Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot

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

: Gaps Bundle Closed Individual MeasureReport01 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-gaps-closed-indv-report01"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2020-06-30T13:08:53+00:00"/>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Composition/gaps-composition02"/>
    <resource>
      <Composition>
        <id value="gaps-composition02"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><table class="grid dict"><tr><td><b>Name: </b></td><td><b>DOB: </b></td><td><b>Measure: </b></td><td><b>Gap Status: </b></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><a href="Patient-gaps-patient02.html">Thomas Ludwich</a></td><td style="padding-left: 25px; padding-right: 25px;">January 1, 1957</td><td style="padding-left: 25px; padding-right: 25px;"><a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></td><td style="padding-left: 25px; padding-right: 25px;">Closed</td></tr></table></p><p><b>id</b>: gaps-composition02</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>type</b>: <span title="Codes: {http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type gaps-doc}">Gaps in Care Report</span></p><p><b>date</b>: Jun 30, 2020, 7:08:53 AM</p><p><b>author</b>: <a href="Organization-gaps-organization-reportingvendor.html">Generated Summary: id: gaps-organization-reportingvendor; Tax ID number = 123446789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span>; name: GapsReportingVendor01; ph: (+1) 401-545-1212</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient02</p></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type"/>
            <code value="gaps-doc"/>
            <display value="Gaps in Care Report"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <date value="2020-06-30T13:08:53+00:00"/>
        <author>
          <reference value="Organization/gaps-organization-reportingvendor"/>
        </author>
        <title value="Care Gap Report for patient gaps-patient02"/>
        <section>
          <title value="Colorectal Cancer Screening"/>
          <focus>
            <reference value="MeasureReport/gaps-indv-measurereport03"/>
          </focus>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><p>No detected issues.</p></div>
          </text>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
    <resource>
      <MeasureReport>
        <id value="gaps-indv-measurereport03"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-indv-measurereport03</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: closed</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>date</b>: Jun 30, 2020, 7:08:52 AM</p><p><b>reporter</b>: <a href="Organization-organization01.html">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM</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>id</b>: group-exm130</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>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter02.html">Generated Summary: id: gaps-encounter02; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}">ambulatory</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span>; period: Mar 5, 2020, 12:00:00 AM --&gt; Mar 5, 2020, 3:00:00 AM</a></li><li><a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></li></ul></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="proportion"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
          <valueIdentifier>
            <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
            <value value="0015HQN9BD3304E"/>
          </valueIdentifier>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
          <valueReference>
            <reference value="Organization/gaps-organization-reportingvendor"/>
          </valueReference>
        </extension>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
        <subject>
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <date value="2020-06-30T13:08:52+00:00"/>
        <reporter>
          <reference value="Organization/organization01"/>
        </reporter>
        <period>
          <start value="2020-01-01T00:00:00+00:00"/>
          <end value="2020-12-31T00:00:00+00:00"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
          </coding>
        </improvementNotation>
        <group id="group-exm130">
          <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="1.0"/>
          </measureScore>
        </group>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <reference value="Encounter/gaps-encounter02"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <reference value="Patient/gaps-patient02"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Encounter/gaps-encounter02"/>
    <resource>
      <Encounter>
        <id value="gaps-encounter02"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-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 AMB}">ambulatory</span></p><p><b>type</b>: <span title="Codes: {http://www.ama-assn.org/go/cpt 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>period</b>: Mar 5, 2020, 12:00:00 AM --&gt; Mar 5, 2020, 3:00:00 AM</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99201"/>
            <display
                     value="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient&#39;s and/or family&#39;s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <period>
          <start value="2020-03-05T07:00:00-00:00"/>
          <end value="2020-03-05T10:00:00-00:00"/>
        </period>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Procedure/gaps-procedure01"/>
    <resource>
      <Procedure>
        <id value="gaps-procedure01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-procedure01</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>code</b>: <span title="Codes: {http://www.ama-assn.org/go/cpt 44393}">Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>performed</b>: Sep 10, 2018, 2:00:00 AM --&gt; Sep 10, 2018, 3:00:00 AM</p></div>
        </text>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="44393"/>
            <display
                     value="Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <performedPeriod>
          <start value="2018-09-10T08:00:00-00:00"/>
          <end value="2018-09-10T09:00:00-00:00"/>
        </performedPeriod>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
    <resource>
      <Patient>
        <id value="gaps-patient02"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-patient02</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical Record Number = 999996992 (USUAL)</p><p><b>name</b>: Thomas Ludwich </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1957-01-01</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2028-9"/>
              <display value="Asian"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Asian"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2135-2"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="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.smarthealthit.org"/>
          <value value="999996992"/>
        </identifier>
        <name>
          <family value="Ludwich"/>
          <given value="Thomas"/>
        </name>
        <gender value="male"/>
        <birthDate value="1957-01-01"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
    <resource>
      <Organization>
        <id value="gaps-organization-reportingvendor"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-organization-reportingvendor</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123446789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 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="123446789"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="pay"/>
            <display value="Payer"/>
          </coding>
        </type>
        <name value="GapsReportingVendor01"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 401-545-1212"/>
        </telecom>
        <address>
          <line value="13 Drive Street"/>
          <city value="Cityplace"/>
          <state value="MA"/>
          <postalCode value="01101"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
  </entry>
</Bundle>