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

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

Download Raw xml


<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-indv-vte-report"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"/>
    <resource>
      <MeasureReport>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR"/>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <date value="2019-03-14"/>
        <reporter>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"/>
        </reporter>
        <period>
          <start value="2018-12-31"/>
          <end value="2019-01-01"/>
        </period>
        <group>
          <population>
            <code>
              <coding>
                <system value="http://fhir/example.org"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
          </population>
          <population>
            <code>
              <coding>
                <system value="http://fhir/example.org"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
          </population>
          <population>
            <code>
              <coding>
                <system value="http://fhir/example.org"/>
                <code value="denominator"/>
                <display value="Denominator"/>
              </coding>
            </code>
          </population>
          <measureScore>
            <value value="100"/>
          </measureScore>
        </group>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"/>
    <resource>
      <Organization>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </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:2.16.840.1.113883.4.2"/>
          <value value="123456789"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="DaVinciHospital01"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 401-555-1212"/>
        </telecom>
        <address>
          <line value="73 Lakewood Street"/>
          <city value="Warwick"/>
          <state value="RI"/>
          <postalCode value="02886"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
    <resource>
      <Patient>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <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>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="67890"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Webster"/>
          <given value="Thelma"/>
        </name>
        <gender value="female"/>
        <birthDate value="1948-04-28"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="7496 Beaver Ridge Ave"/>
          <city value="Thornton"/>
          <state value="NJ"/>
          <postalCode value="07003"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (Region=United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7"/>
    <resource>
      <Encounter>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="32485007"/>
            <display value="Hospital admission"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <period>
          <start value="2018-07-19T06:10:27Z"/>
          <end value="2018-07-19T06:10:27Z"/>
        </period>
        <location>
          <location>
            <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8"/>
            <display value="Mother Charity Hospital"/>
          </location>
        </location>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8"/>
    <resource>
      <Location>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <use value="official"/>
          <system value="http://www.hl7.org/oid/"/>
          <value value="1.2.3.4.181"/>
        </identifier>
        <status value="active"/>
        <name value="Mother Charity Hospital"/>
        <mode value="instance"/>
        <telecom>
          <system value="phone"/>
          <value value="(313) 555-5671"/>
          <use value="work"/>
        </telecom>
        <address>
          <use value="work"/>
          <type value="physical"/>
          <line value="869 W Oak Street"/>
          <city value="Royal Oak"/>
          <district value="Oakland County"/>
          <state value="MI"/>
          <postalCode value="48073"/>
        </address>
        <physicalType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
            <code value="bu"/>
            <display value="Building"/>
          </coding>
        </physicalType>
      </Location>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Location"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9"/>
    <resource>
      <MedicationAdministration>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1658634"/>
            <display
                     value="heparin sodium, porcine 5000 UNT per 0.5 ML Injection"/>
          </coding>
        </medicationCodeableConcept>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <effectivePeriod>
          <start value="2019-12-05T06:10:27Z"/>
          <end value="2019-12-05T06:10:27Z"/>
        </effectivePeriod>
        <dosage>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34206005"/>
              <display value="Subcutaneous route"/>
            </coding>
          </route>
          <dose>
            <value value="1"/>
            <unit value="cc"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
</Bundle>