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: Single Indv Mrp Task Report

Language: en;

Information Source: http://example.org/fhir/server

Bundle single-indv-mrp-task-report of type transaction

Entry 1 - fullUrl = urn:uuid:97e6dbd2-17f1-11ea-82fa-4ccc6a181ed3

Resource MeasureReport:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: DEQM Individual MeasureReport Profile

> DEQM Measure Scoring Extension: Proportion

> DEQM Certification Identifier Extension: `urn:oid:2.16.840.1.113883.3.2074.1`/0015HQN9BD3304E

> DEQM Reporting Vendor Extension: Organization DaVinciHospital02

> status: Complete

> type: Individual

> measure: MRP Measure version: 1.0.0-ballot

> subject: Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)

> date: 2018-09-05 16:59:52+0000

> reporter: Organization NOBLE HOSPITAL

> period: 2018-08-01 --> 2018-09-01

> improvementNotation: Increased score indicates improvement

> > group

> > Extension Definition for MeasureReport.group.linkId for Version 5.0: mpr-group

> > code: MRP Group

> > > population

> > > > id

> > > > initial-population

> > > Extension Definition for MeasureReport.group.population.linkId for Version 5.0: initial-population

> > > code: Initial Population

> > > count: 1

> > > population

> > > > id

> > > > numerator

> > > Extension Definition for MeasureReport.group.population.linkId for Version 5.0: numerator

> > > code: Numerator

> > > count: 1

> > > population

> > > > id

> > > > denominator

> > > Extension Definition for MeasureReport.group.population.linkId for Version 5.0: denominator

> > > code: Denominator

> > > count: 1

> evaluatedResource: Task Fulfill the focal request

Request:

    POST MeasureReport

Entry 2 - fullUrl = urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3

Resource Task:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: QICore Task

> identifier: `http://example.org/fhir/`/19009

> status: Completed

> intent: Plan

> priority: Routine

> code: Fulfill the focal request

> for: Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.; period = 1976-06-20 10:41:49-0700 --> 2018-04-29 10:41:49-0700

> executionPeriod: 2017-06-11 --> 2017-06-11

> authoredOn: 2018-09-25 14:24:23+0000

> owner: Practitioner Manuel446 Granados71

Request:

    POST Task

Entry 3 - fullUrl = urn:uuid:97e729ba-17f1-11ea-ae32-4ccc6a181ed3

Resource Coverage:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: QICore Coverage

> status: Active

> policyHolder: Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)

> subscriber: Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)

> subscriberId: A123456789

> beneficiary: Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)

> relationship: Self

Request:

    POST Coverage

Entry 4 - fullUrl = urn:uuid:97e750b6-17f1-11ea-89ea-4ccc6a181ed3

Resource Organization:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: QICore Organization

> identifier: Tax ID number/456789124 (use: official, )

> active: true

> name: DV Quality Measure Data Reporter

> ### Contacts

> - | Telecom | Address
> * | ph: (+1) 616-555-1212 | 160 Glen Eagles Road Grand Rapids MI 49503 USA

Request:

    POST Organization

Entry 5 - fullUrl = urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3

Resource Organization:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: QICore Organization

> identifier: Tax ID number/456789125 (use: official, )

> active: true

> type: Insurance Company

> name: DVPayer04

> ### Contacts

> - | Telecom | Address
> * | ph: (+1) 616-555-1212 | 160 Glen Eagles Road Grand Rapids MI 49503 USA

Request:

    POST Organization

Entry 6 - fullUrl = urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8

Resource Patient:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: QICore Patient

> Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( http://example.org#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)

> Marital Status: | M | Multiple Birth: | false
> Other Ids: | Medical Record Number/0156e3a9-c4e1-4c0a-a53e-03ce3984ac65 Social Security Number/999-61-8566 Driver's license Number/S99966861 Passport Number/X52208740X
> Alt. Name: | Debbie941 Funk324 (Name changed for Marriage)
> Contact Detail | ph: 555-755-4280(Home) 903 Wolff Ville Westfield MA 01085 US
> Language: | Portuguese
> US Core Ethnicity Extension: | ombCategory: CDC Race and Ethnicity: 2186-5 (Not Hispanic or Latino) text: Not Hispanic or Latino
> US Core Birth Sex Extension | F
> US Core Race Extension: | ombCategory: CDC Race and Ethnicity: 2106-3 (White) text: White

Request:

    POST Patient

Entry 7 - fullUrl = urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71

Resource Encounter:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: US Core Encounter Profile

> status: completed

> class: ambulatory

> type: Initial hospital care

> subject: Mrs. Debbie941 McDermott739

> serviceProvider: NOBLE HOSPITAL

> > participant

> ### Locations

> - | Location
> * | NOBLE HOSPITAL

Request:

    POST Encounter

Entry 8 - fullUrl = urn:uuid:0000016d-235f-39b3-0000-0000000000fa

Resource Practitioner:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: US Core Practitioner Profile

> identifier: United States National Provider Identifier/8984425297

> active: true

> name: Manuel446 Granados71

> telecom: Manuel446.Granados71@example.com

> gender: Male

> address: 115 WEST SILVER STREET WESTFIELD MA 01085 US

Request:

    POST Practitioner

Entry 9 - fullUrl = urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726

Resource Organization:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: US Core Organization Profile

> identifier: Provider number/8962255278 (use: official, )

> active: true

> type: Healthcare Provider

> name: NOBLE HOSPITAL

> ### Contacts

> - | Telecom | Address
> * | ph: 4135682811 | 115 WEST SILVER STREET WESTFIELD MA 01085 US

Request:

    POST Organization

Entry 10 - fullUrl = urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742

Resource Location:

> Language: en;

> Information Source: http://example.org/fhir/server

> Profile: US Core Location Profile

> status: Active

> name: NOBLE HOSPITAL

> address: 115 WEST SILVER STREET WESTFIELD MA 01085 US

> ### Positions

> - | Longitude | Latitude
> * | -72.755911 | 42.138838

> managingOrganization: NOBLE HOSPITAL

Request:

    POST Location