Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot
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 
{
"resourceType" : "Parameters",
"id" : "multiple-gaps-indv-report01",
"parameter" : [
{
"name" : "return",
"resource" : {
"resourceType" : "Bundle",
"id" : "single-gaps-open-indv-report01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:a11848c9-c9e4-42fc-8f53-cea03782c3e5"
},
"type" : "document",
"timestamp" : "2020-06-30T13:08:53+00:00",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition01",
"resource" : {
"resourceType" : "Composition",
"id" : "gaps-composition01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<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-patient01.html\">Susan Parker</a></td><td style=\"padding-left: 25px; padding-right: 25px;\">January 1, 1965</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;\">Open</td></tr><tr><td style=\"padding-left: 25px; padding-right: 25px;\"><a href=\"Patient-gaps-patient01.html\">Susan Parker</a></td><td style=\"padding-left: 25px; padding-right: 25px;\">January 1, 1965</td><td style=\"padding-left: 25px; padding-right: 25px;\"><a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example</a></td><td style=\"padding-left: 25px; padding-right: 25px;\">Open</td></tr></table></p><p><b>id</b>: gaps-composition01</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-patient01</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type",
"code" : "gaps-doc",
"display" : "Gaps in Care Report"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"date" : "2020-06-30T13:08:53+00:00",
"author" : [
{
"reference" : "Organization/gaps-organization-reportingvendor"
}
],
"title" : "Care Gap Report for patient gaps-patient01",
"section" : [
{
"title" : "Colorectal Cancer Screening",
"focus" : {
"reference" : "MeasureReport/gaps-indv-measurereport01"
},
"entry" : [
{
"reference" : "DetectedIssue/gaps-detectedissue01"
}
]
},
{
"title" : "Cervical Cancer Screening",
"focus" : {
"reference" : "MeasureReport/gaps-indv-measurereport02"
},
"entry" : [
{
"reference" : "DetectedIssue/gaps-detectedissue02"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "gaps-indv-measurereport01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-indv-measurereport01</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: open</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-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</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 --> 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>: 0</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>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Encounter-gaps-encounter01.html\">Generated Summary: id: gaps-encounter01; 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: May 29, 2020, 6:00:00 PM --> May 30, 2020, 6:00:00 PM</a></li><li><a href=\"Patient-gaps-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></li></ul></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/gaps-organization-reportingvendor"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"date" : "2020-06-30T13:08:52+00:00",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2020-01-01T00:00:00+00:00",
"end" : "2020-12-31T00:00:00+00:00"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"id" : "group-exm130",
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 0
}
],
"measureScore" : {
"value" : 0.0
}
}
],
"evaluatedResource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
}
}
],
"reference" : "Encounter/gaps-encounter01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
}
}
],
"reference" : "Patient/gaps-patient01"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "gaps-indv-measurereport02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-indv-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: open</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example</a></p><p><b>subject</b>: <a href=\"Patient-gaps-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>date</b>: Jul 2, 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 --> 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-exm124</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>: 0</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>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Encounter-gaps-encounter01.html\">Generated Summary: id: gaps-encounter01; 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: May 29, 2020, 6:00:00 PM --> May 30, 2020, 6:00:00 PM</a></li><li><a href=\"Patient-gaps-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></li></ul></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/gaps-organization-reportingvendor"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example",
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"date" : "2020-07-02T13:08:52+00:00",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2020-01-01T00:00:00+00:00",
"end" : "2020-12-31T00:00:00+00:00"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"id" : "group-exm124",
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 0
}
],
"measureScore" : {
"value" : 0.0
}
}
],
"evaluatedResource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
}
}
],
"reference" : "Encounter/gaps-encounter01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
}
]
}
}
],
"reference" : "Patient/gaps-patient01"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01",
"resource" : {
"resourceType" : "DetectedIssue",
"id" : "gaps-detectedissue01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-detectedissue01</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/detectedissue-category care-gap}\">Gap in Care Detected</span></p><p><b>patient</b>: <a href=\"Patient-gaps-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"MeasureReport-gaps-indv-measurereport01.html\">Generated Summary: id: gaps-indv-measurereport01; status: complete; type: individual; measure: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example; date: Jun 30, 2020, 7:08:52 AM; period: Dec 31, 2019, 5:00:00 PM --> Dec 30, 2020, 5:00:00 PM; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></a></td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/detectedissue-category",
"code" : "care-gap",
"display" : "Gap in Care Detected"
}
]
},
"patient" : {
"reference" : "Patient/gaps-patient01"
},
"evidence" : [
{
"detail" : [
{
"reference" : "MeasureReport/gaps-indv-measurereport01"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02",
"resource" : {
"resourceType" : "DetectedIssue",
"id" : "gaps-detectedissue02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-detectedissue02</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/detectedissue-category care-gap}\">Gap in Care Detected</span></p><p><b>patient</b>: <a href=\"Patient-gaps-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"MeasureReport-gaps-indv-measurereport02.html\">Generated Summary: id: gaps-indv-measurereport02; status: complete; type: individual; measure: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example; date: Jul 2, 2020, 7:08:52 AM; period: Dec 31, 2019, 5:00:00 PM --> Dec 30, 2020, 5:00:00 PM; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></a></td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/detectedissue-category",
"code" : "care-gap",
"display" : "Gap in Care Detected"
}
]
},
"patient" : {
"reference" : "Patient/gaps-patient01"
},
"evidence" : [
{
"detail" : [
{
"reference" : "MeasureReport/gaps-indv-measurereport02"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter01",
"resource" : {
"resourceType" : "Encounter",
"id" : "gaps-encounter01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-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 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-patient01.html\">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>period</b>: May 29, 2020, 6:00:00 PM --> May 30, 2020, 6:00:00 PM</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99201",
"display" : "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."
}
]
}
],
"subject" : {
"reference" : "Patient/gaps-patient01"
},
"period" : {
"start" : "2020-05-30T00:00:00-00:00",
"end" : "2020-05-31T00:00:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient01",
"resource" : {
"resourceType" : "Patient",
"id" : "gaps-patient01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: gaps-patient01</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical Record Number = 999995992 (USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p></div>"
},
"extension" : [
{
"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" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "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.smarthealthit.org",
"value" : "999995992"
}
],
"name" : [
{
"family" : "Susan",
"given" : [
"Parker"
]
}
],
"gender" : "female",
"birthDate" : "1965-01-01"
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
"resource" : {
"resourceType" : "Organization",
"id" : "gaps-organization-reportingvendor",
"meta" : {
"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>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>"
},
"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" : "123446789",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "pay",
"display" : "Payer"
}
]
}
],
"name" : "GapsReportingVendor01",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 401-545-1212"
}
],
"address" : [
{
"line" : [
"13 Drive Street"
],
"city" : "Cityplace",
"state" : "MA",
"postalCode" : "01101",
"country" : "USA"
}
]
}
}
]
}
},
{
"name" : "return",
"resource" : {
"resourceType" : "Bundle",
"id" : "single-gaps-closed-indv-report01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:66556327-43dc-40fc-b20c-4e31a31e98e0"
},
"type" : "document",
"timestamp" : "2020-06-30T13:08:53+00:00",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition02",
"resource" : {
"resourceType" : "Composition",
"id" : "gaps-composition02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type",
"code" : "gaps-doc",
"display" : "Gaps in Care Report"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"date" : "2020-06-30T13:08:53+00:00",
"author" : [
{
"reference" : "Organization/gaps-organization-reportingvendor"
}
],
"title" : "Care Gap Report for patient gaps-patient02",
"section" : [
{
"title" : "Colorectal Cancer Screening",
"focus" : {
"reference" : "MeasureReport/gaps-indv-measurereport03"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No detected issues.</p></div>"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "gaps-indv-measurereport03",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<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 --> 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 --> 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>"
},
"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/gaps-organization-reportingvendor"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"date" : "2020-06-30T13:08:52+00:00",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2020-01-01T00:00:00+00:00",
"end" : "2020-12-31T00:00:00+00:00"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"id" : "group-exm130",
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 0
}
],
"measureScore" : {
"value" : 1.0
}
}
],
"evaluatedResource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
}
}
],
"reference" : "Encounter/gaps-encounter02"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population"
}
]
}
}
],
"reference" : "Patient/gaps-patient02"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter02",
"resource" : {
"resourceType" : "Encounter",
"id" : "gaps-encounter02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<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 --> Mar 5, 2020, 3:00:00 AM</p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99201",
"display" : "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."
}
]
}
],
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"period" : {
"start" : "2020-03-05T07:00:00-00:00",
"end" : "2020-03-05T10:00:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Procedure/gaps-procedure01",
"resource" : {
"resourceType" : "Procedure",
"id" : "gaps-procedure01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<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 --> Sep 10, 2018, 3:00:00 AM</p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "44393",
"display" : "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"
}
]
},
"subject" : {
"reference" : "Patient/gaps-patient02"
},
"performedPeriod" : {
"start" : "2018-09-10T08:00:00-00:00",
"end" : "2018-09-10T09:00:00-00:00"
}
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient02",
"resource" : {
"resourceType" : "Patient",
"id" : "gaps-patient02",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"extension" : [
{
"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" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "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.smarthealthit.org",
"value" : "999996992"
}
],
"name" : [
{
"family" : "Ludwich",
"given" : [
"Thomas"
]
}
],
"gender" : "male",
"birthDate" : "1957-01-01"
}
},
{
"fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
"resource" : {
"resourceType" : "Organization",
"id" : "gaps-organization-reportingvendor",
"meta" : {
"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>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>"
},
"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" : "123446789",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "pay",
"display" : "Payer"
}
]
}
],
"name" : "GapsReportingVendor01",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 401-545-1212"
}
],
"address" : [
{
"line" : [
"13 Drive Street"
],
"city" : "Cityplace",
"state" : "MA",
"postalCode" : "01101",
"country" : "USA"
}
]
}
}
]
}
}
]
}
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#2.1.0 based on FHIR 4.0.1. Generated 2020-08-15
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