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

Example Parameters: Mrp Submit Task

Parameters

measureReport

MeasureReport/datax-measurereport01

Generated Narrative: MeasureReport

Resource MeasureReport "datax-measurereport01"

Information Source: http://example.org/fhir/server!

Profile: DEQM Data Exchange MeasureReport Profile

CQFM Software System: Device/deqm-software-system-example

DEQM Submit Data Update Type Extension: incremental

status: complete

type: data-collection

measure: MRP Measure

subject: See above (Patient/patient01)

date: 2018-09-05 16:59:52+0000

reporter: See above (Organization/organization01)

period: 2018-08-01 --> 2018-09-01

evaluatedResource: Task/task01

resource

Patient/patient01

Jairo WEBSTER
Identifier12345
Address7496 Beaver Ridge Ave
Thornton NJ USA
Date of birth16 December 1946
resource

Task/Task01

Generated Narrative: Task

Resource Task "Task01"

Information Source: http://example.org/fhir/server!

Profile: QICore Task

identifier: id: 19009

status: completed

intent: plan

priority: routine

code: Fulfill the focal request (Task Codes#fulfill)

for: See above (Patient/patient01)

encounter: See above (Encounter/encounter01)

executionPeriod: 2017-06-11 --> 2017-06-11

authoredOn: 2018-09-25 14:24:23+0000

owner: See above (Practitioner/practitioner01)

resource

Practitioner/practitioner01

Generated Narrative: Practitioner

Resource Practitioner "practitioner01"

Information Source: http://example.org/fhir/server!

Profile: QICore Practitioner

identifier: Provider number: 456789123 (use: OFFICIAL)

active: true

name: Cody Hale

gender: male

resource

Encounter/encounter01

Generated Narrative: Encounter

Resource Encounter "encounter01"

Information Source: http://example.org/fhir/server!

Profile: QICore Encounter

status: finished

class: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')

type: Drug rehabilitation and detoxification (SNOMED CT#56876005)

subject: See above (Patient/patient01: Jairo Webster)

period: 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400

Hospitalizations

-DischargeDisposition
*Home (Discharge disposition#home)
resource

Coverage/coverage01

Generated Narrative: Coverage

Resource Coverage "coverage01" Version "2" Updated "2019-02-11 14:19:25+0000"

Information Source: http://example.org/fhir/server!

Profile: QICore Coverage

status: active

policyHolder: See above (Patient/patient01)

subscriber: See above (Patient/patient01)

subscriberId: A123456789

beneficiary: See above (Patient/patient01)

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

payor: See above (Organization/organization04)

resource

Location/location01

Generated Narrative: Location

Resource Location "location01"

Information Source: http://example.org/fhir/server!

Profile: QICore Location

identifier: id: DaVinciClinic01 (use: TEMP)

name: DaVinciClinic01

address: 102 Heritage Dr. Somerset NJ 08873 USA

resource

Organization/organization01

Generated Narrative: Organization

Resource Organization "organization01" Version "4" Updated "2019-02-21 01:47:54+0000"

Information Source: http://example.org/fhir/server!

Profile: QICore Organization

identifier: Tax ID number: 123456789 (use: OFFICIAL)

active: true

type: Healthcare Provider (Organization type#prov)

name: DaVinciHospital01

telecom: ph: (+1) 401-555-1212

address: 73 Lakewood Street Warwick RI 02886 USA

resource

Organization/organization02

Generated Narrative: Organization

Resource Organization "organization02" Version "3" Updated "2019-03-06 19:03:03+0000"

Information Source: http://example.org/fhir/server!

Profile: QICore Organization

identifier: Tax ID number: 234567891 (use: OFFICIAL)

active: true

type: Healthcare Provider (Organization type#prov)

name: DaVinciHospital02

telecom: ph: (+1) 551-555-1212

address: 3 Sherwood St. Englewood NJ 07631 USA

resource

Organization/organization04

Generated Narrative: Organization

Resource Organization "organization04" Version "4" Updated "2019-03-06 19:03:03+0000"

Information Source: http://example.org/fhir/server!

Profile: QICore Organization

identifier: Tax ID number: 456789123 (use: OFFICIAL)

active: true

type: Insurance Company (Organization type#ins)

name: DVPayer04

telecom: ph: (+1) 616-555-1212

address: 160 Glen Eagles Road Grand Rapids MI 49503 USA