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-vte-report-option1",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"type" : "transaction",
"entry" : [
{
"fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4",
"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=\"b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4\"> </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 "b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4" </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>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/STU4/Measure-EXM108-FHIR.html\">EXM108 - Venous Thromboembolism Prophylaxis</a></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</a></p><p><b>period</b>: 2018-12-31 --> 2019-01-01</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><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/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><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><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><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <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-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</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"
}
]
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM108-FHIR",
"subject" : {
"reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"
},
"date" : "2019-03-14",
"reporter" : {
"reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"
},
"period" : {
"start" : "2018-12-31",
"end" : "2019-01-01"
},
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
}
]
},
"group" : [
{
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"count" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"count" : 0
}
],
"measureScore" : {
"value" : 1
}
}
],
"evaluatedResource" : [
{
"reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5",
"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: 123456789\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>: 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" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6",
"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><p><b>US Core Birth Sex Extension</b>: F</p><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>identifier</b>: Medical record number: 67890\u00a0(use:\u00a0USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</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/5.2.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style=\"display: none\">*</td><td>English (Region=United States) <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>#en-US)</span></td><td>true</td></tr></table></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" : "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" : "67890"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Webster",
"given" : [
"Thelma"
]
}
],
"gender" : "female",
"birthDate" : "1948-04-28",
"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
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7",
"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>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Hospital admission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32485007)</span></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>period</b>: 2018-07-19 06:10:27+0000 --> 2018-07-19 06:10:27+0000</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=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8: Mother Charity Hospital)</a></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" : "32485007",
"display" : "Hospital admission"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"
},
"period" : {
"start" : "2018-07-19T06:10:27Z",
"end" : "2018-07-19T06:10:27Z"
},
"location" : [
{
"location" : {
"reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8",
"display" : "Mother Charity Hospital"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8",
"resource" : {
"resourceType" : "Location",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"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></div><p><b>identifier</b>: id:\u00a01.2.3.4.181\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: active</p><p><b>name</b>: Mother Charity Hospital</p><p><b>mode</b>: instance</p><p><b>telecom</b>: ph: (313) 555-5671(WORK)</p><p><b>address</b>: 869 W Oak Street Royal Oak MI 48073 (WORK)</p><p><b>physicalType</b>: Building <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-location-physical-type.html\">Location type</a>#bu)</span></p></div>"
},
"identifier" : [
{
"use" : "official",
"system" : "http://www.hl7.org/oid/",
"value" : "1.2.3.4.181"
}
],
"status" : "active",
"name" : "Mother Charity Hospital",
"mode" : "instance",
"telecom" : [
{
"system" : "phone",
"value" : "(313) 555-5671",
"use" : "work"
}
],
"address" : {
"use" : "work",
"type" : "physical",
"line" : [
"869 W Oak Street"
],
"city" : "Royal Oak",
"district" : "Oakland County",
"state" : "MI",
"postalCode" : "48073"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "bu",
"display" : "Building"
}
]
}
},
"request" : {
"method" : "POST",
"url" : "Location"
}
},
{
"fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9",
"resource" : {
"resourceType" : "MedicationAdministration",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/medicationadministration-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationAdministration</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=\"StructureDefinition-medicationadministration-deqm.html\">DEQM MedicationAdministration Profile</a></p></div><p><b>status</b>: completed</p><p><b>medication</b>: heparin sodium, porcine 5000 UNT/ML Injectable Solution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1361615)</span></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>effective</b>: 2019-12-05 06:10:27+0000 --> 2019-12-05 06:10:27+0000</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style=\"display: none\">*</td><td>Subcutaneous route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#34206005)</span></td><td>1 cc<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></div>"
},
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "1361615",
"display" : "heparin sodium, porcine 5000 UNT/ML Injectable Solution"
}
]
},
"subject" : {
"reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"
},
"effectivePeriod" : {
"start" : "2019-12-05T06:10:27Z",
"end" : "2019-12-05T06:10:27Z"
},
"dosage" : {
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "34206005",
"display" : "Subcutaneous route"
}
]
},
"dose" : {
"value" : 1,
"unit" : "cc",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
}
},
"request" : {
"method" : "POST",
"url" : "MedicationAdministration"
}
}
]
}
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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