Data Exchange For Quality Measures STU2 for FHIR R4 Implementation Guide (Release 1.1.0 STU2 Ballot)

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

JSON Format: Bundle-single-indv-vte-report

Download Raw json

{
  "resourceType" : "Bundle",
  "id" : "single-indv-vte-report",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4",
      "resource" : {
        "resourceType" : "MeasureReport",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </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/Measure/measure-vte-1-FHIR\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR</a></p><p><b>subject</b>: <a href=\"urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6</a></p><p><b>date</b>: Mar 14, 2019 12:00:00 AM</p><p><b>reporter</b>: <a href=\"urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5\">urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5</a></p><p><b>period</b>: Dec 31, 2018 12:00:00 AM --&gt; Jan 1, 2019 12:00:00 AM</p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'numerator' = 'numerator', given as 'Numerator'})</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'denominator' = 'denominator', given as 'Denominator'})</span></p></blockquote><p><b>measureScore</b>: 100</p></blockquote></div>"
        },
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-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"
        },
        "group" : [
          {
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://fhir/example.org",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://fhir/example.org",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                }
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://fhir/example.org",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                }
              }
            ],
            "measureScore" : {
              "value" : 100
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5",
      "resource" : {
        "resourceType" : "Organization",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</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:2.16.840.1.113883.4.2",
            "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" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number = 67890 (USUAL)</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\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'en-US' = 'English (Region=United States)', given as 'English (Region=United States)'})</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" : {
          "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 with Details</b></p><p><b>meta</b>: </p><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\">(Details : {SNOMED CT code '32485007' = 'Hospital admission', given as 'Hospital admission'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6</a></p><p><b>period</b>: Jul 19, 2018 6:10:27 AM --&gt; Jul 19, 2018 6:10:27 AM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"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",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>identifier</b>: 1.2.3.4.181 (OFFICIAL)</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\">(Details : {http://terminology.hl7.org/CodeSystem/location-physical-type code 'bu' = 'Building', given as 'Building'})</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",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>status</b>: completed</p><p><b>medication</b>: heparin sodium, porcine 5000 UNT per 0.5 ML Injection <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '1658634' = 'eparin sodium, porcine 5000 UNT in 0.5 ML Injection', given as 'heparin sodium, porcine 5000 UNT per 0.5 ML Injection'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6</a></p><p><b>effective</b>: Dec 5, 2019 6:10:27 AM --&gt; Dec 5, 2019 6:10:27 AM</p><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td>*</td><td>Subcutaneous route <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '34206005' = 'Subcutaneous route', given as 'Subcutaneous route'})</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" : "1658634",
              "display" : "heparin sodium, porcine 5000 UNT per 0.5 ML Injection"
            }
          ]
        },
        "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" : "Encounter"
      }
    }
  ]
}