Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Example Bundle: Additional Supplemental Data Example - Patient Bundle

Generated Narrative: Bundle sde-example-patient-data-bundle

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


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

Resource Patient:

Generated Narrative: Patient patient04

Jane E. Doe Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#patient04)


Active:true
US Core Ethnicity Extension:
US Core Race Extension:

Request:

PUT Patient/patient04

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

Resource Encounter:

Generated Narrative: Encounter encounter04

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

-ConditionUse
*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:

Generated Narrative: MedicationRequest nhsn-iip-add101

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:

Generated Narrative: MedicationRequest nhsn-iip-add101-10

version: 1; Last updated: 2022-06-30 06:15:09+0000;

Information Source: #04ea320cd2709af0

identifier: urn:oid:1.2.840.114350.1.13.310.3.7.2.798268/336609269 (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 days

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:

Generated Narrative: ServiceRequest nhsn-iip-sr-sde

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 ( urn:oid:2.16.840.1.113883.6.1000#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


Generated Narrative: Observation #fasting

status: Final

code: Fasting status - Reported

subject: Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)

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

performer: Organization DaVinciHospital01

value: Yes


Generated Narrative: Specimen #serum

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

type: Serum sample

subject: Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#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:

Generated Narrative: Location nhsn-iip-loc101

type: Radiation oncology unit

Request:

PUT Location/nhsn-iip-loc101

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

Resource Condition:

Generated Narrative: Condition condition04

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

subject: Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)

onset: 2022-01-08

Request:

PUT Condition/condition04