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
<Bundle xmlns="http://hl7.org/fhir">
<id value="single-indv-mrp-task-report"/>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<type value="transaction"/>
<timestamp value="2019-12-06T06:28:16.152480Z"/>
<entry>
<fullUrl value="urn:uuid:97e6dbd2-17f1-11ea-82fa-4ccc6a181ed3"/>
<resource>
<MeasureReport>
<id value="97e6dbd2-17f1-11ea-82fa-4ccc6a181ed3"/>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="97e6dbd2-17f1-11ea-82fa-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 "97e6dbd2-17f1-11ea-82fa-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: 0015HQN9BD3304E</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="#urnuuid97e702cc-17f1-11ea-8b65-4ccc6a181ed3">See above (urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3)</a></p></div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
<value value="0015HQN9BD3304E"/>
</valueIdentifier>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
<valueReference>
<reference value="Organization/organization02"/>
</valueReference>
</extension>
<status value="complete"/>
<type value="individual"/>
<measure
value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example"/>
<subject>
<reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
</subject>
<date value="2018-09-05T16:59:52.404Z"/>
<reporter>
<reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
</reporter>
<period>
<start value="2018-08-01"/>
<end value="2018-09-01"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<code>
<coding>
<system value="http://example.org/fhir/"/>
<code value="mrp-group"/>
<display value="MRP Group"/>
</coding>
<text value="MRP Group"/>
</code>
<population id="initial-population">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population id="numerator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population id="denominator">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</population>
<measureScore>
<value value="1"/>
</measureScore>
</group>
<evaluatedResource>
<reference value="urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3"/>
</evaluatedResource>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3"/>
<resource>
<Task>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Task</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-task.html">QICore Task</a></p></div><p><b>identifier</b>: id: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Fulfill the focal request <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-task-code.html">Task Codes</a>#fulfill)</span></p><p><b>for</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>executionPeriod</b>: 2017-06-11 --> 2017-06-11</p><p><b>authoredOn</b>: 2018-09-25 14:24:23+0000</p><p><b>owner</b>: <a href="#urnuuid0000016d-235f-39b3-0000-0000000000fa">See above (urn:uuid:0000016d-235f-39b3-0000-0000000000fa)</a></p></div>
</text>
<identifier>
<system value="http://example.org/fhir/"/>
<value value="19009"/>
</identifier>
<status value="completed"/>
<intent value="plan"/>
<priority value="routine"/>
<code>
<coding>
<system value="http://hl7.org/fhir/CodeSystem/task-code"/>
<code value="fulfill"/>
<display value="Fulfill the focal request"/>
</coding>
</code>
<for>
<reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
</for>
<encounter>
<reference value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
</encounter>
<executionPeriod>
<start value="2017-06-11"/>
<end value="2017-06-11"/>
</executionPeriod>
<authoredOn value="2018-09-25T14:24:23.584Z"/>
<owner>
<reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
</owner>
</Task>
</resource>
<request>
<method value="POST"/>
<url value="Task"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:97e729ba-17f1-11ea-ae32-4ccc6a181ed3"/>
<resource>
<Coverage>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
</meta>
<text>
<status value="generated"/>
<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="#urnuuid97e750b7-17f1-11ea-b4af-4ccc6a181ed3">See above (urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3)</a></p></div>
</text>
<status value="active"/>
<policyHolder>
<reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
</policyHolder>
<subscriber>
<reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
</subscriber>
<subscriberId value="A123456789"/>
<beneficiary>
<reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
</relationship>
<payor>
<reference value="urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3"/>
</payor>
</Coverage>
</resource>
<request>
<method value="POST"/>
<url value="Coverage"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:97e750b6-17f1-11ea-89ea-4ccc6a181ed3"/>
<resource>
<Organization>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 456789124 (use: OFFICIAL)</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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="456789124"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="other"/>
<display value="Other"/>
</coding>
</type>
<name value="DV Quality Measure Data Reporter"/>
<telecom>
<system value="phone"/>
<value value="(+1) 616-555-1212"/>
</telecom>
<address>
<line value="160 Glen Eagles Road"/>
<city value="Grand Rapids"/>
<state value="MI"/>
<postalCode value="49503"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3"/>
<resource>
<Organization>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 456789125 (use: OFFICIAL)</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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="456789125"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
<display value="Insurance Company"/>
</coding>
</type>
<name value="DVPayer04"/>
<telecom>
<system value="phone"/>
<value value="(+1) 616-555-1212"/>
</telecom>
<address>
<line value="160 Glen Eagles Road"/>
<city value="Grand Rapids"/>
<state value="MI"/>
<postalCode value="49503"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
<resource>
<Patient>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><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: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number: 999-61-8566, Driver's license Number: S99966861, Passport Number: X52208740X</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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Faro"/>
<state value="Algarve"/>
<country value="PT"/>
</valueAddress>
</extension>
<identifier>
<system value="https://github.com/synthetichealth/synthea"/>
<value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
<text value="Medical Record Number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
<display value="Social Security Number"/>
</coding>
<text value="Social Security Number"/>
</type>
<system value="http://hl7.org/fhir/sid/us-ssn"/>
<value value="999-61-8566"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="DL"/>
<display value="Driver's license Number"/>
</coding>
<text value="Driver's license Number"/>
</type>
<system value="urn:oid:2.16.840.1.113883.4.3.25"/>
<value value="S99966861"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PPN"/>
<display value="Passport Number"/>
</coding>
<text value="Passport Number"/>
</type>
<system
value="http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber"/>
<value value="X52208740X"/>
</identifier>
<name>
<use value="official"/>
<family value="McDermott739"/>
<given value="Debbie941"/>
<prefix value="Mrs."/>
</name>
<name>
<use value="maiden"/>
<family value="Funk324"/>
<given value="Debbie941"/>
<prefix value="Mrs."/>
</name>
<telecom>
<system value="phone"/>
<value value="555-755-4280"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1961-02-26"/>
<address>
<line value="903 Wolff Ville"/>
<city value="Westfield"/>
<state value="MA"/>
<postalCode value="01085"/>
<country value="US"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</coding>
<text value="M"/>
</maritalStatus>
<multipleBirthBoolean value="false"/>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="pt"/>
<display value="Portuguese"/>
</coding>
<text value="Portuguese"/>
</language>
</communication>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
<resource>
<Encounter>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</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>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99221"/>
<display
value="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."/>
</coding>
<text value="Initial hospital care"/>
</type>
<subject>
<reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
<display value="Mrs. Debbie941 McDermott739"/>
</subject>
<participant>
<individual>
<reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
<display value="Dr. Manuel446 Granados71"/>
</individual>
</participant>
<period>
<start value="1976-06-20T10:41:49-07:00"/>
<end value="2018-04-29T10:41:49-07:00"/>
</period>
<location>
<location>
<reference value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
<display value="NOBLE HOSPITAL"/>
</location>
</location>
<serviceProvider>
<reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
<display value="NOBLE HOSPITAL"/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
<resource>
<Practitioner>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<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: 250</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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="250"/>
</identifier>
<active value="true"/>
<name>
<family value="Granados71"/>
<given value="Manuel446"/>
<prefix value="Dr."/>
</name>
<telecom>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct">
<valueBoolean value="true"/>
</extension>
<system value="email"/>
<value value="Manuel446.Granados71@example.com"/>
<use value="work"/>
</telecom>
<address>
<line value="115 WEST SILVER STREET"/>
<city value="WESTFIELD"/>
<state value="MA"/>
<postalCode value="01085"/>
<country value="US"/>
</address>
<gender value="male"/>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
<resource>
<Organization>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html">US Core Organization Profile</a></p></div><p><b>identifier</b>: Provider number: 9999999999 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9999999999"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
<text value="Healthcare Provider"/>
</type>
<name value="NOBLE HOSPITAL"/>
<telecom>
<system value="phone"/>
<value value="4135682811"/>
</telecom>
<address>
<line value="115 WEST SILVER STREET"/>
<city value="WESTFIELD"/>
<state value="MA"/>
<postalCode value="01085"/>
<country value="US"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
<resource>
<Location>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Location</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-location.html">US Core Location Profile</a></p></div><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>
</text>
<status value="active"/>
<name value="NOBLE HOSPITAL"/>
<telecom>
<system value="phone"/>
<value value="4135682811"/>
</telecom>
<address>
<line value="115 WEST SILVER STREET"/>
<city value="WESTFIELD"/>
<state value="MA"/>
<postalCode value="01085"/>
<country value="US"/>
</address>
<position>
<longitude value="-72.755911"/>
<latitude value="42.138838"/>
</position>
<managingOrganization>
<reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
<display value="NOBLE HOSPITAL"/>
</managingOrganization>
</Location>
</resource>
<request>
<method value="POST"/>
<url value="Location"/>
</request>
</entry>
</Bundle>
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#4.0.0 based on FHIR 4.0.1. Generated 2023-10-03
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