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

## : Single Indv Vte Report Option 1

Raw xml | Download

    <Bundle xmlns="http://hl7.org/fhir">
      <id value="single-indv-vte-report-option1"/>
      <meta>
        <source value="http://example.org/fhir/server"/>
      </meta>
      <language value="en"/>
      <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/uv/deqm/StructureDefinition/deqm-individualmeasurereport"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4</b></p><a name="b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </a><a name="hcb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </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">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-deqm-individualmeasurereport.html">DEQM Individual MeasureReport Profile</a></p></div><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/uv/cqm/2026May/Measure-EXM108-FHIR.html">EXM108 - Venous Thromboembolism Prophylaxis</a> version: 8.2.000</p><p><b>subject</b>: <a href="Bundle-single-indv-vte-report-option1.html#urn-uuid-b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">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-single-indv-vte-report-option1.html#urn-uuid-b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5">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>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: group-1</p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: initial-population</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>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: numerator</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>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator</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>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator-exclusion</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>: <a href="Bundle-single-indv-vte-report-option1.html#urn-uuid-b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5">Organization DaVinciHospital01</a></p></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-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/uv/cqm/Measure/EXM108-FHIR|8.2.000"/>
            <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>
              <extension
                         url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId">
                <valueString value="group-1"/>
              </extension>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="initial-population"/>
                </extension>
                <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>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="numerator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                    <display value="Numerator"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                    <display value="Denominator"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator-exclusion"/>
                </extension>
                <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:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"/>
            </evaluatedResource>
          </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/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/STU7.0.1/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: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>
            <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/STU7.0.1/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>ombCategory: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity: 2186-5</a> (Not Hispanic or Latino)</li><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/STU7/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>ombCategory: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity: 2106-3</a> (White)</li><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="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://example.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>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_null"> </a><p class="res-header-id"><b>Generated Narrative: Encounter </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/STU7.0.1/StructureDefinition-qicore-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 32485007}">Hospital admission</span></p><p><b>subject</b>: <a href="Bundle-single-indv-vte-report-option1.html#urn-uuid-b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></p><p><b>period</b>: 2018-07-19 06:10:27+0000 --&gt; 2018-07-19 06:10:27+0000</p><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-single-indv-vte-report-option1.html#urn-uuid-b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8">Mother Charity Hospital</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>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_null"> </a><p class="res-header-id"><b>Generated Narrative: Location </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></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt

    This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:

    Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

    This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:1.2.3.4.181 (use: 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="urn:ietf:rfc:3986"/>
              <value value="urn:oid: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>
    </Bundle>