clinical Quality Information icon Work Group Maturity Level: 3Trial Use Compartments: N/A

The submit-data operation is used to submit data-of-interest for a measure. There is no expectation that the submitted data represents all the data-of-interest, only that all the data submitted is relevant to the calculation of the measure for a particular subject or population.

The canonical URL for this operation definition is

 http://hl7.org/fhir/OperationDefinition/Measure-submit-data

Formal Definition (as a OperationDefinition).

URL: [base]/Measure/$submit-data

URL: [base]/Measure/[id]/$submit-data

This is an idempotent operation

In Parameters:
NameScopeCardinalityTypeBindingProfileDocumentation
measureReport1..1MeasureReport

The measure report being submitted

resource0..*Resource

The individual resources that make up the data-of-interest being submitted

The effect of invoking this operation is that the submitted data is posted to the receiving system and can be used for subsequent calculation of the relevant quality measure. The data-of-interest for a measure can be determined by examining the measure definition, or by invoking the $data-requirements operation

Request: Submit data of interest for CMS146

POST [base]/Measure/Measure-mrp/$submit-data

{
  "resourceType": "Parameters",
  "parameter": [
    {
      "name": "measureReport",
      "resource": {
		  "resourceType": "MeasureReport",
		  "status": "complete",
		  "type": "data-exchange",
		  "measure": "Measure/measure-mrp",
		  "patient": {
			"reference": "Patient/Practitioner-2178"
		  },
		  "period": {
			"start": "2017-01-01T00:00:00+00:00",
			"end": "2017-12-31T00:00:00+00:00"
		  },
		  "evaluatedResource": [
			  {
				"reference": "Patient/Practitioner-2178"
			  },
			  {
				"reference": "Encounter/Encounter-62912"
			  },
			  {
				"reference": "Procedure/Procedure-89972"
			  }
		  ]
		}
	},
	{
      "name": "resource",
      "resource": {
        "resourceType": "Patient",
        "id": "Practitioner-2178",
        "meta": {
          "versionId": "8",
          "lastUpdated": "2018-05-31T07:15:08.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/hedis/StructureDefinition/hedis-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Natalie Huff <b>WALTER </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>000002418</td></tr><tr><td>Address</td><td><span>623 SW French Place </span><br/><span>Westland </span><span>MI </span></td></tr><tr><td>Date of birth</td><td><span>26 July 1974</span></td></tr></tbody></table></div>"
        },
        "extension": [
          {
            "url": "http://mihin.org/extension/copyright",
            "valueString": "Copyright 2014-2017 Michigan Health Information Network Shared Services. Licensed under the Apache License, Version 2.0 (the 'License'); you can not use this file except in compliance with the License. You can obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0.  Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an 'AS IS' BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License."
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/Race",
                  "code": "2106-3",
                  "display": "White"
                }
              ]
            }
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/Ethnicity",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              ]
            }
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-religion",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/ReligiousAffiliation",
                  "code": "1020",
                  "display": "Hinduism"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SB",
                  "display": "Social Beneficiary Identifier"
                }
              ],
              "text": "US Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "000002418"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Walter",
            "given": [
              "Natalie",
              "Huff"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "248-555-3608",
            "use": "home"
          },
          {
            "system": "phone",
            "value": "248-555-4649",
            "use": "mobile"
          }
        ],
        "gender": "female",
        "birthDate": "1974-07-26",
        "address": [
          {
            "use": "home",
            "type": "postal",
            "line": [
              "623 SW French Place"
            ],
            "city": "Westland",
            "district": "Wayne County",
            "state": "MI",
            "postalCode": "48185"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Encounter",
        "id": "Encounter-62912",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2018-05-31T08:21:50.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/hedis/StructureDefinition/hedis-encounter"
          ]
        },
        "extension": [
          {
            "url": "http://mihin.org/extension/copyright",
            "valueString": "Copyright 2014-2017 Michigan Health Information Network Shared Services. Licensed under the Apache License, Version 2.0 (the 'License'); you can not use this file except in compliance with the License. You can obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0.  Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an 'AS IS' BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License."
          }
        ],
        "status": "finished",
        "class": {
          "system": "http://hl7.org/fhir/encounter-class",
          "code": "inpatient",
          "display": "Inpatient"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "56876005",
                "display": "Drug rehabilitation and detoxification"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/Practitioner-2178",
          "display": "Natalie Huff Walter"
        },
        "period": {
          "start": "2018-05-29T11:00:00-04:00",
          "end": "2018-05-29T11:00:00-04:00"
        },
        "hospitalization": {
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/discharge-disposition",
                "code": "home",
                "display": "Home"
              }
            ]
          }
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Procedure",
        "id": "Procedure-89972",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2018-05-30T23:56:19.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/hedis/StructureDefinition/hedis-procedure"
          ]
        },
        "extension": [
          {
            "url": "http://mihin.org/extension/copyright",
            "valueString": "Copyright 2014-2017 Michigan Health Information Network Shared Services. Licensed under the Apache License, Version 2.0 (the 'License'); you can not use this file except in compliance with the License. You can obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0.  Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an 'AS IS' BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License."
          }
        ],
        "identifier": [
          {
            "system": "mihin.org/fhir/sid/elementId",
            "value": "ca097928-b18c-406c-a01b-6ad4a321fc28"
          }
        ],
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication reconciliation postdischarge"
            }
          ]
        },
        "subject": {
          "reference": "Patient/Practitioner-2178",
          "display": "Natalie Huff Walter"
        },
        "performedPeriod": {
          "start": "2018-06-02T14:00:00-05:00",
          "end": "2018-06-02T14:00:00-05:00"
        }
      }
    }
  ]
}

Response: Returned on successful evaluation

HTTP/1.1 200 OK

 

For more information about operations, including how they are invoked, see Operations.