Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## Example Bundle: Additional Supplemental Data Example - Patient Bundle

Language: en

Bundle sde-example-patient-data-bundle of type transaction

Entry 1 - fullUrl = urn:uuid:050deac6-0544-43df-bff9-7506f8687469

Resource Patient:

> Language: en

> Profile: QICore Patient

> Jane E. Doe Female, DoB: 1987-02-19 ( http://example.org#patient04)

> Active: | true
> US Core Ethnicity Extension: | ombCategory: CDC Race and Ethnicity: 2135-2 (Hispanic or Latino) detailed: CDC Race and Ethnicity: 2184-0 (Dominican) detailed: CDC Race and Ethnicity: 2148-5 (Mexican) text: Hispanic or Latino
> US Core Race Extension: | ombCategory: CDC Race and Ethnicity: 2106-3 (White) ombCategory: CDC Race and Ethnicity: 1002-5 (American Indian or Alaska Native) ombCategory: CDC Race and Ethnicity: 2028-9 (Asian) detailed: CDC Race and Ethnicity: 1586-7 (Shoshone) detailed: CDC Race and Ethnicity: 2036-2 (Filipino) text: Mixed

Request:

    PUT Patient/patient04

Entry 2 - fullUrl = urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369

Resource Encounter:

> Language: en

> Profile: QICore Encounter

> status: completed

> class: inpatient encounter

> type: Encounter for problem (procedure)

> subject: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))

> ### Diagnoses

> - | Condition | Use
> * | No display for Encounter.diagnosis.condition (reference: ->Condition: clinicalStatus = Active; verificationStatus = Confirmed; category = Encounter Diagnosis; onset[x] = 2022-01-08 11:00:00+0000) | Chief complaint

> ### Locations

> - | Location
> * | Location DaVinciClinic01

Request:

    PUT Encounter/encounter04

Entry 3 - fullUrl = urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037

Resource MedicationRequest:

> Language: en

> Profile: US Core MedicationRequest Profile

> status: Active

> intent: Proposal

> subject: Jane E. Doe

> encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000

> authoredOn: 2022-01-01

> requester: Practitioner Ronald Bone

Request:

    PUT MedicationRequest/nhsn-iip-add101

Entry 4 - fullUrl = urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c

Resource MedicationRequest:

> Language: en

> Profile: US Core MedicationRequest Profile

> identifier: `http://example.org`/336609269 (use: usual, )

> status: Active

> intent: Proposal

> category: Inpatient

> subject: Amy Shaw

> encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000

> authoredOn: 2022-01-15 16:50:26+0000

> requester: Practitioner Ronald Bone

> recorder: Practitioner Emile Zieme(official)

> courseOfTherapyType: Short course (acute) therapy

> > dosageInstruction

> > timing: Code , Once per 1 day

> > > doseAndRate

> > > type: calculated

> > > dose: 1 mg (Details: UCUM codemg = 'mg')

> > > doseAndRate

> > > type: ordered

> > > dose: 1 mg (Details: UCUM codemg = 'mg')

Request:

    PUT MedicationRequest/nhsn-iip-add101-10

Entry 5 - fullUrl = urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc

Resource ServiceRequest:

> Language: en

> identifier: Placer/2345234234234

> status: Active

> intent: Original Order

> code: No display for ServiceRequest.code (concept: Lipid panel with direct LDL - Serum or Plasma)

> subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

> encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --> 2022-01-31 08:00:00+0000

> occurrence: 2013-05-02 16:16:00-0700

> supportingInfo: No display for ServiceRequest.supportingInfo (reference: ->Fasting status)

> specimen: Serum specimen

> note:

> > patient is afraid of needles

> > status: Final

> > code: Fasting status - Reported

> > subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

> > effective: 2022-01-01 09:30:10+0100 --> (ongoing)

> > performer: Organization DaVinciHospital01

> > value: Yes

> > identifier: `http://acme.org/specimens`/20150107-0012

> > type: Serum sample

> > subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

> > ### Collections

> > - | Collected[x]
> > * | 2015-08-16 06:40:17+0000

Request:

    PUT ServiceRequest/nhsn-iip-sr-sde

Entry 6 - fullUrl = urn:uuid:b7075a17-98a5-429b-a464-3da906001492

Resource Location:

> Language: en

> type: Radiation oncology unit

Request:

    PUT Location/nhsn-iip-loc101

Entry 7 - fullUrl = urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69

Resource Condition:

> Language: en

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Encounter Diagnosis

> subject: Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)

> onset: 2022-01-08

Request:

    PUT Condition/condition04