Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4
United States of America
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<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="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MeasureReport "b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4" </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></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/STU4/Measure-EXM108-FHIR.html">EXM108 - Venous Thromboembolism Prophylaxis</a></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</a></p><p><b>period</b>: 2018-12-31 --> 2019-01-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</a></p></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/EXM108-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>
<evaluatedResource>
<reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"/>
</evaluatedResource>
</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/qicore/StructureDefinition/qicore-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123456789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</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="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 67890 (use: 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>: Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>English (Region=United States) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US)</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: Encounter</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Hospital admission <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#32485007)</span></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>period</b>: 2018-07-19 06:10:27+0000 --> 2018-07-19 06:10:27+0000</p><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td><a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8: Mother Charity Hospital)</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: Location</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p></div><p><b>identifier</b>: id: 1.2.3.4.181 (use: 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>: Building <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-location-physical-type.html">Location type</a>#bu)</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: MedicationAdministration</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medicationadministration-deqm.html">DEQM MedicationAdministration Profile</a></p></div><p><b>status</b>: completed</p><p><b>medication</b>: heparin sodium, porcine 5000 UNT/ML Injectable Solution <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#1361615)</span></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>effective</b>: 2019-12-05 06:10:27+0000 --> 2019-12-05 06:10:27+0000</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Subcutaneous route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#34206005)</span></td><td>1 cc<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span></td></tr></table></div>
</text>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1361615"/>
<display
value="heparin sodium, porcine 5000 UNT/ML Injectable Solution"/>
</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>
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#4.0.0 based on FHIR 4.0.1. Generated 2023-10-03
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