This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.0.0: STU 3) 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
<Bundle xmlns="http://hl7.org/fhir">
<id value="single-indv-vte-report-option7"/>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"/>
<resource>
<MeasureReport>
<id value="b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"/>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>DEQM Measure Scoring Extension</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">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/Measure/measure-vte-1-FHIR">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-vte-1-FHIR</a></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (Patient/null)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5">See above (Organization/null)</a></p><p><b>period</b>: 2018-12-31 --> 2019-01-01</p><p><b>improvementNotation</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<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>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
<display value="Denominator Exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<measureScore>
<value value="1"/>
</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>
<source value="http://example.org/fhir/server"/>
<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</b></p><p><b>identifier</b>: Tax ID number: 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">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:2.16.840.1.113883.4.4"/>
<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>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2106-3}">White</span></p><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: <span title="{urn:oid:2.16.840.1.113883.6.238 2186-5}">Not Hispanic or Latino</span></p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><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>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">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><span title="Codes: {urn:ietf:bcp:47 en-US}">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>
<source value="http://example.org/fhir/server"/>
<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</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span></p><p><b>type</b>: <span title="Codes: {http://snomed.info/sct 32485007}">Hospital admission</span></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (Patient/null)</a></p><p><b>period</b>: Jul 19, 2018 6:10:27 AM --> 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="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8">Mother Charity Hospital. Generated Summary: id: 1.2.3.4.181 (OFFICIAL); status: active; name: Mother Charity Hospital; mode: instance; Phone: (313) 555-5671; <span title="Codes: {http://terminology.hl7.org/CodeSystem/location-physical-type bu}">Building</span></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>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 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>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/location-physical-type bu}">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:b539747a-ca48-11ea-87d0-0242ac130003"/>
<resource>
<Practitioner>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082583 (SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>
</text>
<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="345678912"/>
<assigner>
<display value="www.cms.gov"/>
</assigner>
</identifier>
<identifier>
<use value="secondary"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.336"/>
<value value="082583"/>
<assigner>
<display value="www.cms.gov"/>
</assigner>
</identifier>
<name>
<family value="Bone"/>
<given value="Ronald"/>
<prefix value="Dr"/>
</name>
<address>
<use value="home"/>
<line value="1003 Healthcare Drive"/>
<city value="Amherst"/>
<state value="MA"/>
<postalCode value="01002"/>
</address>
</Practitioner>
</resource>
<request>
<method value="POST"/>
<url value="Practitioner"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9"/>
<resource>
<MedicationRequest>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: <span title="Codes: ">Warfarin Value Set</span></p><p><b>subject</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">See above (Patient/null)</a></p><p><b>encounter</b>: <a href="#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7">See above (Encounter/null)</a></p><p><b>authoredOn</b>: Dec 5, 2019 6:10:27 AM</p><p><b>requester</b>: <a href="#urnuuidb539747a-ca48-11ea-87d0-0242ac130003">See above (Practitioner/null)</a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 182895007}">Drug declined by patient (situation)</span></p></div>
</text>
<status value="completed"/>
<intent value="order"/>
<doNotPerform value="true"/>
<medicationCodeableConcept>
<coding>
<extension
url="http://hl7.org/fhir/StructureDefinition/valueset-reference">
<valueUri
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.232"/>
</extension>
</coding>
<text value="Warfarin Value Set"/>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
</subject>
<encounter>
<reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7"/>
</encounter>
<authoredOn value="2019-12-05T06:10:27Z"/>
<requester>
<reference value="urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="182895007"/>
<display value="Drug declined by patient (situation)"/>
</coding>
</reasonCode>
</MedicationRequest>
</resource>
<request>
<method value="POST"/>
<url value="MedicationRequest"/>
</request>
</entry>
</Bundle>