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 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" : "single-indv-mrp-obs-report",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"type" : "transaction",
"timestamp" : "2019-12-06T06:28:44.902388Z",
"entry" : [
{
"fullUrl" : "urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "a8f9c686-17f1-11ea-a072-4ccc6a181ed3",
"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=\"a8f9c686-17f1-11ea-a072-4ccc6a181ed3\"> </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 "a8f9c686-17f1-11ea-a072-4ccc6a181ed3" </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>DEQM Certification Identifier Extension</b>: id:\u00a00015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"Organization-organization02.html\">Organization/organization02</a> "DaVinciHospital02"</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=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"#urnuuidebc3f5c4-6700-34af-8323-85621c313726\">See above (urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726)</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/5.2.0/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><blockquote><p><b>id</b></p>initial-population</blockquote><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><blockquote><p><b>id</b></p>numerator</blockquote><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><blockquote><p><b>id</b></p>denominator</blockquote><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><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#urnuuida8fa3b69-17f1-11ea-bd75-4ccc6a181ed3\">See above (urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3)</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" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
},
"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" : "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3",
"resource" : {
"resourceType" : "Coverage",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</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-coverage.html\">QICore Coverage</a></p></div><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>subscriber</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>payor</b>: <a href=\"#urnuuida8fa3b68-17f1-11ea-93ae-4ccc6a181ed3\">See above (urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3)</a></p></div>"
},
"status" : "active",
"policyHolder" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"subscriber" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"subscriberId" : "A123456789",
"beneficiary" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self"
}
]
},
"payor" : [
{
"reference" : "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "Coverage"
}
},
{
"fullUrl" : "urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"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></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: 456789124\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <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>#other)</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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" : "456789124",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "other",
"display" : "Other"
}
]
}
],
"name" : "DV Quality Measure Data Reporter",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 616-555-1212"
}
],
"address" : [
{
"line" : [
"160 Glen Eagles Road"
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"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></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: 456789125\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <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>#ins)</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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" : "456789125",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "ins",
"display" : "Insurance Company"
}
]
}
],
"name" : "DVPayer04",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 616-555-1212"
}
],
"address" : [
{
"line" : [
"160 Glen Eagles Road"
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3",
"resource" : {
"resourceType" : "Observation",
"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></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-observation.html\">QICore Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#1111F)</span></p><p><b>subject</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8)</a></p><p><b>encounter</b>: <a href=\"#urnuuid1f33ae07-0891-4c2a-a376-fcd18800cb71\">See above (urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71)</a></p><p><b>effective</b>: 2018-09-29 14:15:04+0000</p><p><b>issued</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>performer</b>: <a href=\"#urnuuid0000016d-235f-39b3-0000-0000000000fa\">See above (urn:uuid:0000016d-235f-39b3-0000-0000000000fa)</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam",
"display" : "Exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)"
}
]
},
"subject" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"encounter" : {
"reference" : "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
},
"effectiveDateTime" : "2018-09-29T14:15:04.424Z",
"issued" : "2018-09-29T14:15:04.424Z",
"performer" : [
{
"reference" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
}
],
"valueBoolean" : true
},
"request" : {
"method" : "POST",
"url" : "Observation"
}
},
{
"fullUrl" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
"resource" : {
"resourceType" : "Patient",
"meta" : {
"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></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><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>US Core Birth Sex Extension</b>: F</p><p><b>Birth Place</b>: Faro Algarve PT </p><p><b>identifier</b>: id:\u00a00156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number:\u00a00156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number:\u00a0999-61-8566, Driver's license Number:\u00a0S99966861, Passport Number:\u00a0X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <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 "Married")</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td></tr><tr><td style=\"display: none\">*</td><td>Portuguese <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>#pt)</span></td></tr></table></div>"
},
"extension" : [
{
"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"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Faro",
"state" : "Algarve",
"country" : "PT"
}
}
],
"identifier" : [
{
"system" : "https://github.com/synthetichealth/synthea",
"value" : "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security Number"
}
],
"text" : "Social Security Number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "999-61-8566"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "DL",
"display" : "Driver's license Number"
}
],
"text" : "Driver's license Number"
},
"system" : "urn:oid:2.16.840.1.113883.4.3.25",
"value" : "S99966861"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PPN",
"display" : "Passport Number"
}
],
"text" : "Passport Number"
},
"system" : "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
"value" : "X52208740X"
}
],
"name" : [
{
"use" : "official",
"family" : "McDermott739",
"given" : [
"Debbie941"
],
"prefix" : [
"Mrs."
]
},
{
"use" : "maiden",
"family" : "Funk324",
"given" : [
"Debbie941"
],
"prefix" : [
"Mrs."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-755-4280",
"use" : "home"
}
],
"gender" : "female",
"birthDate" : "1961-02-26",
"address" : [
{
"line" : [
"903 Wolff Ville"
],
"city" : "Westfield",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
],
"text" : "M"
},
"multipleBirthBoolean" : false,
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "pt",
"display" : "Portuguese"
}
],
"text" : "Portuguese"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71",
"resource" : {
"resourceType" : "Encounter",
"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></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>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99221 "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.")</span></p><p><b>subject</b>: <a href=\"#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8\">See above (urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8: Mrs. Debbie941 McDermott739)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#urnuuid0000016d-235f-39b3-0000-0000000000fa\">See above (urn:uuid:0000016d-235f-39b3-0000-0000000000fa: Dr. Manuel446 Granados71)</a></td></tr></table><p><b>period</b>: 1976-06-20 10:41:49-0700 --> 2018-04-29 10:41:49-0700</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=\"#urnuuid8938e769-59f7-40ff-a541-50b0bfcd6742\">See above (urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742: NOBLE HOSPITAL)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"#urnuuidebc3f5c4-6700-34af-8323-85621c313726\">See above (urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726: NOBLE HOSPITAL)</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99221",
"display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."
}
],
"text" : "Initial hospital care"
}
],
"subject" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
"display" : "Mrs. Debbie941 McDermott739"
},
"participant" : [
{
"individual" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
"display" : "Dr. Manuel446 Granados71"
}
}
],
"period" : {
"start" : "1976-06-20T10:41:49-07:00",
"end" : "2018-04-29T10:41:49-07:00"
},
"location" : [
{
"location" : {
"reference" : "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
"display" : "NOBLE HOSPITAL"
}
}
],
"serviceProvider" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
"display" : "NOBLE HOSPITAL"
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
"resource" : {
"resourceType" : "Practitioner",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</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/core/STU5.0.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: id:\u00a0250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: <a href=\"mailto:Manuel446.Granados71@example.com\">Manuel446.Granados71@example.com</a></p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "250"
}
],
"active" : true,
"name" : [
{
"family" : "Granados71",
"given" : [
"Manuel446"
],
"prefix" : [
"Dr."
]
}
],
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
"valueBoolean" : true
}
],
"system" : "email",
"value" : "Manuel446.Granados71@example.com",
"use" : "work"
}
],
"address" : [
{
"line" : [
"115 WEST SILVER STREET"
],
"city" : "WESTFIELD",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
}
],
"gender" : "male"
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
},
{
"fullUrl" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<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/core/STU5.0.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></p></div><p><b>identifier</b>: Provider number: 9999999999\u00a0(use:\u00a0OFFICIAL)</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>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9999999999"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
],
"text" : "Healthcare Provider"
}
],
"name" : "NOBLE HOSPITAL",
"telecom" : [
{
"system" : "phone",
"value" : "4135682811"
}
],
"address" : [
{
"line" : [
"115 WEST SILVER STREET"
],
"city" : "WESTFIELD",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
"resource" : {
"resourceType" : "Location",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
]
},
"text" : {
"status" : "generated",
"div" : "<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><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-location.html\">QICore Location</a></p></div><p><b>identifier</b>: id:\u00a0NOBLE HOSPITAL\u00a0(use:\u00a0TEMP)</p><p><b>status</b>: active</p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"#urnuuidebc3f5c4-6700-34af-8323-85621c313726\">See above (urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726: NOBLE HOSPITAL)</a></p></div>"
},
"identifier" : [
{
"use" : "temp",
"system" : "http://exampleoflocation.com",
"value" : "NOBLE HOSPITAL"
}
],
"status" : "active",
"name" : "NOBLE HOSPITAL",
"telecom" : [
{
"system" : "phone",
"value" : "4135682811"
}
],
"address" : {
"line" : [
"115 WEST SILVER STREET"
],
"city" : "WESTFIELD",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
},
"position" : {
"longitude" : -72.755911,
"latitude" : 42.138838
},
"managingOrganization" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
"display" : "NOBLE HOSPITAL"
}
},
"request" : {
"method" : "POST",
"url" : "Location"
}
}
]
}
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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