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

: Col Submit Collect Obs - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "col-submit-collect-obs",
  "meta" : {
    "source" : "http://example.org/fhir/server"
  },
  "parameter" : [
    {
      "name" : "measure-report",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "datax-measurereport03",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
          ]
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType",
            "valueCode" : "incremental"
          }
        ],
        "status" : "complete",
        "type" : "data-collection",
        "measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
        "subject" : {
          "reference" : "Patient/patient03"
        },
        "date" : "2019-01-01T16:59:52.404Z",
        "reporter" : {
          "reference" : "Organization/organization03"
        },
        "period" : {
          "start" : "2018-01-01",
          "end" : "2018-12-31"
        },
        "evaluatedResource" : [
          {
            "reference" : "Observation/DNA-occultblood"
          }
        ]
      }
    },
    {
      "name" : "resource",
      "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\"><div class=\"hapiHeaderText\">Virginia <b>HARTMAN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>34567</td></tr><tr><td>Address</td><td><span>213 Lilac Ave. </span><br/><span>Freehold </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>12 September 1983</span></td></tr></tbody></table></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"
        }
      }
    },
    {
      "name" : "resource",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "DNA-occultblood",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/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/patient03"
        },
        "effectiveDateTime" : "2018-06-22",
        "performer" : [
          {
            "reference" : "Practitioner/practitioner01"
          }
        ]
      }
    },
    {
      "name" : "resource",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner01",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"
          ]
        },
        "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" : "456789123"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Hale",
            "given" : [
              "Cody"
            ],
            "suffix" : [
              "MD"
            ]
          }
        ],
        "gender" : "male"
      }
    },
    {
      "name" : "resource",
      "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"
          ]
        },
        "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"
            }
          }
        ],
        "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"
          }
        ]
      }
    }
  ]
}