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

: Single Indv Vte Report Option 1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-indv-vte-report-option1"/>
  <meta>
    <source value="http://example.org/fhir/server"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"/>
    <resource>
      <MeasureReport>
        <id value="b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4</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/cqfmeasures/Measure/measure-vte-1-FHIR">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR</a></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (Patient/null)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5">See above (Organization/null)</a></p><p><b>period</b>: 2018-12-31 --&gt; 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><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></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>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR"/>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <date value="2019-03-14"/>
        <reporter>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"/>
        </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>
          <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>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <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>Generated Narrative</b></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>
        </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:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
    <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"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: 67890 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</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></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="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </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="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <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:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7"/>
    <resource>
      <Encounter>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 32485007}">Hospital admission</span></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (Patient/null)</a></p><p><b>period</b>: 19/07/2018 4:10:27 PM --&gt; 19/07/2018 4:10:27 PM</p><h3>Locations</h3><table class="grid"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8">Mother Charity Hospital. Generated Summary: id: 1.2.3.4.181 (OFFICIAL); status: active; name: Mother Charity Hospital; mode: instance; ph: (313) 555-5671(WORK); <span title="Codes: {http://terminology.hl7.org/CodeSystem/location-physical-type bu}">Building</span></a></td></tr></table></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="32485007"/>
            <display value="Hospital admission"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <period>
          <start value="2018-07-19T06:10:27Z"/>
          <end value="2018-07-19T06:10:27Z"/>
        </period>
        <location>
          <location>
            <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8"/>
            <display value="Mother Charity Hospital"/>
          </location>
        </location>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8"/>
    <resource>
      <Location>
        <meta>
          <source value="http://example.org/fhir/server"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: id: 1.2.3.4.181 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>name</b>: Mother Charity Hospital</p><p><b>mode</b>: instance</p><p><b>telecom</b>: ph: (313) 555-5671(WORK)</p><p><b>address</b>: 869 W Oak Street Royal Oak MI 48073 (WORK)</p><p><b>physicalType</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/location-physical-type bu}">Building</span></p></div>
        </text>
        <identifier>
          <use value="official"/>
          <system value="http://www.hl7.org/oid/"/>
          <value value="1.2.3.4.181"/>
        </identifier>
        <status value="active"/>
        <name value="Mother Charity Hospital"/>
        <mode value="instance"/>
        <telecom>
          <system value="phone"/>
          <value value="(313) 555-5671"/>
          <use value="work"/>
        </telecom>
        <address>
          <use value="work"/>
          <type value="physical"/>
          <line value="869 W Oak Street"/>
          <city value="Royal Oak"/>
          <district value="Oakland County"/>
          <state value="MI"/>
          <postalCode value="48073"/>
        </address>
        <physicalType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
            <code value="bu"/>
            <display value="Building"/>
          </coding>
        </physicalType>
      </Location>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Location"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9"/>
    <resource>
      <MedicationAdministration>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/medicationadministration-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1658634}">heparin sodium, porcine 5000 UNT per 0.5 ML Injection</span></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (Patient/null)</a></p><p><b>effective</b>: 05/12/2019 5:10:27 PM --&gt; 05/12/2019 5:10:27 PM</p><h3>Dosages</h3><table class="grid"><tr><td>-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td><span title="Codes: {http://snomed.info/sct 34206005}">Subcutaneous route</span></td><td>1 cc</td></tr></table></div>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1658634"/>
            <display
                     value="heparin sodium, porcine 5000 UNT per 0.5 ML Injection"/>
          </coding>
        </medicationCodeableConcept>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <effectivePeriod>
          <start value="2019-12-05T06:10:27Z"/>
          <end value="2019-12-05T06:10:27Z"/>
        </effectivePeriod>
        <dosage>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34206005"/>
              <display value="Subcutaneous route"/>
            </coding>
          </route>
          <dose>
            <value value="1"/>
            <unit value="cc"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MedicationAdministration"/>
    </request>
  </entry>
</Bundle>