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

: Col Submit Collect Obs - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="col-submit-collect-obs"/>
  <meta>
    <source value="http://example.org/fhir/server"/>
  </meta>
  <parameter>
    <name value="measureReport"/>
    <resource>
      <MeasureReport>
        <id value="datax-measurereport03"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"/>
        </meta>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType">
          <valueCode value="incremental"/>
        </extension>
        <status value="complete"/>
        <type value="data-collection"/>
        <measure
                 value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
        <subject>
          <reference value="Patient/patient03"/>
        </subject>
        <date value="2019-01-01T16:59:52.404Z"/>
        <reporter>
          <reference value="Organization/organization03"/>
        </reporter>
        <period>
          <start value="2018-01-01"/>
          <end value="2018-12-31"/>
        </period>
        <evaluatedResource>
          <reference value="Observation/DNA-occultblood"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Patient>
        <id value="patient03"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-02-07T18:47:34.000+00:00"/>
          <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"><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>
        </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="2054-5"/>
              <display value="Black or African American"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Black or African American"/>
          </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="34567"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Hartman"/>
          <given value="Virginia"/>
        </name>
        <gender value="female"/>
        <birthDate value="1983-09-12"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="213 Lilac Ave."/>
          <city value="Freehold"/>
          <state value="MI"/>
          <postalCode value="48099"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="U"/>
            <display value="unmarried"/>
          </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>
        <managingOrganization>
          <reference value="Organization/organization03"/>
        </managingOrganization>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Observation>
        <id value="DNA-occultblood"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"/>
        </meta>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77353-1"/>
            <display
                     value="Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient03"/>
        </subject>
        <effectiveDateTime value="2018-06-22"/>
        <performer>
          <reference value="Practitioner/practitioner01"/>
        </performer>
      </Observation>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Practitioner>
        <id value="practitioner01"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
        </meta>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="456789123"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Hale"/>
          <given value="Cody"/>
          <suffix value="MD"/>
        </name>
        <gender value="male"/>
      </Practitioner>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Organization>
        <id value="organization03"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2019-02-21T01:47:53.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="345678912"/>
          <assigner>
            <display value="www.cms.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="DaVinciHospital03"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 201-555-1212"/>
        </telecom>
        <address>
          <line value="94 Olive Ave."/>
          <city value="Union City"/>
          <state value="NJ"/>
          <postalCode value="07087"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
  </parameter>
</Parameters>