Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0
US
Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0
US
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.1.0: STU 3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "multiple-indv-mrp-obs-report",
"type" : "transaction",
"timestamp" : "2020-07-08T22:17:14.187160Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/receiver/Observation/observation03",
"resource" : {
"resourceType" : "Observation",
"id" : "observation03",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"observation03\"> </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 Observation "observation03" </p><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/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (observation-category#measure)</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#1111F)</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter03\">See above (Encounter/encounter03)</a></p><p><b>effective</b>: 2018-09-30 02:15:04+0000</p><p><b>issued</b>: Sep 30, 2018 2:15:04 PM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://example.org/CodeSystem/observation-category",
"code" : "measure",
"display" : "Measure"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"subject" : {
"reference" : "Patient/patient03"
},
"encounter" : {
"reference" : "Encounter/encounter03"
},
"effectiveDateTime" : "2018-09-30T14:15:04.424Z",
"issued" : "2018-09-30T14:15:04.424Z",
"performer" : [
{
"reference" : "Practitioner/practitioner02"
}
],
"valueBoolean" : true
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter02",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter02",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"encounter02\"> </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 Encounter "encounter02" </p><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/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</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>: Fixation of fracture <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#239279000)</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>period</b>: 2018-05-29 --> 2018-05-29</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td>Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-discharge-disposition.html\">Discharge disposition</a>#home)</span></td></tr></table></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "239279000",
"display" : "Fixation of fracture"
}
]
}
],
"subject" : {
"reference" : "Patient/patient02"
},
"period" : {
"start" : "2018-05-29",
"end" : "2018-05-29"
},
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "home",
"display" : "Home"
}
]
}
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Organization/organization02",
"resource" : {
"resourceType" : "Organization",
"id" : "organization02",
"meta" : {
"versionId" : "3",
"lastUpdated" : "2019-03-06T19:03:03.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"organization02\"> </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 Organization "organization02" Version "3" Updated "2019-03-06 07:03:03+0000" </p><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/STU4.1.1/StructureDefinition-qicore-organization.html\">QICoreOrganization</a></p></div><p><b>identifier</b>: Tax ID number: 234567891 (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/4.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 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" : "234567891",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "DaVinciHospital02",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 551-555-1212"
}
],
"address" : [
{
"line" : [
"3 Sherwood St."
],
"city" : "Englewood",
"state" : "NJ",
"postalCode" : "07631",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Practitioner/practitioner02",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner02",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"practitioner02\"> </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 Practitioner "practitioner02" </p><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-practitioner-deqm.html\">DEQM Practitioner Profile</a></p></div><p><b>identifier</b>: Provider number: 9998266512 (use: OFFICIAL, period: 2005-07-16 09:00:00-0500 --> (ongoing))</p><p><b>active</b>: true</p><p><b>name</b>: Emile Zieme(OFFICIAL)</p><p><b>telecom</b>: ph: 8605555555(WORK), ph: 8605555555(WORK)</p><p><b>address</b>: UCONN MEDICAL GROUP, FARMINGTON, CT 060300001(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1964-06-19</p><p><b>communication</b>: English and Spanish <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#es "Spanish")</span></p></div>"
},
"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" : "9998266512",
"period" : {
"start" : "2005-07-16T09:00:00-05:00"
},
"assigner" : {
"display" : "www.cms.gov"
}
}
],
"active" : true,
"name" : [
{
"use" : "official",
"text" : "Emile Zieme",
"family" : "Zieme",
"given" : [
"Emile"
],
"suffix" : [
"M.D."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "8605555555",
"use" : "work",
"rank" : 1
},
{
"system" : "phone",
"value" : "8605555555",
"use" : "work",
"rank" : 2
}
],
"address" : [
{
"extension" : [
{
"extension" : [
{
"url" : "latitude",
"valueDecimal" : 41.791776
},
{
"url" : "longitude",
"valueDecimal" : -72.718832
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
}
],
"use" : "home",
"type" : "both",
"text" : "UCONN MEDICAL GROUP, FARMINGTON, CT 060300001",
"line" : [
"UCONN MEDICAL GROUP"
],
"city" : "FARMINGTON",
"state" : "CT",
"postalCode" : "060300001",
"country" : "USA"
}
],
"gender" : "male",
"birthDate" : "1964-06-19",
"communication" : [
{
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "es",
"display" : "Spanish",
"userSelected" : true
}
],
"text" : "English and Spanish"
}
]
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Organization/organization03",
"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/qicore/StructureDefinition/qicore-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"organization03\"> </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 Organization "organization03" Version "3" Updated "2019-02-21 01:47:53+0000" </p><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/STU4.1.1/StructureDefinition-qicore-organization.html\">QICoreOrganization</a></p></div><p><b>identifier</b>: Provider number: 345678912 (use: OFFICIAL), Provider number: 082584 (use: SECONDARY)</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/4.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital03</p><p><b>telecom</b>: ph: (+1) 201-555-1212</p><p><b>address</b>: 94 Olive Ave. Union City NJ 07087 USA </p></div>"
},
"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"
}
},
{
"use" : "secondary",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.336",
"value" : "082584",
"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"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Practitioner/practitioner01",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"practitioner01\"> </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 Practitioner "practitioner01" </p><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-practitioner-deqm.html\">DEQM Practitioner Profile</a></p></div><p><b>identifier</b>: Provider number: 345678912 (use: OFFICIAL), Provider number: 082583 (use: SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
},
"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"
}
},
{
"use" : "secondary",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.336",
"value" : "082583",
"assigner" : {
"display" : "www.cms.gov"
}
}
],
"name" : [
{
"family" : "Bone",
"given" : [
"Ronald"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "home",
"line" : [
"1003 Healthcare Drive"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "01002"
}
]
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Patient/patient03",
"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" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patient03\"> </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 Patient "patient03" Version "4" Updated "2019-02-07 06:47:34+0000" </p><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/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: Black or African American (Details: urn:oid:2.16.840.1.113883.6.238 code 2054-5 = 'Black or African American', stated as 'Black or African American')</p><p><b>value</b>: Black or African American</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 34567 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Virginia Hartman (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1983-09-12</p><p><b>deceased</b>: false</p><p><b>address</b>: 213 Lilac Ave. Freehold MI 48099 USA (HOME)</p><p><b>maritalStatus</b>: unmarried <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#U)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization03\">See above (Organization/organization03)</a></p></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"
}
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter03",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter03",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"encounter03\"> </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 Encounter "encounter03" </p><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/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</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>: Respiratory therapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#53950000)</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td>Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-discharge-disposition.html\">Discharge disposition</a>#home)</span></td></tr></table></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "53950000",
"display" : "Respiratory therapy"
}
]
}
],
"subject" : {
"reference" : "Patient/patient03"
},
"period" : {
"start" : "2018-05-29T11:00:00-04:00",
"end" : "2018-05-29T11:00:00-04:00"
},
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "home",
"display" : "Home"
}
]
}
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "indv-measurereport02a",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"indv-measurereport02a\"> </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 "indv-measurereport02a" </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/4.0.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>date</b>: 2018-09-05 04:59:52+0000</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</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/4.0.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#mrp-group)</span></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/4.0.0/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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation02\">See above (Observation/observation02)</a></p></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/organization02"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "Patient/patient02"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "mrp-group",
"display" : "MRP Group"
}
],
"text" : "MRP Group"
},
"population" : [
{
"id" : "initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"id" : "numerator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"id" : "denominator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
}
],
"measureScore" : {
"value" : 1
}
}
],
"evaluatedResource" : [
{
"reference" : "Observation/observation02"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Observation/observation02",
"resource" : {
"resourceType" : "Observation",
"id" : "observation02",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"observation02\"> </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 Observation "observation02" </p><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/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (observation-category#measure)</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#1111F)</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter02\">See above (Encounter/encounter02)</a></p><p><b>effective</b>: 2018-09-30 02:15:04+0000</p><p><b>issued</b>: Sep 30, 2018 2:15:04 PM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://example.org/CodeSystem/observation-category",
"code" : "measure",
"display" : "Measure"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"subject" : {
"reference" : "Patient/patient02"
},
"encounter" : {
"reference" : "Encounter/encounter02"
},
"effectiveDateTime" : "2018-09-30T14:15:04.424Z",
"issued" : "2018-09-30T14:15:04.424Z",
"performer" : [
{
"reference" : "Practitioner/practitioner02"
}
],
"valueBoolean" : true
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "indv-measurereport02",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"indv-measurereport02\"> </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 "indv-measurereport02" </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/4.0.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>date</b>: 2018-09-05 04:59:52+0000</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</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/4.0.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#mrp-group)</span></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/4.0.0/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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation01\">See above (Observation/observation01)</a></p></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/organization02"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "Patient/patient01"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "mrp-group",
"display" : "MRP Group"
}
],
"text" : "MRP Group"
},
"population" : [
{
"id" : "initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"id" : "numerator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"id" : "denominator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
}
],
"measureScore" : {
"value" : 1
}
}
],
"evaluatedResource" : [
{
"reference" : "Observation/observation01"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Organization/organization01",
"resource" : {
"resourceType" : "Organization",
"id" : "organization01",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2019-02-21T01:47:54.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"organization01\"> </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 Organization "organization01" Version "4" Updated "2019-02-21 01:47:54+0000" </p><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/STU4.1.1/StructureDefinition-qicore-organization.html\">QICoreOrganization</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/4.0.0/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>"
},
"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" : "123456789",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "DaVinciHospital01",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 401-555-1212"
}
],
"address" : [
{
"line" : [
"73 Lakewood Street"
],
"city" : "Warwick",
"state" : "RI",
"postalCode" : "02886",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "indv-measurereport02b",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"indv-measurereport02b\"> </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 "indv-measurereport02b" </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/4.0.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>date</b>: 2018-09-05 04:59:52+0000</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</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/4.0.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#mrp-group)</span></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/4.0.0/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/4.0.0/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/4.0.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Observation_observation03\">See above (Observation/observation03)</a></p></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/organization02"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "Patient/patient03"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org/fhir/",
"code" : "mrp-group",
"display" : "MRP Group"
}
],
"text" : "MRP Group"
},
"population" : [
{
"id" : "initial-population",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"id" : "numerator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"id" : "denominator",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
}
],
"measureScore" : {
"value" : 1
}
}
],
"evaluatedResource" : [
{
"reference" : "Observation/observation03"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter01",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"encounter01\"> </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 Encounter "encounter01" </p><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/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</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>: Drug rehabilitation and detoxification <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#56876005)</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01: Jairo Webster)</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td>Home <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-discharge-disposition.html\">Discharge disposition</a>#home)</span></td></tr></table></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "56876005",
"display" : "Drug rehabilitation and detoxification"
}
]
}
],
"subject" : {
"reference" : "Patient/patient01",
"display" : "Jairo Webster"
},
"period" : {
"start" : "2018-05-29T11:00:00-04:00",
"end" : "2018-05-29T11:00:00-04:00"
},
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "home",
"display" : "Home"
}
]
}
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Observation/observation01",
"resource" : {
"resourceType" : "Observation",
"id" : "observation01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"observation01\"> </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 Observation "observation01" </p><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/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (observation-category#measure)</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#1111F)</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter01\">See above (Encounter/encounter01)</a></p><p><b>effective</b>: 2018-09-29 02:15:04+0000</p><p><b>issued</b>: Sep 29, 2018 2:15:04 PM</p><p><b>performer</b>: <a href=\"#Practitioner_practitioner01\">See above (Practitioner/practitioner01)</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://example.org/CodeSystem/observation-category",
"code" : "measure",
"display" : "Measure"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"subject" : {
"reference" : "Patient/patient01"
},
"encounter" : {
"reference" : "Encounter/encounter01"
},
"effectiveDateTime" : "2018-09-29T14:15:04.424Z",
"issued" : "2018-09-29T14:15:04.424Z",
"performer" : [
{
"reference" : "Practitioner/practitioner01"
}
],
"valueBoolean" : true
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Patient/patient01",
"resource" : {
"resourceType" : "Patient",
"id" : "patient01",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2019-02-11T14:19:25.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patient01\"> </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 Patient "patient01" Version "5" Updated "2019-02-11 02:19:25+0000" </p><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/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a></p></div><p><b>US Core Birth Sex Extension</b>: M</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = 'White', stated as 'White')</p><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 12345 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Jairo Webster (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1946-12-16</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/4.0.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"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" : "12345"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Webster",
"given" : [
"Jairo"
]
}
],
"gender" : "male",
"birthDate" : "1946-12-16",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"line" : [
"7496 Beaver Ridge Ave"
],
"city" : "Thornton",
"state" : "NJ",
"postalCode" : "07003",
"country" : "USA"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
}
]
},
"preferred" : true
}
],
"managingOrganization" : {
"reference" : "Organization/organization01"
}
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "http://example.org/fhir/receiver/Patient/patient02",
"resource" : {
"resourceType" : "Patient",
"id" : "patient02",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2019-03-06T19:03:03.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patient02\"> </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 Patient "patient02" Version "4" Updated "2019-03-06 07:03:03+0000" </p><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/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a></p></div><p><b>US Core Birth Sex Extension</b>: M</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = 'Asian', stated as 'Asian')</p><p><b>value</b>: Asian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 23456 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Darien Bernard (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1967-06-13</p><p><b>deceased</b>: false</p><p><b>address</b>: 6 Rockwell Street Lynnwood NJ 07420 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
},
{
"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" : "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" : "23456"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Bernard",
"given" : [
"Darien"
]
}
],
"gender" : "male",
"birthDate" : "1967-06-13",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"line" : [
"6 Rockwell Street"
],
"city" : "Lynnwood",
"state" : "NJ",
"postalCode" : "07420",
"country" : "USA"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
}
]
},
"preferred" : true
}
],
"managingOrganization" : {
"reference" : "Organization/organization02"
}
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
}
]
}
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#3.1.0 based on FHIR 4.0.1. Generated 2022-11-21
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