Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3
Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3
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 
{
"resourceType" : "Parameters",
"id" : "mrp-submit-obs",
"meta" : {
"source" : "http://example.org/fhir/server"
},
"parameter" : [
{
"name" : "measureReport",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "datax-measurereport02",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2018-09-05T16:59:53.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-submitDataUpdateType",
"valueCode" : "incremental"
}
],
"status" : "complete",
"type" : "data-collection",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "Patient/patient02"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "Organization/organization01"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"evaluatedResource" : [
{
"reference" : "Observation/observation01"
}
]
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Patient",
"id" : "patient01",
"meta" : {
"versionId" : "5",
"lastUpdated" : "2019-02-11T14:19:25.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
},
{
"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" : "12345"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Webster",
"given" : [
"Jairo"
]
}
],
"gender" : "male",
"birthDate" : "1946-12-16",
"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
}
],
"managingOrganization" : {
"reference" : "Organization/organization01"
}
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Observation",
"id" : "observation01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://example.org/CodeSystem/observation-category",
"code" : "measure",
"display" : "Measure"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"subject" : {
"reference" : "Patient/patient01"
},
"encounter" : {
"reference" : "Encounter/encounter01"
},
"effectiveDateTime" : "2018-09-29T14:15:04.424Z",
"issued" : "2018-09-29T14:15:04.424Z",
"performer" : [
{
"reference" : "Practitioner/practitioner01"
}
],
"valueBoolean" : true
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"
]
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN",
"display" : "Provider number"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "456789123"
}
],
"active" : true,
"name" : [
{
"family" : "Hale",
"given" : [
"Cody"
],
"suffix" : [
"MD"
]
}
],
"gender" : "male"
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Encounter",
"id" : "encounter01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
]
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "56876005",
"display" : "Drug rehabilitation and detoxification"
}
]
}
],
"subject" : {
"reference" : "Patient/patient01",
"display" : "Jairo Webster"
},
"period" : {
"start" : "2018-05-29T11:00:00-04:00",
"end" : "2018-05-29T11:00:00-04:00"
},
"hospitalization" : {
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "home",
"display" : "Home"
}
]
}
}
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Coverage",
"id" : "coverage01",
"meta" : {
"versionId" : "2",
"lastUpdated" : "2019-02-11T14:19:25.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
]
},
"status" : "active",
"policyHolder" : {
"reference" : "Patient/patient01"
},
"subscriber" : {
"reference" : "Patient/patient01"
},
"subscriberId" : "A123456789",
"beneficiary" : {
"reference" : "Patient/patient01"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self"
}
]
},
"payor" : [
{
"reference" : "Organization/organization04"
}
]
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Location",
"id" : "location01",
"meta" : {
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
]
},
"name" : "DaVinciClinic01",
"address" : {
"line" : [
"102 Heritage Dr."
],
"city" : "Somerset",
"state" : "NJ",
"postalCode" : "08873",
"country" : "USA"
}
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Organization",
"id" : "organization01",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2019-02-21T01:47:54.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
]
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.4",
"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"
}
]
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Organization",
"id" : "organization02",
"meta" : {
"versionId" : "3",
"lastUpdated" : "2019-03-06T19:03:03.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
]
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.4",
"value" : "234567891",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "DaVinciHospital02",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 551-555-1212"
}
],
"address" : [
{
"line" : [
"3 Sherwood St."
],
"city" : "Englewood",
"state" : "NJ",
"postalCode" : "07631",
"country" : "USA"
}
]
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Organization",
"id" : "organization04",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2019-03-06T19:03:03.000+00:00",
"source" : "http://example.org/fhir/server",
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
]
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax ID number"
}
]
},
"system" : "urn:oid:2.16.840.1.113883.4.4",
"value" : "456789123",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "ins",
"display" : "Insurance Company"
}
]
}
],
"name" : "DVPayer04",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 616-555-1212"
}
],
"address" : [
{
"line" : [
"160 Glen Eagles Road"
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "USA"
}
]
}
}
]
}
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#3.0.0 based on FHIR 4.0.1. Generated 2021-06-21
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