Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## : Bundle example

Raw xml | Download

    <Bundle xmlns="http://hl7.org/fhir">
      <id value="measurereport-bundle-example"/>
      <meta>
        <source value="http://example.org/fhir/server"/>
      </meta>
      <language value="en"/>
      <type value="transaction"/>
      <entry>
        <fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904"/>
        <resource>
          <MeasureReport>
            <id value="47709cc7-b3ec-4abc-9d26-3df3d3d57904"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testcase"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport 47709cc7-b3ec-4abc-9d26-3df3d3d57904</b></p><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a><a name="hc47709cc7-b3ec-4abc-9d26-3df3d3d57904"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cqm-testcase.html">CQM Test Case</a></p></div><p><b>Input parameters</b>: <a href="#hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters">Parameters: subject</a></p><p><b>CQM Test Case Description</b>: </p><div><p>Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.</p>
    </div><p><b>CQM Is Test Case</b>: true</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-EXM130-FHIR.html">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-12-31 --&gt; 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><p><b>code</b>: <span title="Codes:{http://example.org/fhir/ group-1}">group-1</span></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><p><b>evaluatedResource</b>: </p><ul><li><a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905">Organization DaVinciHospital01</a></li><li><a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></li><li><a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907">Practitioner Nia Akers </a></li><li><a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57908">Observation Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</a></li></ul><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Parameters #testcase-example-parameters</b></p><a name="47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters"> </a><a name="hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters"> </a><h2>Parameters</h2><table class="grid"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>
            </text>
            <contained>
              <Parameters>
                <id value="testcase-example-parameters"/>
                <parameter>
                  <name value="subject"/>
                  <valueString value="123"/>
                </parameter>
              </Parameters>
            </contained>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/cqf-inputParameters">
              <valueReference>
                <reference value="#testcase-example-parameters"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription">
              <valueMarkdown
                             value="Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources."/>
            </extension>
            <modifierExtension
                               url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase">
              <valueBoolean value="true"/>
            </modifierExtension>
            <status value="complete"/>
            <type value="individual"/>
            <measure value="http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR"/>
            <subject>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
            </subject>
            <date value="2019-03-14"/>
            <reporter>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
            </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>
              <code>
                <coding>
                  <system value="http://example.org/fhir/"/>
                  <code value="group-1"/>
                  <display value="group-1"/>
                </coding>
              </code>
              <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>
            <evaluatedResource>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
            </evaluatedResource>
            <evaluatedResource>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
            </evaluatedResource>
            <evaluatedResource>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
            </evaluatedResource>
            <evaluatedResource>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"/>
            </evaluatedResource>
          </MeasureReport>
        </resource>
        <request>
          <method value="POST"/>
          <url value="MeasureReport"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"/>
        <resource>
          <Organization>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789 (use: 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:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
        <resource>
          <Patient>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a><p class="res-header-id"><b>Generated Narrative: Patient </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known status of Patient">Deceased:</td><td>false</td></tr><tr><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">Married</span></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">7496 Beaver Ridge Ave Thornton NJ 07003 USA (home)</td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en-US}">English (Region=United States)</span> (preferred)</td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*."><a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html">US Core Birth Sex Extension</a></td><td colspan="3">F</td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

     - American Indian or Alaska Native
     - Asian
     - Black or African American
     - Native Hawaiian or Other Pacific Islander
     - White.">US Core Race Extension:</td><td colspan="3"><ul><li>text: White</li></ul></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="text">
                <valueString value="White"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
              <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://example.org/hospital/davinci"/>
              <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:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
        <resource>
          <Practitioner>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_null"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitioner.html">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number/1881665057 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: Female</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="1881665057"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Akers"/>
              <given value="Nia"/>
              <suffix value="MD"/>
            </name>
            <gender value="female"/>
          </Practitioner>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Practitioner"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"/>
        <resource>
          <Observation>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-simple-observation.html">QICore Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 77353-1}">Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</span></p><p><b>subject</b>: <a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href="Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907">Practitioner Nia Akers </a></p></div>
            </text>
            <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="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"/>
            </subject>
            <effectiveDateTime value="2018-06-22"/>
            <performer>
              <reference value="urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"/>
            </performer>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
    </Bundle>