Data Exchange For Quality Measures STU2 for FHIR R4 Implementation Guide (Release 1.1.0 STU2 Ballot)

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

JSON Format: Bundle-single-indv-col-obs-report

Download Raw json

{
  "resourceType" : "Bundle",
  "id" : "single-indv-col-obs-report",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904",
      "resource" : {
        "resourceType" : "MeasureReport",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </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/Measure/measure-exm130-FHIR\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR</a></p><p><b>subject</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906</a></p><p><b>date</b>: Mar 14, 2019 12:00:00 AM</p><p><b>reporter</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905</a></p><p><b>period</b>: Dec 31, 2018 12:00:00 AM --&gt; Jan 1, 2019 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'group-1' = 'group-1', given as 'group-1'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Ethnicity <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-ethnicity' = 'sde-ethnicity', given as 'SDE Ethnicity'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Hispanic or Latino <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2135-2' = 'Hispanic or Latino', given as 'Hispanic or Latino'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Not Hispanic or Latino <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2186-5' = 'Not Hispanic or Latino', given as 'Not Hispanic or Latino'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Payer <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-payer' = 'sde-payer', given as 'SDE Payer'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: King HMO <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer123' = 'Payer123', given as 'King HMO'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Green Circle <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer456' = 'Payer456', given as 'Green Circle'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: GoodHealth of California <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer789' = 'Payer789', given as 'GoodHealth of California'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Race <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-race' = 'sde-race', given as 'SDE Race'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Black or African American <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2054-5' = 'Black or African American', given as 'Black or African American'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: White <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2106-3' = 'White', given as 'White'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Asian <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2028-9' = 'Asian', given as 'Asian'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Sex <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-sex' = 'sde-sex', given as 'SDE Sex'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Male <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'male' = 'Male', given as 'Male'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Female <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'female' = 'Female', given as 'Female'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'other' = 'Other', given as 'Other'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote></blockquote></div>"
        },
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
        "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"
        },
        "group" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://fhir/example.org",
                  "code" : "group-1",
                  "display" : "group-1"
                }
              ]
            },
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator-exclusion",
                      "display" : "Denominator Exclusion"
                    }
                  ]
                },
                "count" : 0
              }
            ],
            "measureScore" : {
              "value" : 1
            },
            "stratifier" : [
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://fhir/example.org",
                        "code" : "sde-ethnicity",
                        "display" : "SDE Ethnicity"
                      }
                    ]
                  }
                ],
                "stratum" : [
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "urn:oid:2.16.840.1.113883.6.238",
                          "code" : "2135-2",
                          "display" : "Hispanic or Latino"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "urn:oid:2.16.840.1.113883.6.238",
                          "code" : "2186-5",
                          "display" : "Not Hispanic or Latino"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  }
                ]
              },
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://fhir/example.org",
                        "code" : "sde-payer",
                        "display" : "SDE Payer"
                      }
                    ]
                  }
                ],
                "stratum" : [
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://fhir/example.org",
                          "code" : "Payer123",
                          "display" : "King HMO"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://fhir/example.org",
                          "code" : "Payer456",
                          "display" : "Green Circle"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://fhir/example.org",
                          "code" : "Payer789",
                          "display" : "GoodHealth of California"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  }
                ]
              },
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://fhir/example.org",
                        "code" : "sde-race",
                        "display" : "SDE Race"
                      }
                    ]
                  }
                ],
                "stratum" : [
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "urn:oid:2.16.840.1.113883.6.238",
                          "code" : "2054-5",
                          "display" : "Black or African American"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "urn:oid:2.16.840.1.113883.6.238",
                          "code" : "2106-3",
                          "display" : "White"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "urn:oid:2.16.840.1.113883.6.238",
                          "code" : "2028-9",
                          "display" : "Asian"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  }
                ]
              },
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://fhir/example.org",
                        "code" : "sde-sex",
                        "display" : "SDE Sex"
                      }
                    ]
                  }
                ],
                "stratum" : [
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/administrative-gender",
                          "code" : "male",
                          "display" : "Male"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 1
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/administrative-gender",
                          "code" : "female",
                          "display" : "Female"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  },
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/administrative-gender",
                          "code" : "other",
                          "display" : "Other"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population",
                              "display" : "Initial Population"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator",
                              "display" : "Numerator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator",
                              "display" : "Denominator"
                            }
                          ]
                        },
                        "count" : 0
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator-exclusion",
                              "display" : "Denominator Exclusion"
                            }
                          ]
                        },
                        "count" : 0
                      }
                    ]
                  }
                ]
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905",
      "resource" : {
        "resourceType" : "Organization",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as '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:2.16.840.1.113883.4.2",
            "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" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number = 67890 (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\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'en-US' = 'English (Region=United States)', given as 'English (Region=United States)'})</span></td><td>true</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.davinci.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" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 123456789 (OFFICIAL)</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" : "123456789"
          }
        ],
        "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" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '77353-1' = 'Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative', given as 'Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906</a></p><p><b>effective</b>: Jun 22, 2018 12:00:00 AM</p><p><b>performer</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907</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"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
        },
        "effectiveDateTime" : "2018-06-22",
        "performer" : [
          {
            "reference" : "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    }
  ]
}