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

: Gaps Multiple Bundles Individual MeasureReports01 - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="multiple-gaps-indv-report01"/>
  <parameter>
    <name value="return"/>
    <resource>
      <Bundle>
        <id value="single-gaps-open-indv-report01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
        </meta>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:a11848c9-c9e4-42fc-8f53-cea03782c3e5"/>
        </identifier>
        <type value="document"/>
        <timestamp value="2020-06-30T13:08:53+00:00"/>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Composition/gaps-composition01"/>
          <resource>
            <Composition>
              <id value="gaps-composition01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><table class="grid dict"><tr><td><b>Name: </b></td><td><b>DOB: </b></td><td><b>Measure: </b></td><td><b>Gap Status: </b></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><a href="Patient-gaps-patient01.html">Susan Parker</a></td><td style="padding-left: 25px; padding-right: 25px;">January 1, 1965</td><td style="padding-left: 25px; padding-right: 25px;"><a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></td><td style="padding-left: 25px; padding-right: 25px;">Open</td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><a href="Patient-gaps-patient01.html">Susan Parker</a></td><td style="padding-left: 25px; padding-right: 25px;">January 1, 1965</td><td style="padding-left: 25px; padding-right: 25px;"><a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example</a></td><td style="padding-left: 25px; padding-right: 25px;">Open</td></tr></table></p><p><b>id</b>: gaps-composition01</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>type</b>: <span title="Codes: {http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type gaps-doc}">Gaps in Care Report</span></p><p><b>date</b>: Jun 30, 2020, 7:08:53 AM</p><p><b>author</b>: <a href="Organization-gaps-organization-reportingvendor.html">Generated Summary: id: gaps-organization-reportingvendor; Tax ID number = 123446789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span>; name: GapsReportingVendor01; ph: (+1) 401-545-1212</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient01</p></div>
              </text>
              <status value="final"/>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type"/>
                  <code value="gaps-doc"/>
                  <display value="Gaps in Care Report"/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <date value="2020-06-30T13:08:53+00:00"/>
              <author>
                <reference
                           value="Organization/gaps-organization-reportingvendor"/>
              </author>
              <title value="Care Gap Report for patient gaps-patient01"/>
              <section>
                <title value="Colorectal Cancer Screening"/>
                <focus>
                  <reference value="MeasureReport/gaps-indv-measurereport01"/>
                </focus>
                <entry>
                  <reference value="DetectedIssue/gaps-detectedissue01"/>
                </entry>
              </section>
              <section>
                <title value="Cervical Cancer Screening"/>
                <focus>
                  <reference value="MeasureReport/gaps-indv-measurereport02"/>
                </focus>
                <entry>
                  <reference value="DetectedIssue/gaps-detectedissue02"/>
                </entry>
              </section>
            </Composition>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01"/>
          <resource>
            <MeasureReport>
              <id value="gaps-indv-measurereport01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-indv-measurereport01</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: open</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></p><p><b>subject</b>: <a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>date</b>: Jun 30, 2020, 7:08:52 AM</p><p><b>reporter</b>: <a href="Organization-organization01.html">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM</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>id</b>: group-exm130</p><blockquote><p><b>population</b></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>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></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><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter01.html">Generated Summary: id: gaps-encounter01; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}">ambulatory</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span>; period: May 29, 2020, 6:00:00 PM --&gt; May 30, 2020, 6:00:00 PM</a></li><li><a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></li></ul></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/gaps-organization-reportingvendor"/>
                </valueReference>
              </extension>
              <status value="complete"/>
              <type value="individual"/>
              <measure
                       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <date value="2020-06-30T13:08:52+00:00"/>
              <reporter>
                <reference value="Organization/organization01"/>
              </reporter>
              <period>
                <start value="2020-01-01T00:00:00+00:00"/>
                <end value="2020-12-31T00:00:00+00:00"/>
              </period>
              <improvementNotation>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                  <code value="increase"/>
                </coding>
              </improvementNotation>
              <group id="group-exm130">
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                      <display value="Initial Population"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="numerator"/>
                      <display value="Numerator"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                      <display value="Denominator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator-exclusion"/>
                      <display value="Denominator Exclusion"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <measureScore>
                  <value value="0.0"/>
                </measureScore>
              </group>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <reference value="Encounter/gaps-encounter01"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <reference value="Patient/gaps-patient01"/>
              </evaluatedResource>
            </MeasureReport>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02"/>
          <resource>
            <MeasureReport>
              <id value="gaps-indv-measurereport02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-indv-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: open</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example</a></p><p><b>subject</b>: <a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>date</b>: Jul 2, 2020, 7:08:52 AM</p><p><b>reporter</b>: <a href="Organization-organization01.html">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM</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>id</b>: group-exm124</p><blockquote><p><b>population</b></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>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></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><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter01.html">Generated Summary: id: gaps-encounter01; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}">ambulatory</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span>; period: May 29, 2020, 6:00:00 PM --&gt; May 30, 2020, 6:00:00 PM</a></li><li><a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></li></ul></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/gaps-organization-reportingvendor"/>
                </valueReference>
              </extension>
              <status value="complete"/>
              <type value="individual"/>
              <measure
                       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example"/>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <date value="2020-07-02T13:08:52+00:00"/>
              <reporter>
                <reference value="Organization/organization01"/>
              </reporter>
              <period>
                <start value="2020-01-01T00:00:00+00:00"/>
                <end value="2020-12-31T00:00:00+00:00"/>
              </period>
              <improvementNotation>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                  <code value="increase"/>
                </coding>
              </improvementNotation>
              <group id="group-exm124">
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                      <display value="Initial Population"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="numerator"/>
                      <display value="Numerator"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                      <display value="Denominator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator-exclusion"/>
                      <display value="Denominator Exclusion"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <measureScore>
                  <value value="0.0"/>
                </measureScore>
              </group>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <reference value="Encounter/gaps-encounter01"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <reference value="Patient/gaps-patient01"/>
              </evaluatedResource>
            </MeasureReport>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01"/>
          <resource>
            <DetectedIssue>
              <id value="gaps-detectedissue01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-detectedissue01</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/detectedissue-category care-gap}">Gap in Care Detected</span></p><p><b>patient</b>: <a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><h3>Evidences</h3><table class="grid"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href="MeasureReport-gaps-indv-measurereport01.html">Generated Summary: id: gaps-indv-measurereport01; status: complete; type: individual; measure: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example; date: Jun 30, 2020, 7:08:52 AM; period: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM; <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></a></td></tr></table></div>
              </text>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/detectedissue-category"/>
                  <code value="care-gap"/>
                  <display value="Gap in Care Detected"/>
                </coding>
              </code>
              <patient>
                <reference value="Patient/gaps-patient01"/>
              </patient>
              <evidence>
                <detail>
                  <reference value="MeasureReport/gaps-indv-measurereport01"/>
                </detail>
              </evidence>
            </DetectedIssue>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02"/>
          <resource>
            <DetectedIssue>
              <id value="gaps-detectedissue02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-detectedissue02</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/detectedissue-category care-gap}">Gap in Care Detected</span></p><p><b>patient</b>: <a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><h3>Evidences</h3><table class="grid"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href="MeasureReport-gaps-indv-measurereport02.html">Generated Summary: id: gaps-indv-measurereport02; status: complete; type: individual; measure: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example; date: Jul 2, 2020, 7:08:52 AM; period: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM; <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></a></td></tr></table></div>
              </text>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/detectedissue-category"/>
                  <code value="care-gap"/>
                  <display value="Gap in Care Detected"/>
                </coding>
              </code>
              <patient>
                <reference value="Patient/gaps-patient01"/>
              </patient>
              <evidence>
                <detail>
                  <reference value="MeasureReport/gaps-indv-measurereport02"/>
                </detail>
              </evidence>
            </DetectedIssue>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Encounter/gaps-encounter01"/>
          <resource>
            <Encounter>
              <id value="gaps-encounter01"/>
              <meta>
                <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>id</b>: gaps-encounter01</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 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span></p><p><b>subject</b>: <a href="Patient-gaps-patient01.html">Generated Summary: id: gaps-patient01; Medical Record Number = 999995992 (USUAL); Parker Susan ; gender: female; birthDate: 1965-01-01</a></p><p><b>period</b>: May 29, 2020, 6:00:00 PM --&gt; May 30, 2020, 6:00:00 PM</p></div>
              </text>
              <status value="finished"/>
              <class>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="AMB"/>
                <display value="ambulatory"/>
              </class>
              <type>
                <coding>
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="99201"/>
                  <display
                           value="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient&#39;s and/or family&#39;s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <period>
                <start value="2020-05-30T00:00:00-00:00"/>
                <end value="2020-05-31T00:00:00-00:00"/>
              </period>
            </Encounter>
          </resource>
        </entry>
        <entry>
          <fullUrl value="http://example.org/fhir/gaps/Patient/gaps-patient01"/>
          <resource>
            <Patient>
              <id value="gaps-patient01"/>
              <meta>
                <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>id</b>: gaps-patient01</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical Record Number = 999995992 (USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p></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="2028-9"/>
                    <display value="Asian"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Asian"/>
                </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="2135-2"/>
                    <display value="Hispanic or Latino"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Hispanic or Latino"/>
                </extension>
              </extension>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="MR"/>
                    <display value="Medical Record Number"/>
                  </coding>
                </type>
                <system value="http://hospital.smarthealthit.org"/>
                <value value="999995992"/>
              </identifier>
              <name>
                <family value="Susan"/>
                <given value="Parker"/>
              </name>
              <gender value="female"/>
              <birthDate value="1965-01-01"/>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
          <resource>
            <Organization>
              <id value="gaps-organization-reportingvendor"/>
              <meta>
                <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>id</b>: gaps-organization-reportingvendor</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123446789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 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="123446789"/>
                <assigner>
                  <display value="www.irs.gov"/>
                </assigner>
              </identifier>
              <active value="true"/>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                  <code value="pay"/>
                  <display value="Payer"/>
                </coding>
              </type>
              <name value="GapsReportingVendor01"/>
              <telecom>
                <system value="phone"/>
                <value value="(+1) 401-545-1212"/>
              </telecom>
              <address>
                <line value="13 Drive Street"/>
                <city value="Cityplace"/>
                <state value="MA"/>
                <postalCode value="01101"/>
                <country value="USA"/>
              </address>
            </Organization>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </parameter>
  <parameter>
    <name value="return"/>
    <resource>
      <Bundle>
        <id value="single-gaps-closed-indv-report01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
        </meta>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:66556327-43dc-40fc-b20c-4e31a31e98e0"/>
        </identifier>
        <type value="document"/>
        <timestamp value="2020-06-30T13:08:53+00:00"/>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Composition/gaps-composition02"/>
          <resource>
            <Composition>
              <id value="gaps-composition02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><table class="grid dict"><tr><td><b>Name: </b></td><td><b>DOB: </b></td><td><b>Measure: </b></td><td><b>Gap Status: </b></td></tr><tr><td style="padding-left: 25px; padding-right: 25px;"><a href="Patient-gaps-patient02.html">Thomas Ludwich</a></td><td style="padding-left: 25px; padding-right: 25px;">January 1, 1957</td><td style="padding-left: 25px; padding-right: 25px;"><a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></td><td style="padding-left: 25px; padding-right: 25px;">Closed</td></tr></table></p><p><b>id</b>: gaps-composition02</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>type</b>: <span title="Codes: {http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type gaps-doc}">Gaps in Care Report</span></p><p><b>date</b>: Jun 30, 2020, 7:08:53 AM</p><p><b>author</b>: <a href="Organization-gaps-organization-reportingvendor.html">Generated Summary: id: gaps-organization-reportingvendor; Tax ID number = 123446789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span>; name: GapsReportingVendor01; ph: (+1) 401-545-1212</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient02</p></div>
              </text>
              <status value="final"/>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-doc-type"/>
                  <code value="gaps-doc"/>
                  <display value="Gaps in Care Report"/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <date value="2020-06-30T13:08:53+00:00"/>
              <author>
                <reference
                           value="Organization/gaps-organization-reportingvendor"/>
              </author>
              <title value="Care Gap Report for patient gaps-patient02"/>
              <section>
                <title value="Colorectal Cancer Screening"/>
                <focus>
                  <reference value="MeasureReport/gaps-indv-measurereport03"/>
                </focus>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml"><p>No detected issues.</p></div>
                </text>
              </section>
            </Composition>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
          <resource>
            <MeasureReport>
              <id value="gaps-indv-measurereport03"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-indv-measurereport-deqm"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-indv-measurereport03</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>gap status</b>: closed</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>date</b>: Jun 30, 2020, 7:08:52 AM</p><p><b>reporter</b>: <a href="Organization-organization01.html">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Dec 31, 2019, 5:00:00 PM --&gt; Dec 30, 2020, 5:00:00 PM</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>id</b>: group-exm130</p><blockquote><p><b>population</b></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>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>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter02.html">Generated Summary: id: gaps-encounter02; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}">ambulatory</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span>; period: Mar 5, 2020, 12:00:00 AM --&gt; Mar 5, 2020, 3:00:00 AM</a></li><li><a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></li></ul></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/gaps-organization-reportingvendor"/>
                </valueReference>
              </extension>
              <status value="complete"/>
              <type value="individual"/>
              <measure
                       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <date value="2020-06-30T13:08:52+00:00"/>
              <reporter>
                <reference value="Organization/organization01"/>
              </reporter>
              <period>
                <start value="2020-01-01T00:00:00+00:00"/>
                <end value="2020-12-31T00:00:00+00:00"/>
              </period>
              <improvementNotation>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                  <code value="increase"/>
                </coding>
              </improvementNotation>
              <group id="group-exm130">
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                      <display value="Initial Population"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="numerator"/>
                      <display value="Numerator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                      <display value="Denominator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator-exclusion"/>
                      <display value="Denominator Exclusion"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <measureScore>
                  <value value="1.0"/>
                </measureScore>
              </group>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <reference value="Encounter/gaps-encounter02"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference">
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <reference value="Patient/gaps-patient02"/>
              </evaluatedResource>
            </MeasureReport>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Encounter/gaps-encounter02"/>
          <resource>
            <Encounter>
              <id value="gaps-encounter02"/>
              <meta>
                <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>id</b>: gaps-encounter02</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 99201}">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>period</b>: Mar 5, 2020, 12:00:00 AM --&gt; Mar 5, 2020, 3:00:00 AM</p></div>
              </text>
              <status value="finished"/>
              <class>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="AMB"/>
                <display value="ambulatory"/>
              </class>
              <type>
                <coding>
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="99201"/>
                  <display
                           value="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient&#39;s and/or family&#39;s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <period>
                <start value="2020-03-05T07:00:00-00:00"/>
                <end value="2020-03-05T10:00:00-00:00"/>
              </period>
            </Encounter>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Procedure/gaps-procedure01"/>
          <resource>
            <Procedure>
              <id value="gaps-procedure01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: gaps-procedure01</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>code</b>: <span title="Codes: {http://www.ama-assn.org/go/cpt 44393}">Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Generated Summary: id: gaps-patient02; Medical Record Number = 999996992 (USUAL); Thomas Ludwich ; gender: male; birthDate: 1957-01-01</a></p><p><b>performed</b>: Sep 10, 2018, 2:00:00 AM --&gt; Sep 10, 2018, 3:00:00 AM</p></div>
              </text>
              <status value="completed"/>
              <code>
                <coding>
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="44393"/>
                  <display
                           value="Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"/>
                </coding>
              </code>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <performedPeriod>
                <start value="2018-09-10T08:00:00-00:00"/>
                <end value="2018-09-10T09:00:00-00:00"/>
              </performedPeriod>
            </Procedure>
          </resource>
        </entry>
        <entry>
          <fullUrl value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
          <resource>
            <Patient>
              <id value="gaps-patient02"/>
              <meta>
                <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>id</b>: gaps-patient02</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical Record Number = 999996992 (USUAL)</p><p><b>name</b>: Thomas Ludwich </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1957-01-01</p></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="2028-9"/>
                    <display value="Asian"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Asian"/>
                </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="2135-2"/>
                    <display value="Hispanic or Latino"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Hispanic or Latino"/>
                </extension>
              </extension>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="MR"/>
                    <display value="Medical Record Number"/>
                  </coding>
                </type>
                <system value="http://hospital.smarthealthit.org"/>
                <value value="999996992"/>
              </identifier>
              <name>
                <family value="Ludwich"/>
                <given value="Thomas"/>
              </name>
              <gender value="male"/>
              <birthDate value="1957-01-01"/>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
          <resource>
            <Organization>
              <id value="gaps-organization-reportingvendor"/>
              <meta>
                <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>id</b>: gaps-organization-reportingvendor</p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123446789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 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="123446789"/>
                <assigner>
                  <display value="www.irs.gov"/>
                </assigner>
              </identifier>
              <active value="true"/>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                  <code value="pay"/>
                  <display value="Payer"/>
                </coding>
              </type>
              <name value="GapsReportingVendor01"/>
              <telecom>
                <system value="phone"/>
                <value value="(+1) 401-545-1212"/>
              </telecom>
              <address>
                <line value="13 Drive Street"/>
                <city value="Cityplace"/>
                <state value="MA"/>
                <postalCode value="01101"/>
                <country value="USA"/>
              </address>
            </Organization>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </parameter>
</Parameters>