Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) 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

: Single Indv Mrp Obs Report - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-indv-mrp-obs-report"/>
  <meta>
    <source value="http://example.org/fhir/server"/>
  </meta>
  <type value="transaction"/>
  <timestamp value="2019-12-06T06:28:44.902388Z"/>
  <entry>
    <fullUrl value="urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3"/>
    <resource>
      <MeasureReport>
        <id value="a8f9c686-17f1-11ea-a072-4ccc6a181ed3"/>
        <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="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: a8f9c686-17f1-11ea-a072-4ccc6a181ed3</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/davinci-deqm/Measure/measure-mrp-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href="#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8">See above (Patient/null)</a></p><p><b>date</b>: 06/09/2018 2:59:52 AM</p><p><b>reporter</b>: <a href="#urnuuidebc3f5c4-6700-34af-8323-85621c313726">See above (Organization/null)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes: {http://example.org mrp-group}">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>id</b>: initial-population</p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: numerator</p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>id</b>: denominator</p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href="#urnuuida8fa3b69-17f1-11ea-bd75-4ccc6a181ed3">See above (Observation/null)</a></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>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
          <valueIdentifier>
            <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
            <value value="0015HQN9BD3304E"/>
          </valueIdentifier>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
          <valueReference>
            <reference value="Organization/organization02"/>
          </valueReference>
        </extension>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example"/>
        <subject>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </subject>
        <date value="2018-09-05T16:59:52.404Z"/>
        <reporter>
          <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
        </reporter>
        <period>
          <start value="2018-08-01"/>
          <end value="2018-09-01"/>
        </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>
          <code>
            <coding>
              <system value="http://example.org"/>
              <code value="mrp-group"/>
              <display value="MRP Group"/>
            </coding>
            <text value="MRP Group"/>
          </code>
          <population id="initial-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 id="numerator">
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population id="denominator">
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator"/>
                <display value="Denominator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <measureScore>
            <value value="1"/>
          </measureScore>
        </group>
        <evaluatedResource>
          <reference value="urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3"/>
    <resource>
      <Coverage>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href="#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8">See above (Patient/null)</a></p><p><b>subscriber</b>: <a href="#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8">See above (Patient/null)</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href="#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8">See above (Patient/null)</a></p><p><b>relationship</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: <a href="#urnuuida8fa3b68-17f1-11ea-93ae-4ccc6a181ed3">See above (Organization/null)</a></p></div>
        </text>
        <status value="active"/>
        <policyHolder>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </policyHolder>
        <subscriber>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </subscriber>
        <subscriberId value="A123456789"/>
        <beneficiary>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="self"/>
          </coding>
        </relationship>
        <payor>
          <reference value="urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"/>
        </payor>
      </Coverage>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Coverage"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number: 456789124 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type other}">Other</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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="456789124"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="other"/>
            <display value="Other"/>
          </coding>
        </type>
        <name value="DV Quality Measure Data Reporter"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 616-555-1212"/>
        </telecom>
        <address>
          <line value="160 Glen Eagles Road"/>
          <city value="Grand Rapids"/>
          <state value="MI"/>
          <postalCode value="49503"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number: 456789125 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type ins}">Insurance Company</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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="456789125"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="ins"/>
            <display value="Insurance Company"/>
          </coding>
        </type>
        <name value="DVPayer04"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 616-555-1212"/>
        </telecom>
        <address>
          <line value="160 Glen Eagles Road"/>
          <city value="Grand Rapids"/>
          <state value="MI"/>
          <postalCode value="49503"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"/>
    <resource>
      <Observation>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p></p><p><b>category</b>: <span title="Codes: {http://example.org measure}">Measure</span></p><p><b>code</b>: <span title="Codes: {http://www.ama-assn.org/go/cpt 1111F}">Medication Reconciliation</span></p><p><b>subject</b>: <a href="#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8">See above (Patient/null)</a></p><p><b>encounter</b>: <a href="#urnuuid1f33ae07-0891-4c2a-a376-fcd18800cb71">See above (Encounter/null)</a></p><p><b>effective</b>: 30/09/2018 12:15:04 AM</p><p><b>issued</b>: 30/09/2018 12:15:04 AM</p><p><b>performer</b>: <a href="#urnuuid0000016d-235f-39b3-0000-0000000000fa">See above (Practitioner/null)</a></p><p><b>value</b>: true</p></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://example.org"/>
            <code value="measure"/>
            <display value="Measure"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="1111F"/>
            <display value="Medication Reconciliation"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </subject>
        <encounter>
          <reference value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
        </encounter>
        <effectiveDateTime value="2018-09-29T14:15:04.424Z"/>
        <issued value="2018-09-29T14:15:04.424Z"/>
        <performer>
          <reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
        </performer>
        <valueBoolean value="true"/>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
    <resource>
      <Patient>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: id: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number: 999-61-8566, Driver's license Number: S99966861, Passport Number: X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">M</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td><span title="Codes: {urn:ietf:bcp:47 pt}">Portuguese</span></td></tr></table></div>
        </text>
        <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>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName">
          <valueString value="Freda902 Tillman293"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
          <valueAddress>
            <city value="Faro"/>
            <state value="Algarve"/>
            <country value="PT"/>
          </valueAddress>
        </extension>
        <identifier>
          <system value="https://github.com/synthetichealth/synthea"/>
          <value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
            <text value="Medical Record Number"/>
          </type>
          <system value="http://hospital.smarthealthit.org"/>
          <value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SS"/>
              <display value="Social Security Number"/>
            </coding>
            <text value="Social Security Number"/>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="999-61-8566"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="DL"/>
              <display value="Driver&#39;s license Number"/>
            </coding>
            <text value="Driver&#39;s license Number"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.3.25"/>
          <value value="S99966861"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PPN"/>
              <display value="Passport Number"/>
            </coding>
            <text value="Passport Number"/>
          </type>
          <system
                  value="http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber"/>
          <value value="X52208740X"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="McDermott739"/>
          <given value="Debbie941"/>
          <prefix value="Mrs."/>
        </name>
        <name>
          <use value="maiden"/>
          <family value="Funk324"/>
          <given value="Debbie941"/>
          <prefix value="Mrs."/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="555-755-4280"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1961-02-26"/>
        <address>
          <extension url="http://hl7.org/fhir/StructureDefinition/geolocation">
            <extension url="latitude">
              <valueDecimal value="42.21379047108309"/>
            </extension>
            <extension url="longitude">
              <valueDecimal value="-72.73951315911818"/>
            </extension>
          </extension>
          <line value="903 Wolff Ville"/>
          <city value="Westfield"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
          <text value="M"/>
        </maritalStatus>
        <multipleBirthBoolean value="false"/>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="pt"/>
              <display value="Portuguese"/>
            </coding>
            <text value="Portuguese"/>
          </language>
        </communication>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
    <resource>
      <Encounter>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}">ambulatory</span></p><p><b>type</b>: <span title="Codes: {http://www.ama-assn.org/go/cpt 99221}">Initial hospital care</span></p><p><b>subject</b>: <a href="#urnuuid6f0cef31-2235-4d66-82e2-fa861fc909a8">Mrs. Debbie941 McDermott739. Generated Summary: id: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number: 999-61-8566, Driver's license Number: S99966861, Passport Number: X52208740X; Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN); ph: 555-755-4280(HOME); gender: female; birthDate: 1961-02-26; <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}">M</span>; </a></p><h3>Participants</h3><table class="grid"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href="#urnuuid0000016d-235f-39b3-0000-0000000000fa">Dr. Manuel446 Granados71. Generated Summary: id: 250; active; Manuel446 Granados71 ; Manuel446.Granados71@example.com(WORK); gender: male</a></td></tr></table><p><b>period</b>: 21/06/1976 3:41:49 AM --&gt; 30/04/2018 3:41:49 AM</p><h3>Locations</h3><table class="grid"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href="#urnuuid8938e769-59f7-40ff-a541-50b0bfcd6742">NOBLE HOSPITAL. Generated Summary: status: active; name: NOBLE HOSPITAL; ph: 4135682811</a></td></tr></table><p><b>serviceProvider</b>: <a href="#urnuuidebc3f5c4-6700-34af-8323-85621c313726">NOBLE HOSPITAL. Generated Summary: Provider number: 9999999999 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: NOBLE HOSPITAL; ph: 4135682811</a></p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99221"/>
            <display value="Initial hospital care"/>
          </coding>
          <text value="Initial hospital care"/>
        </type>
        <subject>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
          <display value="Mrs. Debbie941 McDermott739"/>
        </subject>
        <participant>
          <individual>
            <reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
            <display value="Dr. Manuel446 Granados71"/>
          </individual>
        </participant>
        <period>
          <start value="1976-06-20T10:41:49-07:00"/>
          <end value="2018-04-29T10:41:49-07:00"/>
        </period>
        <location>
          <location>
            <reference value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
            <display value="NOBLE HOSPITAL"/>
          </location>
        </location>
        <serviceProvider>
          <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
          <display value="NOBLE HOSPITAL"/>
        </serviceProvider>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
    <resource>
      <Practitioner>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: id: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: Manuel446.Granados71@example.com(WORK)</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="250"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Granados71"/>
          <given value="Manuel446"/>
          <prefix value="Dr."/>
        </name>
        <telecom>
          <extension
                     url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct">
            <valueBoolean value="true"/>
          </extension>
          <system value="email"/>
          <value value="Manuel446.Granados71@example.com"/>
          <use value="work"/>
        </telecom>
        <address>
          <line value="115 WEST SILVER STREET"/>
          <city value="WESTFIELD"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
        <gender value="male"/>
      </Practitioner>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number: 9999999999 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9999999999"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
          <text value="Healthcare Provider"/>
        </type>
        <name value="NOBLE HOSPITAL"/>
        <telecom>
          <system value="phone"/>
          <value value="4135682811"/>
        </telecom>
        <address>
          <line value="115 WEST SILVER STREET"/>
          <city value="WESTFIELD"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
    <resource>
      <Location>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><h3>Positions</h3><table class="grid"><tr><td>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href="#urnuuidebc3f5c4-6700-34af-8323-85621c313726">NOBLE HOSPITAL. Generated Summary: Provider number: 9999999999 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: NOBLE HOSPITAL; ph: 4135682811</a></p></div>
        </text>
        <status value="active"/>
        <name value="NOBLE HOSPITAL"/>
        <telecom>
          <system value="phone"/>
          <value value="4135682811"/>
        </telecom>
        <address>
          <line value="115 WEST SILVER STREET"/>
          <city value="WESTFIELD"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
        <position>
          <longitude value="-72.755911"/>
          <latitude value="42.138838"/>
        </position>
        <managingOrganization>
          <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
          <display value="NOBLE HOSPITAL"/>
        </managingOrganization>
      </Location>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Location"/>
    </request>
  </entry>
</Bundle>