Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5 United States of America flag

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) 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

: Mrp Submit Obs - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "mrp-submit-obs",
  "parameter" : [
    {
      "name" : "bundle",
      "resource" : {
        "resourceType" : "Bundle",
        "type" : "collection",
        "entry" : [
          {
            "fullUrl" : "https://example.com/MeasureReport/datax-measurereport01",
            "resource" : {
              "resourceType" : "MeasureReport",
              "id" : "datax-measurereport01",
              "meta" : {
                "versionId" : "1",
                "lastUpdated" : "2018-09-05T16:59:53.000+00:00",
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
                ]
              },
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType",
                  "valueCode" : "incremental"
                }
              ],
              "status" : "complete",
              "type" : "data-collection",
              "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example|5.0.0",
              "subject" : {
                🔗 "reference" : "Patient/patient01"
              },
              "date" : "2018-09-05T16:59:52.404Z",
              "reporter" : {
                🔗 "reference" : "Organization/organization01"
              },
              "period" : {
                "start" : "2018-08-01",
                "end" : "2018-09-01"
              },
              "evaluatedResource" : [
                {
                  🔗 "reference" : "Observation/observation01"
                }
              ]
            }
          },
          {
            "fullUrl" : "https://example.com/Patient/patient01",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "patient01",
              "meta" : {
                "versionId" : "5",
                "lastUpdated" : "2019-02-11T14:19:25.000+00:00",
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
                ]
              },
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Jairo <b>WEBSTER </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>7496 Beaver Ridge Ave </span><br/><span>Thornton </span><span>NJ </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 December 1946</span></td></tr></tbody></table></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"
              }
            }
          },
          {
            "fullUrl" : "https://example.com/Observation/observation01",
            "resource" : {
              "resourceType" : "Observation",
              "id" : "observation01",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"
                ]
              },
              "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" : "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
            }
          },
          {
            "fullUrl" : "https://example.com/Practitioner/practitioner01",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "practitioner01",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
                ]
              },
              "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" : "1234567893"
                }
              ],
              "active" : true,
              "name" : [
                {
                  "family" : "Hale",
                  "given" : [
                    "Cody"
                  ],
                  "suffix" : [
                    "MD"
                  ]
                }
              ],
              "gender" : "male"
            }
          },
          {
            "fullUrl" : "https://example.com/Encounter/encounter01",
            "resource" : {
              "resourceType" : "Encounter",
              "id" : "encounter01",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
                ]
              },
              "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"
                    }
                  ]
                }
              }
            }
          },
          {
            "fullUrl" : "https://example.com/Coverage/coverage01",
            "resource" : {
              "resourceType" : "Coverage",
              "id" : "coverage01",
              "meta" : {
                "versionId" : "2",
                "lastUpdated" : "2019-02-11T14:19:25.000+00:00",
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
                ]
              },
              "status" : "active",
              "policyHolder" : {
                🔗 "reference" : "Patient/patient01"
              },
              "subscriber" : {
                🔗 "reference" : "Patient/patient01"
              },
              "subscriberId" : "A123456789",
              "beneficiary" : {
                🔗 "reference" : "Patient/patient01"
              },
              "relationship" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                    "code" : "self"
                  }
                ]
              },
              "payor" : [
                {
                  🔗 "reference" : "Organization/organization04"
                }
              ]
            }
          },
          {
            "fullUrl" : "https://example.com/Location/location01",
            "resource" : {
              "resourceType" : "Location",
              "id" : "location01",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
                ]
              },
              "identifier" : [
                {
                  "use" : "temp",
                  "system" : "http://exampleoflocation.com",
                  "value" : "DaVinciClinic01"
                }
              ],
              "name" : "DaVinciClinic01",
              "address" : {
                "line" : [
                  "102 Heritage Dr."
                ],
                "city" : "Somerset",
                "state" : "NJ",
                "postalCode" : "08873",
                "country" : "USA"
              }
            }
          },
          {
            "fullUrl" : "https://example.com/Organization/organization01",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "organization01",
              "meta" : {
                "versionId" : "4",
                "lastUpdated" : "2019-02-21T01:47:54.000+00:00",
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
                ]
              },
              "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"
                }
              ]
            }
          },
          {
            "fullUrl" : "https://example.com/Organization/organization02",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "organization02",
              "meta" : {
                "versionId" : "3",
                "lastUpdated" : "2019-03-06T19:03:03.000+00:00",
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
                ]
              },
              "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"
                }
              ]
            }
          },
          {
            "fullUrl" : "https://example.com/Organization/organization04",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "organization04",
              "meta" : {
                "versionId" : "4",
                "lastUpdated" : "2019-03-06T19:03:03.000+00:00",
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
                ]
              },
              "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" : "456789123",
                  "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"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}