Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America flag

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 4.0.0 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

: Single Indv Vte Report Option 1 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-indv-vte-report-option1"/>
  <meta>
    <source value="http://example.org/fhir/server"/>
  </meta>
  <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/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </a><p><b>Generated Narrative: MeasureReport</b><a name="b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </a><a name="hcb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4"> </a></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">Resource MeasureReport &quot;b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#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/us/cqfmeasures/STU4/Measure-EXM108-FHIR.html">EXM108 - Venous Thromboembolism Prophylaxis</a></p><p><b>subject</b>: See on this page: urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6</p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: See on this page: urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5</p><p><b>period</b>: 2018-12-31 --&gt; 2019-01-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: See on this page: urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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/us/cqfmeasures/Measure/EXM108-FHIR"/>
        <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>
          <population>
            <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>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator"/>
                <display value="Denominator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population>
            <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>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p><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">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/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>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-organization-type.html">Organization type</a>#prov)</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>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a><p><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">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = 'White', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number/67890 (use: usual)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (Official)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (home)</p><p><b>maritalStatus</b>: Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>English (Region=United States) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</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://hospital.davinci.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>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_null"> </a><p><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">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Hospital admission <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#32485007)</span></p><p><b>subject</b>: See on this page: urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6</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>See on this page: urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8: Mother Charity Hospital</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>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_null"> </a><p><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">Information Source: http://example.org/fhir/server!</p></div><p><b>identifier</b>: <code>http://www.hl7.org/oid/</code>/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>: Building <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-location-physical-type.html">Location type</a>#bu)</span></p></div>
        </text>
        <identifier>
          <use value="official"/>
          <system value="http://www.hl7.org/oid/"/>
          <value value="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>
  <entry>
    <fullUrl value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9"/>
    <resource>
      <MedicationAdministration>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/medicationadministration-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_null"> </a><p><b>Generated Narrative: MedicationAdministration</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">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medicationadministration-deqm.html">DEQM MedicationAdministration Profile</a></p></div><p><b>status</b>: completed</p><p><b>medication</b>: heparin sodium, porcine 5000 UNT/ML Injectable Solution <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#1361615)</span></p><p><b>subject</b>: See on this page: urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6</p><p><b>effective</b>: 2019-12-05 06:10:27+0000 --&gt; 2019-12-05 06:10:27+0000</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td><td><b>Dose</b></td></tr><tr><td style="display: none">*</td><td>Subcutaneous route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#34206005)</span></td><td>1 cc<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span></td></tr></table></div>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1361615"/>
            <display
                     value="heparin sodium, porcine 5000 UNT/ML Injectable Solution"/>
          </coding>
        </medicationCodeableConcept>
        <subject>
          <reference value="urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"/>
        </subject>
        <effectivePeriod>
          <start value="2019-12-05T06:10:27Z"/>
          <end value="2019-12-05T06:10:27Z"/>
        </effectivePeriod>
        <dosage>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="34206005"/>
              <display value="Subcutaneous route"/>
            </coding>
          </route>
          <dose>
            <value value="1"/>
            <unit value="cc"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </dose>
        </dosage>
      </MedicationAdministration>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MedicationAdministration"/>
    </request>
  </entry>
</Bundle>