This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions
{ "resourceType" : "Bundle", "id" : "multiple-indv-mrp-obs-report", "type" : "transaction", "timestamp" : "2020-07-08T22:17:14.187160Z", "entry" : [ { "fullUrl" : "http://example.org/fhir/receiver/Observation/observation03", "resource" : { "resourceType" : "Observation", "id" : "observation03", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: observation03</p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title=\"Codes: {http://example.org/fhir/observation-category measure}\">Measure</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter03\">See above (Encounter/encounter03)</a></p><p><b>effective</b>: 01/10/2018 12:15:04 AM</p><p><b>issued</b>: 01/10/2018 12:15:04 AM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p><p><b>value</b>: true</p></div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://example.org/fhir/observation-category", "code" : "measure", "display" : "Measure" } ] } ], "code" : { "coding" : [ { "system" : "http://www.ama-assn.org/go/cpt", "code" : "1111F", "display" : "Medication Reconciliation" } ] }, "subject" : { "reference" : "Patient/patient03" }, "encounter" : { "reference" : "Encounter/encounter03" }, "effectiveDateTime" : "2018-09-30T14:15:04.424Z", "issued" : "2018-09-30T14:15:04.424Z", "performer" : [ { "reference" : "Practitioner/practitioner02" } ], "valueBoolean" : true }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter02", "resource" : { "resourceType" : "Encounter", "id" : "encounter02", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: encounter02</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 239279000}\">Fixation of fracture</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>period</b>: 30/05/2018 1:00:00 AM --> 30/05/2018 1:00:00 AM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [ { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "239279000", "display" : "Fixation of fracture" } ] } ], "subject" : { "reference" : "Patient/patient02" }, "period" : { "start" : "2018-05-29T11:00:00-04:00", "end" : "2018-05-29T11:00:00-04:00" }, "hospitalization" : { "dischargeDisposition" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "Home" } ] } } }, "request" : { "method" : "POST", "url" : "Encounter" } }, { "fullUrl" : "http://example.org/fhir/receiver/Organization/organization02", "resource" : { "resourceType" : "Organization", "id" : "organization02", "meta" : { "versionId" : "3", "lastUpdated" : "2019-03-06T19:03:03.000+00:00", "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organization02</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number: 234567891 (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>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 USA </p></div>" }, "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "TAX", "display" : "Tax ID number" } ] }, "system" : "urn:oid:2.16.840.1.113883.4.4", "value" : "234567891", "assigner" : { "display" : "www.irs.gov" } } ], "active" : true, "type" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" } ] } ], "name" : "DaVinciHospital02", "telecom" : [ { "system" : "phone", "value" : "(+1) 551-555-1212" } ], "address" : [ { "line" : [ "3 Sherwood St." ], "city" : "Englewood", "state" : "NJ", "postalCode" : "07631", "country" : "USA" } ] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "http://example.org/fhir/receiver/Practitioner/practitioner02", "resource" : { "resourceType" : "Practitioner", "id" : "practitioner02", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: practitioner02</p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 9998266512 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Emile Zieme(OFFICIAL)</p><p><b>telecom</b>: ph: 8605555555(WORK), ph: 8605555555(WORK)</p><p><b>address</b>: UCONN MEDICAL GROUP, FARMINGTON, CT 060300001(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1964-06-19</p><p><b>communication</b>: <span title=\"Codes: {urn:ietf:bcp:47 es}\">English and Spanish</span></p></div>" }, "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9998266512", "period" : { "start" : "2005-07-16T09:00:00-05:00" }, "assigner" : { "display" : "www.cms.gov" } } ], "active" : true, "name" : [ { "use" : "official", "text" : "Emile Zieme", "family" : "Zieme", "given" : [ "Emile" ], "suffix" : [ "M.D." ] } ], "telecom" : [ { "system" : "phone", "value" : "8605555555", "use" : "work", "rank" : 1 }, { "system" : "phone", "value" : "8605555555", "use" : "work", "rank" : 2 } ], "address" : [ { "extension" : [ { "extension" : [ { "url" : "latitude", "valueDecimal" : 41.791776 }, { "url" : "longitude", "valueDecimal" : -72.718832 } ], "url" : "http://hl7.org/fhir/StructureDefinition/geolocation" } ], "use" : "home", "type" : "both", "text" : "UCONN MEDICAL GROUP, FARMINGTON, CT 060300001", "line" : [ "UCONN MEDICAL GROUP" ], "city" : "FARMINGTON", "state" : "CT", "postalCode" : "060300001", "country" : "USA" } ], "gender" : "male", "birthDate" : "1964-06-19", "communication" : [ { "coding" : [ { "system" : "urn:ietf:bcp:47", "code" : "es", "display" : "Spanish", "userSelected" : true } ], "text" : "English and Spanish" } ] }, "request" : { "method" : "POST", "url" : "Practitioner" } }, { "fullUrl" : "http://example.org/fhir/receiver/Organization/organization03", "resource" : { "resourceType" : "Organization", "id" : "organization03", "meta" : { "versionId" : "3", "lastUpdated" : "2019-02-21T01:47:53.000+00:00", "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organization03</p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082584 (SECONDARY)</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>: DaVinciHospital03</p><p><b>telecom</b>: ph: (+1) 201-555-1212</p><p><b>address</b>: 94 Olive Ave. Union City NJ 07087 USA </p></div>" }, "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "345678912", "assigner" : { "display" : "www.cms.gov" } }, { "use" : "secondary", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "urn:oid:2.16.840.1.113883.4.336", "value" : "082584", "assigner" : { "display" : "www.cms.gov" } } ], "active" : true, "type" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" } ] } ], "name" : "DaVinciHospital03", "telecom" : [ { "system" : "phone", "value" : "(+1) 201-555-1212" } ], "address" : [ { "line" : [ "94 Olive Ave." ], "city" : "Union City", "state" : "NJ", "postalCode" : "07087", "country" : "USA" } ] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "http://example.org/fhir/receiver/Practitioner/practitioner01", "resource" : { "resourceType" : "Practitioner", "id" : "practitioner01", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: practitioner01</p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082583 (SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>" }, "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "345678912", "assigner" : { "display" : "www.cms.gov" } }, { "use" : "secondary", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "urn:oid:2.16.840.1.113883.4.336", "value" : "082583", "assigner" : { "display" : "www.cms.gov" } } ], "name" : [ { "family" : "Bone", "given" : [ "Ronald" ], "prefix" : [ "Dr" ] } ], "address" : [ { "use" : "home", "line" : [ "1003 Healthcare Drive" ], "city" : "Amherst", "state" : "MA", "postalCode" : "01002" } ] }, "request" : { "method" : "POST", "url" : "Practitioner" } }, { "fullUrl" : "http://example.org/fhir/receiver/Patient/patient03", "resource" : { "resourceType" : "Patient", "id" : "patient03", "meta" : { "versionId" : "4", "lastUpdated" : "2019-02-07T18:47:34.000+00:00", "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: patient03</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 34567 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Virginia Hartman (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1983-09-12</p><p><b>deceased</b>: false</p><p><b>address</b>: 213 Lilac Ave. Freehold MI 48099 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus U}\">unmarried</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization03\">See above (Organization/organization03)</a></p></div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }, { "extension" : [ { "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2054-5", "display" : "Black or African American" } }, { "url" : "text", "valueString" : "Black or African American" } ], "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" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Not Hispanic or Latino" } ], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" } ], "identifier" : [ { "use" : "usual", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" } ] }, "system" : "http://hospital.davinci.org", "value" : "34567" } ], "active" : true, "name" : [ { "use" : "official", "family" : "Hartman", "given" : [ "Virginia" ] } ], "gender" : "female", "birthDate" : "1983-09-12", "deceasedBoolean" : false, "address" : [ { "use" : "home", "line" : [ "213 Lilac Ave." ], "city" : "Freehold", "state" : "MI", "postalCode" : "48099", "country" : "USA" } ], "maritalStatus" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "code" : "U", "display" : "unmarried" } ] }, "communication" : [ { "language" : { "coding" : [ { "system" : "urn:ietf:bcp:47", "code" : "en-US", "display" : "English (Region=United States)" } ] }, "preferred" : true } ], "managingOrganization" : { "reference" : "Organization/organization03" } }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter03", "resource" : { "resourceType" : "Encounter", "id" : "encounter03", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: encounter03</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 53950000}\">Respiratory therapy</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>period</b>: 30/05/2018 1:00:00 AM --> 30/05/2018 1:00:00 AM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [ { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "53950000", "display" : "Respiratory therapy" } ] } ], "subject" : { "reference" : "Patient/patient03" }, "period" : { "start" : "2018-05-29T11:00:00-04:00", "end" : "2018-05-29T11:00:00-04:00" }, "hospitalization" : { "dischargeDisposition" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "Home" } ] } } }, "request" : { "method" : "POST", "url" : "Encounter" } }, { "fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a", "resource" : { "resourceType" : "MeasureReport", "id" : "indv-measurereport02a", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: indv-measurereport02a</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</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 mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</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>id</b>: numerator</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>id</b>: denominator</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><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation02\">See above (Observation/observation02)</a></p></div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" } ] } }, { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier", "valueIdentifier" : { "system" : "urn:oid:2.16.840.1.113883.3.2074.1", "value" : "0015HQN9BD3304E" } }, { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor", "valueReference" : { "reference" : "Organization/organization02" } } ], "status" : "complete", "type" : "individual", "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example", "subject" : { "reference" : "Patient/patient02" }, "date" : "2018-09-05T16:59:52.404Z", "reporter" : { "reference" : "Organization/organization01" }, "period" : { "start" : "2018-08-01", "end" : "2018-09-01" }, "improvementNotation" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase", "display" : "Increased score indicates improvement" } ] }, "group" : [ { "code" : { "coding" : [ { "system" : "http://example.org", "code" : "mrp-group", "display" : "MRP Group" } ], "text" : "MRP Group" }, "population" : [ { "id" : "initial-population", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" } ] }, "count" : 1 }, { "id" : "numerator", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" } ] }, "count" : 1 }, { "id" : "denominator", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" } ] }, "count" : 1 } ], "measureScore" : { "value" : 1 } } ], "evaluatedResource" : [ { "reference" : "Observation/observation02" } ] }, "request" : { "method" : "POST", "url" : "MeasureReport" } }, { "fullUrl" : "http://example.org/fhir/receiver/Observation/observation02", "resource" : { "resourceType" : "Observation", "id" : "observation02", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: observation02</p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title=\"Codes: {http://example.org/fhir/observation-category measure}\">Measure</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter02\">See above (Encounter/encounter02)</a></p><p><b>effective</b>: 01/10/2018 12:15:04 AM</p><p><b>issued</b>: 01/10/2018 12:15:04 AM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p><p><b>value</b>: true</p></div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://example.org/fhir/observation-category", "code" : "measure", "display" : "Measure" } ] } ], "code" : { "coding" : [ { "system" : "http://www.ama-assn.org/go/cpt", "code" : "1111F", "display" : "Medication Reconciliation" } ] }, "subject" : { "reference" : "Patient/patient02" }, "encounter" : { "reference" : "Encounter/encounter02" }, "effectiveDateTime" : "2018-09-30T14:15:04.424Z", "issued" : "2018-09-30T14:15:04.424Z", "performer" : [ { "reference" : "Practitioner/practitioner02" } ], "valueBoolean" : true }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02", "resource" : { "resourceType" : "MeasureReport", "id" : "indv-measurereport02", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: indv-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</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 mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</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>id</b>: numerator</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>id</b>: denominator</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><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation01\">See above (Observation/observation01)</a></p></div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" } ] } }, { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier", "valueIdentifier" : { "system" : "urn:oid:2.16.840.1.113883.3.2074.1", "value" : "0015HQN9BD3304E" } }, { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor", "valueReference" : { "reference" : "Organization/organization02" } } ], "status" : "complete", "type" : "individual", "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example", "subject" : { "reference" : "Patient/patient01" }, "date" : "2018-09-05T16:59:52.404Z", "reporter" : { "reference" : "Organization/organization01" }, "period" : { "start" : "2018-08-01", "end" : "2018-09-01" }, "improvementNotation" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase", "display" : "Increased score indicates improvement" } ] }, "group" : [ { "code" : { "coding" : [ { "system" : "http://example.org", "code" : "mrp-group", "display" : "MRP Group" } ], "text" : "MRP Group" }, "population" : [ { "id" : "initial-population", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" } ] }, "count" : 1 }, { "id" : "numerator", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" } ] }, "count" : 1 }, { "id" : "denominator", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" } ] }, "count" : 1 } ], "measureScore" : { "value" : 1 } } ], "evaluatedResource" : [ { "reference" : "Observation/observation01" } ] }, "request" : { "method" : "POST", "url" : "MeasureReport" } }, { "fullUrl" : "http://example.org/fhir/receiver/Organization/organization01", "resource" : { "resourceType" : "Organization", "id" : "organization01", "meta" : { "versionId" : "4", "lastUpdated" : "2019-02-21T01:47:54.000+00:00", "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: organization01</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number: 123456789 (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>" }, "identifier" : [ { "use" : "official", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b", "resource" : { "resourceType" : "MeasureReport", "id" : "indv-measurereport02b", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: indv-measurereport02b</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</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 mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</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>id</b>: numerator</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>id</b>: denominator</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><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation03\">See above (Observation/observation03)</a></p></div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" } ] } }, { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier", "valueIdentifier" : { "system" : "urn:oid:2.16.840.1.113883.3.2074.1", "value" : "0015HQN9BD3304E" } }, { "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor", "valueReference" : { "reference" : "Organization/organization02" } } ], "status" : "complete", "type" : "individual", "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example", "subject" : { "reference" : "Patient/patient03" }, "date" : "2018-09-05T16:59:52.404Z", "reporter" : { "reference" : "Organization/organization01" }, "period" : { "start" : "2018-08-01", "end" : "2018-09-01" }, "improvementNotation" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase", "display" : "Increased score indicates improvement" } ] }, "group" : [ { "code" : { "coding" : [ { "system" : "http://example.org", "code" : "mrp-group", "display" : "MRP Group" } ], "text" : "MRP Group" }, "population" : [ { "id" : "initial-population", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" } ] }, "count" : 1 }, { "id" : "numerator", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" } ] }, "count" : 1 }, { "id" : "denominator", "code" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" } ] }, "count" : 1 } ], "measureScore" : { "value" : 1 } } ], "evaluatedResource" : [ { "reference" : "Observation/observation03" } ] }, "request" : { "method" : "POST", "url" : "MeasureReport" } }, { "fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter01", "resource" : { "resourceType" : "Encounter", "id" : "encounter01", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: encounter01</p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 56876005}\">Drug rehabilitation and detoxification</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">Jairo Webster. Generated Summary: id: patient01; Medical record number: 12345 (USUAL); active; Jairo Webster (OFFICIAL); gender: male; birthDate: 1946-12-16; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>period</b>: 30/05/2018 1:00:00 AM --> 30/05/2018 1:00:00 AM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [ { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "56876005", "display" : "Drug rehabilitation and detoxification" } ] } ], "subject" : { "reference" : "Patient/patient01", "display" : "Jairo Webster" }, "period" : { "start" : "2018-05-29T11:00:00-04:00", "end" : "2018-05-29T11:00:00-04:00" }, "hospitalization" : { "dischargeDisposition" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition", "code" : "home", "display" : "Home" } ] } } }, "request" : { "method" : "POST", "url" : "Encounter" } }, { "fullUrl" : "http://example.org/fhir/receiver/Observation/observation01", "resource" : { "resourceType" : "Observation", "id" : "observation01", "meta" : { "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: observation01</p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title=\"Codes: {http://example.org/observation-category measure}\">Measure</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter01\">See above (Encounter/encounter01)</a></p><p><b>effective</b>: 30/09/2018 12:15:04 AM</p><p><b>issued</b>: 30/09/2018 12:15:04 AM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner01\">See above (Practitioner/practitioner01)</a></p><p><b>value</b>: true</p></div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://example.org/observation-category", "code" : "measure", "display" : "Measure" } ] } ], "code" : { "coding" : [ { "system" : "http://www.ama-assn.org/go/cpt", "code" : "1111F", "display" : "Medication Reconciliation" } ] }, "subject" : { "reference" : "Patient/patient01" }, "encounter" : { "reference" : "Encounter/encounter01" }, "effectiveDateTime" : "2018-09-29T14:15:04.424Z", "issued" : "2018-09-29T14:15:04.424Z", "performer" : [ { "reference" : "Practitioner/practitioner01" } ], "valueBoolean" : true }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "http://example.org/fhir/receiver/Patient/patient01", "resource" : { "resourceType" : "Patient", "id" : "patient01", "meta" : { "versionId" : "5", "lastUpdated" : "2019-02-11T14:19:25.000+00:00", "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: patient01</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Jairo Webster (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1946-12-16</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p></div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "M" }, { "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-race" }, { "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" } ], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" } ], "identifier" : [ { "use" : "usual", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" } ] }, "system" : "http://hospital.davinci.org", "value" : "12345" } ], "active" : true, "name" : [ { "use" : "official", "family" : "Webster", "given" : [ "Jairo" ] } ], "gender" : "male", "birthDate" : "1946-12-16", "deceasedBoolean" : false, "address" : [ { "use" : "home", "line" : [ "7496 Beaver Ridge Ave" ], "city" : "Thornton", "state" : "NJ", "postalCode" : "07003", "country" : "USA" } ], "maritalStatus" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "code" : "M", "display" : "Married" } ] }, "communication" : [ { "language" : { "coding" : [ { "system" : "urn:ietf:bcp:47", "code" : "en-US", "display" : "English (Region=United States)" } ] }, "preferred" : true } ], "managingOrganization" : { "reference" : "Organization/organization01" } }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "http://example.org/fhir/receiver/Patient/patient02", "resource" : { "resourceType" : "Patient", "id" : "patient02", "meta" : { "versionId" : "4", "lastUpdated" : "2019-03-06T19:03:03.000+00:00", "source" : "http://example.org/fhir/server", "profile" : [ "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: patient02</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 23456 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Darien Bernard (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1967-06-13</p><p><b>deceased</b>: false</p><p><b>address</b>: 6 Rockwell Street Lynnwood NJ 07420 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p></div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "M" }, { "extension" : [ { "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2028-9", "display" : "Asian" } }, { "url" : "text", "valueString" : "Asian" } ], "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" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Not Hispanic or Latino" } ], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" } ], "identifier" : [ { "use" : "usual", "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" } ] }, "system" : "http://hospital.davinci.org", "value" : "23456" } ], "active" : true, "name" : [ { "use" : "official", "family" : "Bernard", "given" : [ "Darien" ] } ], "gender" : "male", "birthDate" : "1967-06-13", "deceasedBoolean" : false, "address" : [ { "use" : "home", "line" : [ "6 Rockwell Street" ], "city" : "Lynnwood", "state" : "NJ", "postalCode" : "07420", "country" : "USA" } ], "maritalStatus" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "code" : "M", "display" : "Married" } ] }, "communication" : [ { "language" : { "coding" : [ { "system" : "urn:ietf:bcp:47", "code" : "en-US", "display" : "English (Region=United States)" } ] }, "preferred" : true } ], "managingOrganization" : { "reference" : "Organization/organization02" } }, "request" : { "method" : "POST", "url" : "Patient" } } ] }