This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR R3. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
Colorectal Cancer Screening Use Case
- Introduction
- FHIR Resource Overview
- Graph of COL Resources:
- COL Data Exchange Interactions
- COL Measure Reporting Interactions:
Introduction
The colonoscopy measure (HEDIS Colorectal Cancer Screening/CMS130) is an example of a process measure evaluating screenings for preventive health services. Screening measures assess the number of eligible persons receiving clinical guideline recommended screening services during the measurement period.
FHIR Resource Overview
Resources supported for this use case:
Graph of COL Resources:
In a screening measure, you report both what is done that meets the screening requirement as well as information that would exclude the patient from being required to meet the measure.
For COL either an Observation, DiagnosticReport, Condition, or Procedure is the primary resource used to evaluate the measure. Below are listed the resource diagrams that meet each situation in the COL screening measure.
Option 1: Measure Report Using Observation
When certain laboratory results are done in a specified time period, the patient has been screened for colorectal cancer. The valueset binding (i.e., list of codes) in the measure will inform you as to which laboratory results qualify for meeting this measure. Below is the data structure for what would be included with a DEQM Individual Measure Report when the patient has had a laboratory test to meet the screen measure.
Option 2: MeasureReport using DiagnosticReport
Another way a COL screening measure is met is when certain procedures are performed and a report generated. In FHIR, the report is represented by a DiagnosticReport. The measure indicates what ValueSets/Codes can be used to report this measure. The following diagram shows how that would be represented in a DEQM Individual MeasureReport with associated resources.
Option 3: MeasureReport using Procedure
There are often times exclusions in a screening measure. An exclusion is something that removes the requirement for a screening measure. For example, a certain procedure removes the requirement for Colorectal Cancer Screening. As with the other options, the measure defines the valueset/codes that constitute a qualifying procedure. The following diagram shows how you would use a DEQM Individual MeasureReport and associated resources to report a procedure.
Option 4: MeasureReport using Condition
An additional way exclusions are met in the Colorectal Cancer Screening measure is with certain conditions. The valuesets/codes that allow for the patient not to be screened for colorectal cancer are specified in the measure. The following MeasureReport diagram shows the related resources that can be used to represent when you need to send a Condition that represents an exclusion to the measure.
COL Data Exchange Interactions
In the following interactions, the Provider is acting in the role of the Producer and the Payer(“Aggregator”) is acting in the role of the Consumer.
Gather Data Requirements From Payer
In this optional step, the Provider queries the Payer(“Aggregator”) for which resources are needed for COL measure reporting. Note that instead of using this API, the measure definition can be reviewed manually to determine what data needs to be submitted.
Scenario
Provider X acting in the role of the Producer requests data requirements for the COL measure from Payer Z which is acting in the role of Consumer. A Library resource containing the required resources for COL attestation returned on successful evaluation.
Request using GET
GET [base]/Measure/measure-col/$data-requirements?periodStart=2018-01-01&periodEnd=2018-12-31
Request using POST
POST [base]/Measure/measure-col/$data-requirements
Request body
{
"resourceType":"Parameters",
"parameter":[
{
"name":"periodStart",
"valueDate":"2018-01-01"
},
{
"name":"periodEnd",
"valueDate":"2018-12-31"
}
]
}
Response
HTTP/1.1 200 OK
[other headers]
Response body
{
"resourceType":"Library",
"status":"active",
"type":{
"coding":[
{
"code":"module-definition"
}
]
},
"relatedArtifact":[
{
"type":"depends-on",
"resource":{
"reference":"http://hl7.org/fhir/us/hedis/Library/library-col-logic"
}
}
],
"dataRequirement": [
{
"type": "Observation",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1093"
},
{
"path": "status",
"valueCode": [
"final",
"amended"
]
}
]
},
{
"type": "DiagnosticReport",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1102"
},
{
"path": "status",
"valueCode": [
"preliminary",
"final",
"amended",
"corrected",
"appended"
]
}
]
},
{
"type": "DiagnosticReport",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1064"
},
{
"path": "status",
"valueCode": [
"preliminary",
"final",
"amended",
"corrected",
"appended"
]
}
]
},
{
"type": "DiagnosticReport",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1421"
},
{
"path": "status",
"valueCode": [
"preliminary",
"final",
"amended",
"corrected",
"appended"
]
}
]
},
{
"type": "Observation",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1420"
},
{
"path": "status",
"valueCode": [
"final",
"amended"
]
}
]
},
{
"type": "Condition",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1065"
},
{
"path": "verificationStatus",
"valueCode": [
"confirmed"
]
}
]
},
{
"type": "Procedure",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
],
"codeFilter": [
{
"path": "code",
"valueSetString": "urn:oid:2.16.840.1.113883.3.464.1004.1250"
},
{
"path": "status",
"valueCode": [
"completed"
]
}
]
},
{
"type": "Patient",
"profile":[
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
}
]
}
Exchange of Quality Measure Data Options
Note to Balloters: We are actively seeking input on the feasibility and interest in using CDS Hooks to report on Screening data.
Data Exchange Using The Submit Data Operation
The Provider will use the Submit Data operation to submit a MeasureReport and the referenced resources required by the payers as supporting evidence for Colorectal Cancer Screening to the payer.
Examples
Scenario:
Provider X acting in the role of Producer submits COL data for Patient Y to Payer Z who is acting in the role of Consumer. The body of the request is a Parameters resource containing the required profiles for COL attestation. An HTTP Status success code is returned on successful submission.
Request using POST
POST [base]/Measure/measure-col/$submit-data
Request body
{
"resourceType": "Parameters",
"parameter": [
{
"name": "measure-report",
"resource": {
"resourceType": "MeasureReport",
"id": "col-measurereport",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/datax-measurereport-deqm"
]
},
"status": "complete",
"_type": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-dataCollectionType",
"valueBoolean": true
}
]
},
"measure": {
"reference": "Measure/measure-col"
},
"patient": {
"reference": "Patient/patient-col"
},
"date": "2019-01-01T16:59:52.404Z",
"period": {
"start": "2018-01-01",
"end": "2018-12-31"
}
}
},
{
"name": "resource",
"resource": {
"resourceType": "Observation",
"id": "fit-dna-observation",
"meta": {
"profile": [
"http://hl7.org/fhir/us/hedis/StructureDefinition/hedis-observation"
]
},
"status": "final",
"category": [
{
"system": "http://hl7.org/fhir/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "77353-1",
"display": "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
}
]
},
"subject": {
"reference": "Patient/patient-col"
},
"effectiveDateTime": "2018-06-22",
"performer": [
{
"reference": "Practitioner/practitioner-col"
}
]
}
},
{
"name": "resource",
"resource": {
"resourceType": "Patient",
"id": "patient-col",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "F"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
},
{
"url": "text",
"valueString": "White"
}
]
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2186-5",
"display": "Not Hispanic or Latino"
}
},
{
"url": "text",
"valueString": "Not Hispanic or Latino"
}
]
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "http://hospital.davinci.org",
"value": "67890"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Webster",
"given": [
"Thelma"
]
}
],
"gender": "female",
"birthDate": "1948-04-28",
"deceasedBoolean": false,
"address": [
{
"use": "home",
"line": [
"7496 Beaver Ridge Ave"
],
"city": "Thornton",
"state": "NJ",
"postalCode": "07003",
"country": "USA"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/MaritalStatus",
"code": "M",
"display": "Married"
}
]
},
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "US English"
}
]
},
"preferred": true
}
]
}
},
{
"name": "resource",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-col",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/practitioner-deqm"
]
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "123456789"
}
],
"active": true,
"name": [
{
"family": "Akers",
"given": [
"Nia"
],
"suffix": [
"MD"
]
}
],
"gender": "female"
}
}
]
}
Response
HTTP/1.1 200
Date: Wed, 13 Mar 2019 01:02:06 GMT
Content-Type: application/fhir+json;charset=UTF-8
...Other Headers...
{
"resourceType": "Bundle",
"type": "transaction-response",
"entry": [
{
"response": {
"status": "201 Created",
"location": "MeasureReport/col-measurereport/_history/1",
"etag": "1",
"lastModified": "2019-03-13T01:02:05.901+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Observation/fit-dna-observation/_history/1",
"etag": "1",
"lastModified": "2019-03-13T01:02:05.932+00:00"
}
},
{
"response": {
"status": "200 OK",
"location": "Patient/patient-col/_history/1",
"etag": "1",
"lastModified": "2019-03-13T01:02:05.932+00:00"
}
},
{
"response": {
"status": "200 OK",
"location": "Practitioner/practitioner-col/_history/1",
"etag": "1",
"lastModified": "2019-03-13T01:02:05.932+00:00"
}
}
]
}
Data Exchange Using The Collect Data Operation
Payer/Aggregator retrieves Colorectal Cancer Screening Data from Provider using the Collect Data operation. The Provider returns the MeasureReport and referenced resources as supporting evidence for Colorectal Cancer Screening.
Examples
Scenario:
Payer X acting in the role of Consumer collect Patient Y’s COL data from Provider Z, which is acting in the role of Producer. The body of the request is a Parameters resource containing the desired input parameters. An HTTP Status success code is returned on successful submission.
Request using POST
POST [base]/Measure/measure-col/$collect-data
Request body
{
"resourceType": "Parameters",
"parameter": [
{
"name": "periodStart",
"valueDate": "2018-01-01"
},
{
"name": "periodEnd",
"valueDate": "2018-12-31"
},
{
"name": "patient",
"valueUri": "Patient/patient-col"
}
]
}
Response
HTTP/1.1 200
Date: Wed, 14 Mar 2019 01:02:06 GMT
Content-Type: application/fhir+json;charset=UTF-8
...Other Headers...
{
"resourceType": "Parameters",
"parameter": [
{
"name": "measurereport",
"resource": {
"resourceType": "MeasureReport",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/datax-measurereport-deqm"
]
},
"status": "complete",
"_type": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-dataCollectionType",
"valueBoolean": true
}
]
},
"measure": "Measure/measure-col",
"patient": {
"reference": Patient/patient-col
},
"date": "2019-03-14",
"period": {
"start": "2018-01-01,
"end": "2018-12-31"
},
"evaluatedResources": {
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-referenceAny",
"valueReference": {
"reference": "Patient/patient-col"
}
},
{
"url": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-referenceAny",
"valueReference": {
"reference": "Practitioner/practitioner-col"
}
},
{
"url": "http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/extension-referenceAny",
"valueReference": {
"reference": "Observation/fit-dna-observation"
}
}
]
}
}
},
{
"name": "resource",
"resource": {
"resourceType": "Patient",
"id": "patient-col",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "F"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
},
{
"url": "text",
"valueString": "White"
}
]
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2186-5",
"display": "Not Hispanic or Latino"
}
},
{
"url": "text",
"valueString": "Not Hispanic or Latino"
}
]
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "http://hospital.davinci.org",
"value": "67890"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Webster",
"given": [
"Thelma"
]
}
],
"gender": "female",
"birthDate": "1948-04-28",
"deceasedBoolean": false,
"address": [
{
"use": "home",
"line": [
"7496 Beaver Ridge Ave"
],
"city": "Thornton",
"state": "NJ",
"postalCode": "07003",
"country": "USA"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/MaritalStatus",
"code": "M",
"display": "Married"
}
]
},
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "US English"
}
]
},
"preferred": true
}
]
}
},
{
"name": "resource",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-col",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/practitioner-deqm"
]
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "123456789"
}
],
"active": true,
"name": [
{
"family": "Akers",
"given": [
"Nia"
],
"suffix": [
"MD"
]
}
],
"gender": "female"
}
},
{
"name": "resource",
"resource": {
"resourceType": "Observation",
"id": "fit-dna-observation",
"meta": {
"profile": [
"http://hl7.org/fhir/us/hedis/StructureDefinition/hedis-observation"
]
},
"status": "final",
"category": [
{
"system": "http://hl7.org/fhir/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "77353-1",
"display": "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
}
]
},
"subject": {
"reference": "Patient/patient-col"
},
"effectiveDateTime": "2018-06-22",
"performer": [
{
"reference": "Practitioner/practitioner-col"
}
]
}
}
]
}
Payer/Aggregator Subscribes for Notification when data is available
Payer/Aggregator subscribes to the Provider for notification when Colorectal Cancer Screening data is available. The Provider notifies the Aggregator when the data is available and Payer/Aggregator uses the Collect Data operations as described above to retrieve the data.
Consumer subscribes to a Producer for notification when Colorectal Cancer Screening measure data is available. An HTTP Status success code is returned if subscription is accepted.
Subscribe
POST [base]/Subscription
Request body
Using the Measure Subscription modifier extension to modify to the criteria element to define the measure instance id as the triggering criteria.
<?xml version="1.0" encoding="UTF-8"?>
<Subscription xmlns="http://hl7.org/fhir">
<id value="col-example"/>
<!-- this is a proposed extension to make criteria not just a search string -->
<modifierExtension>
<url value="http://example.org/measure-subscription"/>
<valueCode value="active"/>
</modifierExtension>
<status value="active"/>
<contact>
<system value="phone"/>
<value value="ext 4123"/>
</contact>
<reason value="HEDIS Colorectal Cancer Screening Data"/>
<criteria value="Measure/measure-col"/>
<channel>
<type value="rest-hook"/>
<!-- TODO: Need a discussion on whether we can pass something here instead of having to expose different endpoints per measure -->
<endpoint value="https://payersystem.com/fhirserver/on-measure-subscription-mrp"/>
<payload value="application/fhir+json"/>
<!--header value="Authorization: Bearer secret-token-abc-123"/-->
</channel>
</Subscription>
Response
HTTP/1.1 200 OK
[other headers]
COL Measure Reporting Interactions:
In the following interactions, The Payer(“Aggregator”) is acting in the role of the Reporter.
Individual MeasureReport
Payer pushes the Bundle of supporting resource with COL Individual MeasureReport Bundle to the end user.
Examples
Scenario:
Payer X who is acting in the role of a Reporter submits a COL Individual Report for Patient P to Receiver Z. The body of the request is a transaction bundle including the Individual MeasureReport and all the related resources containing the relevant data used to compute the CQM criteria. An HTTP Status success code is returned on successful submission.
POST Summary Report
POST [base]
Request body
{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904",
"resource": {
"resourceType": "MeasureReport",
"status": "complete",
"type": "individual",
"measure": {
"reference": "Measure/measure-col"
},
"patient": {
"reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
},
"date": "2019-03-14",
"reportingOrganization": {
"reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"
},
"period": {
"end": "2018-01-01",
"start": "2018-12-31"
},
"group": [
{
"population": [
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/measure-population",
"code": "initial-population",
"display": "Initial Population"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/measure-population",
"code": "numerator",
"display": "Numerator"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/measure-population",
"code": "denominator",
"display": "Denominator"
}
]
}
}
],
"measureScore": 100
}
]
},
"request": {
"method": "POST",
"url": "MeasureReport"
}
},
{
"fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905",
"resource": {
"resourceType": "Organization",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/organization-deqm"
]
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "TAX",
"display": "Tax ID number"
}
]
},
"system": "urn:oid:2.16.840.1.113883.4.4",
"value": "123456789",
"assigner": {
"display": "www.irs.gov"
}
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://hl7.org/fhir/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "DaVinciHospital01",
"telecom": [
{
"system": "phone",
"value": "(+1) 401-555-1212"
}
],
"address": [
{
"line": [
"73 Lakewood Street"
],
"city": "Warwick",
"state": "RI",
"postalCode": "02886",
"country": "USA"
}
]
},
"request": {
"method": "POST",
"url": "Organization"
}
},
{
"fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906",
"resource": {
"resourceType": "Patient",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "F"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
},
{
"url": "text",
"valueString": "White"
}
]
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2186-5",
"display": "Not Hispanic or Latino"
}
},
{
"url": "text",
"valueString": "Not Hispanic or Latino"
}
]
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "http://hospital.davinci.org",
"value": "67890"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Webster",
"given": [
"Thelma"
]
}
],
"gender": "female",
"birthDate": "1948-04-28",
"deceasedBoolean": false,
"address": [
{
"use": "home",
"line": [
"7496 Beaver Ridge Ave"
],
"city": "Thornton",
"state": "NJ",
"postalCode": "07003",
"country": "USA"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://hl7.org/fhir/v3/MaritalStatus",
"code": "M",
"display": "Married"
}
]
},
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "US English"
}
]
},
"preferred": true
}
]
},
"request": {
"method": "POST",
"url": "Patient"
}
},
{
"fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907",
"resource": {
"resourceType": "Practitioner",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-deqm/STU3/StructureDefinition/practitioner-deqm"
]
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "123456789"
}
],
"active": true,
"name": [
{
"family": "Akers",
"given": [
"Nia"
],
"suffix": [
"MD"
]
}
],
"gender": "female"
},
"request": {
"method": "POST",
"url": "Practitioner"
}
},
{
"fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908",
"resource": {
"resourceType": "Observation",
"meta": {
"profile": [
"http://hl7.org/fhir/us/hedis/StructureDefinition/hedis-observation"
]
},
"status": "final",
"category": [
{
"system": "http://hl7.org/fhir/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "77353-1",
"display": "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
}
]
},
"subject": {
"reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
},
"effectiveDateTime": "2018-06-22",
"performer": [
{
"reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"
}
]
},
"request": {
"method": "POST",
"url": "Observation"
}
}
]
}
Response
HTTP/1.1 200 OK
[other headers]
Summary MeasureReport
Payer pushes the Bundle of supporting resource with COL Individual MeasureReport Bundle to the end user.
Examples
Scenario:
Payer X who is acting in the role of a Reporter submits a COL Summary Report for COL for period P to Receiver Z. The body of the request is MeasureReport resource containing the required summary data for COL attestation for the period. An HTTP Status success code is returned on successful submission.
POST Summary Report
POST [base]/MeasureReport
Request body
{
"resourceType": "MeasureReport",
"meta": {
"profile": [
"http://hl7.org/fhir/ig/davinci/StructureDefinition/summary-measurereport-deqm"
]
},
"status": "complete",
"type": "summary",
"measure": {
"reference": "Measure/measure-col"
},
"date": "2019-03-14",
"period": {
"start": "2018-01-01",
"end": "2018-12-31"
},
"reportingOrganization": {
"reference": "Organization/organization01"
},
"group": [
{
"identifier": {
"system": "http://www.acme.org/groups",
"value": "123"
},
"population": [
{
"identifier": {
"system": "http://www.acme.org/populations",
"value": "456"
},
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/measure-population",
"code": "initial-population",
"display": "Initial Population"
}
]
},
"count": 100
},
{
"identifier": {
"system": "http://www.acme.org/populations",
"value": "789"
},
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/measure-population",
"code": "numerator",
"display": "Numerator"
}
]
},
"count": 50
},
{
"identifier": {
"system": "http://www.acme.org/populations",
"value": "987"
},
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/measure-population",
"code": "denominator",
"display": "Denominator"
}
]
},
"count": 100
}
],
"measureScore": 50
}
]
}
Response
HTTP/1.1 200 OK
[other headers]
