example
definition
of
EMB
code
30110
(from
Example
MeasureReport
for
a
german
billing
system)
single
patient
{
"resourceType": "ChargeItemDefinition",
"id": "ebm",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ebm</p><p><b>url</b>: <b>http://fhir.de/ChargeItemDefinition/kbv/ebm-30110</b></p><p><b>version</b>: 2-2018</p><p><b>status</b>: active</p><p><b>description</b>: Allergologisch-diagnostischer Komplex zur Diagnostik und/oder zum Ausschluss einer (Kontakt-)Allergie vom Spättyp (Typ IV), einschl. Kosten</p><p><b>effectivePeriod</b>: 01/04/2018 --> 30/06/2018</p><p><b>code</b>: Allergologiediagnostik I <span>(Details : {http://fhir.de/CodingSystem/kbv/ebm code '30110' = '30110', given as 'Allergologiediagnostik I'})</span></p><blockquote><p><b>applicability</b></p><p><b>description</b>: Excludes billing code 13250 for same Encounter</p><p><b>language</b>: text/cql</p><p><b>expression</b>: [some CQL expression]</p></blockquote><blockquote><p><b>applicability</b></p><p><b>description</b>: Applies only once per Encounter</p><p><b>language</b>: text/CQL</p><p><b>expression</b>: [some CQL expression]</p></blockquote><blockquote><p><b>propertyGroup</b></p><blockquote><p><b>priceComponent</b></p><p><b>type</b>: base</p><p><b>code</b>: Gesamt (Euro) <span>(Details : {http://fhir.de/CodeSystem/kbv/ebm-attribute code 'gesamt-euro' = 'gesamt-euro', given as 'Gesamt (Euro)'})</span></p><p><b>amount</b>: </p></blockquote><blockquote><p><b>priceComponent</b></p><p><b>type</b>: informational</p><p><b>code</b>: Gesamt (Punkte) <span>(Details : {http://fhir.de/CodeSystem/kbv/ebm-attribute code 'gesamt-punkte' = 'gesamt-punkte', given as 'Gesamt (Punkte)'})</span></p><p><b>factor</b>: 633</p></blockquote></blockquote></div>"
"resourceType" : "MeasureReport",
"id" : "general-example-of-report",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"general-example-of-report\"> </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 "general-example-of-report" </p></div><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://ohie.org/Measure/hiv-indicators\">http://ohie.org/Measure/hiv-indicators</a></p><p><b>subject</b>: <a name=\"patient-new\"> </a></p><blockquote><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Duck Donald (OFFICIAL)</b> male, DoB: 1976-05-17</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail:</td><td colspan=\"3\">1234 Main Street DC 20001 USA (HOME)</td></tr></table></blockquote><p><b>period</b>: 2018-01-01 --> 2018-12-31</p><blockquote><p><b>group</b></p><p><b>code</b>: QRPH_ADX_ART5_N <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#QRPH_ADX_ART5_N)</span></p><p><b>measureScore</b>: 1</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: AGE_GROUP:SEX <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#AGE_GROUP:SEX)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: P0Y--P20Y:F <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#P0Y--P20Y:F)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: P0Y--P20Y:M <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#P0Y--P20Y:M)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: P20Y--P40Y:F <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#P20Y--P40Y:F)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: P20Y--P40Y:M <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#P20Y--P40Y:M)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: P40Y--P65Y:F <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#P40Y--P65Y:F)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: P40Y--P65Y:M <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#P40Y--P65Y:M)</span></p><p><b>measureScore</b>: 1</p></blockquote></blockquote></blockquote></div>"
},
"url": "http://fhir.de/ChargeItemDefinition/kbv/ebm-30110",
"version": "2-2018",
"status": "active",
"description": "Allergologisch-diagnostischer Komplex zur Diagnostik und/oder zum Ausschluss einer (Kontakt-)Allergie vom Spättyp (Typ IV), einschl. Kosten",
"effectivePeriod": {
"start": "2018-04-01",
"end": "2018-06-30"
"contained" : [{
"resourceType" : "Patient",
"id" : "patient-new",
"name" : [{
"use" : "official",
"family" : "Donald",
"given" : ["Duck"]
}],
"gender" : "male",
"birthDate" : "1976-05-17",
"address" : [{
"use" : "home",
"line" : ["1234 Main Street"],
"city" : "DC",
"postalCode" : "20001",
"country" : "USA"
}]
}],
"status" : "complete",
"type" : "individual",
"measure" : "http://ohie.org/Measure/hiv-indicators",
"subject" : {
"reference" : "#patient-new"
},
"code": {
"coding": [
{
"system": "http://fhir.de/CodingSystem/kbv/ebm",
"code": "30110",
"display": "Allergologiediagnostik I"
}
]
"period" : {
"start" : "2018-01-01",
"end" : "2018-12-31"
},
"applicability": [
{
"description": "Excludes billing code 13250 for same Encounter",
"language": "text/cql",
"expression": "[some CQL expression]"
"group" : [{
"code" : {
"coding" : [{
"code" : "QRPH_ADX_ART5_N"
}]
},
{
"description": "Applies only once per Encounter",
"language": "text/CQL",
"expression": "[some CQL expression]"
}
],
"propertyGroup": [
{
"priceComponent": [
{
"type": "base",
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/kbv/ebm-attribute",
"code": "gesamt-euro",
"display": "Gesamt (Euro)"
}
]
},
"amount": {
"value": 67.44,
"currency": "EUR"
}
"measureScoreQuantity" : {
"value" : 1
},
"stratifier" : [{
"code" : {
"coding" : [{
"code" : "AGE_GROUP:SEX"
}]
},
"stratum" : [{
"valueCodeableConcept" : {
"coding" : [{
"code" : "P0Y--P20Y:F"
}]
},
{
"type": "informational",
"code": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/kbv/ebm-attribute",
"code": "gesamt-punkte",
"display": "Gesamt (Punkte)"
}
]
},
"factor": 633
"measureScoreQuantity" : {
"value" : 0
}
]
}
]
},
{
"valueCodeableConcept" : {
"coding" : [{
"code" : "P0Y--P20Y:M"
}]
},
"measureScoreQuantity" : {
"value" : 0
}
},
{
"valueCodeableConcept" : {
"coding" : [{
"code" : "P20Y--P40Y:F"
}]
},
"measureScoreQuantity" : {
"value" : 0
}
},
{
"valueCodeableConcept" : {
"coding" : [{
"code" : "P20Y--P40Y:M"
}]
},
"measureScoreQuantity" : {
"value" : 0
}
},
{
"valueCodeableConcept" : {
"coding" : [{
"code" : "P40Y--P65Y:F"
}]
},
"measureScoreQuantity" : {
"value" : 0
}
},
{
"valueCodeableConcept" : {
"coding" : [{
"code" : "P40Y--P65Y:M"
}]
},
"measureScoreQuantity" : {
"value" : 1
}
}]
}]
}]
}
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.
Clinical
Reasoning
.
Page
versions:
R5
R4B
|
Propose
a
change