This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-example"/>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904"/>
<resource>
<MeasureReport>
<id value="47709cc7-b3ec-4abc-9d26-3df3d3d57904"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/test-case-cqfm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport 47709cc7-b3ec-4abc-9d26-3df3d3d57904</b></p><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a><a name="hc47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904-en-US"> </a><p><b>Input parameters</b>: <a href="#hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters">Parameters: subject</a></p><p><b>CQFM Test Case Description</b>: </p><div><p>Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.</p>
</div><p><b>CQFM Is Test Case</b>: true</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-EXM130-FHIR.html">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906">Bundle: type = transaction</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905">Bundle: type = transaction</a></p><p><b>period</b>: 2018-12-31 --> 2019-01-01</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/ group-1}">group-1</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905">Bundle: type = transaction</a></li><li><a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906">Bundle: type = transaction</a></li><li><a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907">Bundle: type = transaction</a></li><li><a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57908">Bundle: type = transaction</a></li></ul><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Parameters #testcase-example-parameters</b></p><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters"> </a><a name="hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters"> </a><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters-en-US"> </a><h2>Parameters</h2><table class="grid"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>
</text>
<contained>
<Parameters>
<id value="testcase-example-parameters"/>
<parameter>
<name value="subject"/>
<valueString value="123"/>
</parameter>
</Parameters>
</contained>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-inputParameters">
<valueReference>
<reference value="#testcase-example-parameters"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-testCaseDescription">
<valueMarkdown
value="Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources."/>
</extension>
<modifierExtension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isTestCase">
<valueBoolean value="true"/>
</modifierExtension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR"/>
<subject>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
</subject>
<date value="2019-03-14"/>
<reporter>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
</reporter>
<period>
<start value="2018-12-31"/>
<end value="2019-01-01"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<code>
<coding>
<system value="http://example.org/fhir/"/>
<code value="group-1"/>
<display value="group-1"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
<display value="Denominator Exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<measureScore>
<value value="1"/>
</measureScore>
</group>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
</evaluatedResource>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
</evaluatedResource>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
</evaluatedResource>
<evaluatedResource>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"/>
</evaluatedResource>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
<resource>
<Organization>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization</code></p></div><p><b>identifier</b>: Tax ID number/123456789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="123456789"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="DaVinciHospital01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-555-1212"/>
</telecom>
<address>
<line value="73 Lakewood Street"/>
<city value="Warwick"/>
<state value="RI"/>
<postalCode value="02886"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
<resource>
<Patient>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a><p class="res-header-id"><b>Generated Narrative: Patient </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td>false</td></tr><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">7496 Beaver Ridge Ave Thornton NJ 07003 USA (home)</td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en-US}">English (Region=United States)</span> (preferred)</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
</coding>
</type>
<system value="http://hospital.davinci.org"/>
<value value="67890"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Webster"/>
<given value="Thelma"/>
</name>
<gender value="female"/>
<birthDate value="1948-04-28"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<line value="7496 Beaver Ridge Ave"/>
<city value="Thornton"/>
<state value="NJ"/>
<postalCode value="07003"/>
<country value="USA"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
</maritalStatus>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-US"/>
<display value="English (Region=United States)"/>
</coding>
</language>
<preferred value="true"/>
</communication>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
<resource>
<Practitioner>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_null"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner</code></p></div><p><b>identifier</b>: Provider number/1881665057 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: Female</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1881665057"/>
</identifier>
<active value="true"/>
<name>
<family value="Akers"/>
<given value="Nia"/>
<suffix value="MD"/>
</name>
<gender value="female"/>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"/>
<resource>
<Observation>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation</code></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 77353-1}">Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</span></p><p><b>subject</b>: <a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906">Bundle: type = transaction</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href="Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907">Bundle: type = transaction</a></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="77353-1"/>
<display
value="Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
</subject>
<effectiveDateTime value="2018-06-22"/>
<performer>
<reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
</performer>
</Observation>
</resource>
<request>
<method value="POST"/>
<url value="Observation"/>
</request>
</entry>
</Bundle>