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: Parameters-mrp-submit-obs

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="mrp-submit-obs"/>
  <parameter>
    <name value="measure-report"/>
    <resource>
      <MeasureReport>
        <id value="datax-measurereport02"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2018-09-05T16:59:53.000+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-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>id</b>: datax-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: </p><p><b>measure</b>: <a href="Measure-measure-mrp.html">Generated Summary: id: measure-mrp; url: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp; status: active; date: Oct 3, 2019, 2:54:52 AM; <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span></a></p><p><b>patient</b>: <a href="Patient-patient02.html">Generated Summary: id: patient02; Medical record number = 23456 (USUAL); active; Darien Bernard (OFFICIAL); gender: male; birthDate: Jun 13, 1967; <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reportingOrganization</b>: <a href="Organization-organization01.html">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><p><b>evaluatedResource</b>:  <a href="Observation-observation01.html">Generated Summary: id: observation01; status: final; active; code: Medication Reconciliation (Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'}); value: true</a></p></div>
        </text>
        <status value="complete"/>
        <type value="data-collection"/>
        <measure
                 value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example"/>
        <subject>
          <reference value="Patient/patient02"/>
        </subject>
        <date value="2018-09-05T16:59:52.404Z"/>
        <reporter>
          <reference value="Organization/organization01"/>
        </reporter>
        <period>
          <start value="2018-08-01"/>
          <end value="2018-09-01"/>
        </period>
        <evaluatedResource>
          <reference value="Observation/observation01"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Patient>
        <id value="patient01"/>
        <meta>
          <versionId value="5"/>
          <lastUpdated value="2019-02-11T14:19:25.000+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="M"/>
        </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="12345"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Webster"/>
          <given value="Jairo"/>
        </name>
        <gender value="male"/>
        <birthDate value="1946-12-16"/>
        <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>
        <managingOrganization>
          <reference value="Organization/organization01"/>
        </managingOrganization>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Observation>
        <id value="observation01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"/>
        </meta>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://acme.org/observation-category"/>
            <code value="measure"/>
            <display value="Measure"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="1111F"/>
            <display value="Medication Reconciliation"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient01"/>
        </subject>
        <encounter>
          <reference value="Encounter/Encounter01"/>
        </encounter>
        <effectiveDateTime value="2018-09-29T14:15:04.424Z"/>
        <issued value="2018-09-29T14:15:04.424Z"/>
        <performer>
          <reference value="Practitioner/practitioner01"/>
        </performer>
        <valueBoolean value="true"/>
      </Observation>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Practitioner>
        <id value="practitioner01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
        </meta>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="456789123"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Hale"/>
          <given value="Cody"/>
          <suffix value="MD"/>
        </name>
        <gender value="male"/>
      </Practitioner>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Encounter>
        <id value="Encounter01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <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="56876005"/>
            <display value="Drug rehabilitation and detoxification"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/patient01"/>
          <display value="Natalie Huff Walter"/>
        </subject>
        <period>
          <start value="2018-05-29T11:00:00-04:00"/>
          <end value="2018-05-29T11:00:00-04:00"/>
        </period>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="Home"/>
            </coding>
          </dischargeDisposition>
        </hospitalization>
      </Encounter>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Coverage>
        <id value="coverage01"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2019-02-11T14:19:25.000+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"/>
        </meta>
        <status value="active"/>
        <policyHolder>
          <reference value="Patient/patient01"/>
        </policyHolder>
        <subscriber>
          <reference value="Patient/patient01"/>
        </subscriber>
        <subscriberId value="A123456789"/>
        <beneficiary>
          <reference value="Patient/patient01"/>
        </beneficiary>
        <relationship>
          <coding>
            <code value="self"/>
          </coding>
        </relationship>
        <payor>
          <reference value="Organization/organization04"/>
        </payor>
      </Coverage>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Location>
        <id value="location01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <name value="DaVinciClinic01"/>
        <address>
          <line value="102 Heritage Dr."/>
          <city value="Somerset"/>
          <state value="NJ"/>
          <postalCode value="08873"/>
          <country value="USA"/>
        </address>
      </Location>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Organization>
        <id value="organization01"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-02-21T01:47:54.000+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <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>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Organization>
        <id value="organization02"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2019-03-06T19:03:03.000+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <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="234567891"/>
          <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="DaVinciHospital02"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 551-555-1212"/>
        </telecom>
        <address>
          <line value="3 Sherwood St."/>
          <city value="Englewood"/>
          <state value="NJ"/>
          <postalCode value="07631"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Organization>
        <id value="organization04"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-03-06T19:03:03.000+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <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="456789123"/>
          <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>
  </parameter>
</Parameters>