Data Exchange For Quality Measures Implementation Guide
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## : Single Indv Col Obs Report

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    {
      "resourceType" : "Bundle",
      "id" : "single-indv-col-obs-report",
      "meta" : {
        "source" : "http://example.org/fhir/server"
      },
      "language" : "en",
      "type" : "transaction",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904",
          "resource" : {
            "resourceType" : "MeasureReport",
            "id" : "47709cc7-b3ec-4abc-9d26-3df3d3d57904",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "extensions",
              "div" : "<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\">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-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a> version: 8.0.000</p><p><b>subject</b>: <a href=\"Bundle-single-indv-col-obs-report.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"Bundle-single-indv-col-obs-report.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>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: group-1</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>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-col-obs-report.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905\">Organization DaVinciHospital01</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                      "code" : "proportion"
                    }
                  ]
                }
              }
            ],
            "status" : "complete",
            "type" : "individual",
            "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000",
            "subject" : {
              "reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
            },
            "date" : "2019-03-14",
            "reporter" : {
              "reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"
            },
            "period" : {
              "start" : "2018-12-31",
              "end" : "2019-01-01"
            },
            "improvementNotation" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                  "code" : "increase",
                  "display" : "Increased score indicates improvement"
                }
              ]
            },
            "group" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
                    "valueString" : "group-1"
                  }
                ],
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://example.org/fhir/",
                      "code" : "group-1",
                      "display" : "group-1"
                    }
                  ]
                },
                "population" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "initial-population"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "initial-population",
                          "display" : "Initial Population"
                        }
                      ]
                    },
                    "count" : 1
                  },
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "numerator"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "numerator",
                          "display" : "Numerator"
                        }
                      ]
                    },
                    "count" : 1
                  },
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "denominator"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "denominator",
                          "display" : "Denominator"
                        }
                      ]
                    },
                    "count" : 1
                  },
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "denominator-exclusion"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "denominator-exclusion",
                          "display" : "Denominator Exclusion"
                        }
                      ]
                    },
                    "count" : 0
                  }
                ],
                "measureScore" : {
                  "value" : 1
                }
              }
            ],
            "evaluatedResource" : [
              {
                "reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "MeasureReport"
          }
        },
        {
          "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905",
          "resource" : {
            "resourceType" : "Organization",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0official,\u00a0)</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>"
            },
            "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"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Organization"
          }
        },
        {
          "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906",
          "resource" : {
            "resourceType" : "Patient",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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\u00a0(use:\u00a0usual,\u00a0))</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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                "valueCode" : "F"
              },
              {
                "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.smarthealthit.org",
                "value" : "67890"
              }
            ],
            "active" : true,
            "name" : [
              {
                "use" : "official",
                "family" : "Webster",
                "given" : [
                  "Thelma"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1948-04-28",
            "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
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Patient"
          }
        },
        {
          "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907",
          "resource" : {
            "resourceType" : "Practitioner",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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/STU7.0.1/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number/4056045469\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: Female</p></div>"
            },
            "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" : "4056045469"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "Akers",
                "given" : [
                  "Nia"
                ],
                "suffix" : [
                  "MD"
                ]
              }
            ],
            "gender" : "female"
          },
          "request" : {
            "method" : "POST",
            "url" : "Practitioner"
          }
        },
        {
          "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908",
          "resource" : {
            "resourceType" : "Observation",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<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/STU7.0.1/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-single-indv-col-obs-report.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href=\"Bundle-single-indv-col-obs-report.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Practitioner Nia Akers </a></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory",
                    "display" : "Laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "77353-1",
                  "display" : "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
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