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
<Parameters xmlns="http://hl7.org/fhir">
<id value="col-submit-collect-obs"/>
<meta>
<source value="http://example.org/fhir/server"/>
</meta>
<parameter>
<name value="measureReport"/>
<resource>
<MeasureReport>
<id value="datax-measurereport03"/>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"/>
</meta>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType">
<valueCode value="incremental"/>
</extension>
<status value="complete"/>
<type value="data-collection"/>
<measure
value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR"/>
<subject>
<reference value="Patient/patient03"/>
</subject>
<date value="2019-01-01T16:59:52.404Z"/>
<reporter>
<reference value="Organization/organization03"/>
</reporter>
<period>
<start value="2018-01-01"/>
<end value="2018-12-31"/>
</period>
<evaluatedResource>
<reference value="Observation/DNA-occultblood"/>
</evaluatedResource>
</MeasureReport>
</resource>
</parameter>
<parameter>
<name value="resource"/>
<resource>
<Patient>
<id value="patient03"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2019-02-07T18:47:34.000+00:00"/>
<source value="http://example.org/fhir/server"/>
<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">Virginia <b>HARTMAN </b></div><table class="hapiPropertyTable"><tbody><tr><td>Identifier</td><td>34567</td></tr><tr><td>Address</td><td><span>213 Lilac Ave. </span><br/><span>Freehold </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>12 September 1983</span></td></tr></tbody></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="2054-5"/>
<display value="Black or African American"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Black or African American"/>
</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="34567"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Hartman"/>
<given value="Virginia"/>
</name>
<gender value="female"/>
<birthDate value="1983-09-12"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<line value="213 Lilac Ave."/>
<city value="Freehold"/>
<state value="MI"/>
<postalCode value="48099"/>
<country value="USA"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="U"/>
<display value="unmarried"/>
</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/organization03"/>
</managingOrganization>
</Patient>
</resource>
</parameter>
<parameter>
<name value="resource"/>
<resource>
<Observation>
<id value="DNA-occultblood"/>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="77353-1"/>
<display
value="Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"/>
</coding>
</code>
<subject>
<reference value="Patient/patient03"/>
</subject>
<effectiveDateTime value="2018-06-22"/>
<performer>
<reference value="Practitioner/practitioner01"/>
</performer>
</Observation>
</resource>
</parameter>
<parameter>
<name value="resource"/>
<resource>
<Practitioner>
<id value="practitioner01"/>
<meta>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"/>
</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>
<Organization>
<id value="organization03"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2019-02-21T01:47:53.000+00:00"/>
<source value="http://example.org/fhir/server"/>
<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="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>
<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="DaVinciHospital03"/>
<telecom>
<system value="phone"/>
<value value="(+1) 201-555-1212"/>
</telecom>
<address>
<line value="94 Olive Ave."/>
<city value="Union City"/>
<state value="NJ"/>
<postalCode value="07087"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</parameter>
</Parameters>