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

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Multiple Indv Mrp Task Report - XML Representation

Raw xml | Download



<Bundle xmlns="http://hl7.org/fhir">
  <id value="multiple-indv-mrp-task-report"/>
  <type value="transaction"/>
  <timestamp value="2020-07-08T22:16:38.284687Z"/>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Patient/patient03"/>
    <resource>
      <Patient>
        <id value="patient03"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-02-07T18:47:34.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="patient03"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient &quot;patient03&quot; Version &quot;4&quot; Updated &quot;2019-02-07 18:47:34+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Black or African American (Details: urn:oid:2.16.840.1.113883.6.238 code 2054-5 = '2054-5', stated as 'Black or African American')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Black or African American</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 34567 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Virginia Hartman (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1983-09-12</p><p><b>deceased</b>: false</p><p><b>address</b>: 213 Lilac Ave. Freehold MI 48099 USA (HOME)</p><p><b>maritalStatus</b>: unmarried <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#U)</span></p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>English (Region=United States) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href="#Organization_organization03">See above (Organization/organization03)</a></p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2054-5"/>
              <display value="Black or African American"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Black or African American"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="34567"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Hartman"/>
          <given value="Virginia"/>
        </name>
        <gender value="female"/>
        <birthDate value="1983-09-12"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="213 Lilac Ave."/>
          <city value="Freehold"/>
          <state value="MI"/>
          <postalCode value="48099"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="U"/>
            <display value="unmarried"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (Region=United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
        <managingOrganization>
          <reference value="Organization/organization03"/>
        </managingOrganization>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Patient/patient02"/>
    <resource>
      <Patient>
        <id value="patient02"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-03-06T19:03:03.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="patient02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient &quot;patient02&quot; Version &quot;4&quot; Updated &quot;2019-03-06 19:03:03+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: M</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = '2028-9', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Asian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 23456 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Darien Bernard (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1967-06-13</p><p><b>deceased</b>: false</p><p><b>address</b>: 6 Rockwell Street Lynnwood NJ 07420 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>English (Region=United States) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href="#Organization_organization02">See above (Organization/organization02)</a></p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="M"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="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="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="23456"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Bernard"/>
          <given value="Darien"/>
        </name>
        <gender value="male"/>
        <birthDate value="1967-06-13"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="6 Rockwell Street"/>
          <city value="Lynnwood"/>
          <state value="NJ"/>
          <postalCode value="07420"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (Region=United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
        <managingOrganization>
          <reference value="Organization/organization02"/>
        </managingOrganization>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/MeasureReport/indv-measurereport02"/>
    <resource>
      <MeasureReport>
        <id value="indv-measurereport02"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="indv-measurereport02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MeasureReport &quot;indv-measurereport02&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href="#Organization_organization02">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="Measure-measure-mrp-example.html">MRP Measure</a></p><p><b>subject</b>: <a href="#Patient_patient01">See above (Patient/patient01)</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="#Organization_organization01">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href="#Task_task01">See above (Task/task01)</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="Patient/patient01"/>
        </subject>
        <date value="2018-09-05T16:59:52.404Z"/>
        <reporter>
          <reference value="Organization/organization01"/>
        </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/fhir/"/>
              <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="Task/task01"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Task/task01"/>
    <resource>
      <Task>
        <id value="task01"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Task</b><a name="task01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Task &quot;task01&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-task.html">QICore Task</a></p></div><p><b>identifier</b>: id: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Fulfill the focal request <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-task-code.html">Task Codes</a>#fulfill)</span></p><p><b>for</b>: <a href="#Patient_patient01">See above (Patient/patient01)</a></p><p><b>encounter</b>: <a href="#Encounter_encounter01">See above (Encounter/encounter01)</a></p><p><b>executionPeriod</b>: 2017-06-11 --&gt; 2017-06-11</p><p><b>authoredOn</b>: 2018-09-25 14:24:23+0000</p><p><b>owner</b>: <a href="#Practitioner_practitioner01">See above (Practitioner/practitioner01)</a></p></div>
        </text>
        <identifier>
          <system value="http://example.org/tasks"/>
          <value value="19009"/>
        </identifier>
        <status value="completed"/>
        <intent value="plan"/>
        <priority value="routine"/>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/CodeSystem/task-code"/>
            <code value="fulfill"/>
            <display value="Fulfill the focal request"/>
          </coding>
        </code>
        <for>
          <reference value="Patient/patient01"/>
        </for>
        <encounter>
          <reference value="Encounter/encounter01"/>
        </encounter>
        <executionPeriod>
          <start value="2017-06-11"/>
          <end value="2017-06-11"/>
        </executionPeriod>
        <authoredOn value="2018-09-25T14:24:23.584Z"/>
        <owner>
          <reference value="Practitioner/practitioner01"/>
        </owner>
      </Task>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Task"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Encounter/encounter03"/>
    <resource>
      <Encounter>
        <id value="encounter03"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b><a name="encounter03"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Encounter &quot;encounter03&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Respiratory therapy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#53950000)</span></p><p><b>subject</b>: <a href="#Patient_patient03">See above (Patient/patient03)</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --&gt; 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td>Home <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-discharge-disposition.html">Discharge disposition</a>#home)</span></td></tr></table></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="53950000"/>
            <display value="Respiratory therapy"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/patient03"/>
        </subject>
        <period>
          <start value="2018-05-29T11:00:00-04:00"/>
          <end value="2018-05-29T11:00:00-04:00"/>
        </period>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="Home"/>
            </coding>
          </dischargeDisposition>
        </hospitalization>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Patient/patient01"/>
    <resource>
      <Patient>
        <id value="patient01"/>
        <meta>
          <versionId value="5"/>
          <lastUpdated value="2019-02-11T14:19:25.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="patient01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient &quot;patient01&quot; Version &quot;5&quot; Updated &quot;2019-02-11 14:19:25+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: M</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 12345 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Jairo Webster (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1946-12-16</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>English (Region=United States) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href="#Organization_organization01">See above (Organization/organization01)</a></p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="M"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="12345"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Webster"/>
          <given value="Jairo"/>
        </name>
        <gender value="male"/>
        <birthDate value="1946-12-16"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="7496 Beaver Ridge Ave"/>
          <city value="Thornton"/>
          <state value="NJ"/>
          <postalCode value="07003"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (Region=United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
        <managingOrganization>
          <reference value="Organization/organization01"/>
        </managingOrganization>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/Practitioner/practitioner01"/>
    <resource>
      <Practitioner>
        <id value="practitioner01"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="practitioner01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner &quot;practitioner01&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-practitioner.html">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number: 345678912 (use: OFFICIAL), Provider number: 082583 (use: SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="345678912"/>
          <assigner>
            <display value="www.cms.gov"/>
          </assigner>
        </identifier>
        <identifier>
          <use value="secondary"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.336"/>
          <value value="082583"/>
          <assigner>
            <display value="www.cms.gov"/>
          </assigner>
        </identifier>
        <name>
          <family value="Bone"/>
          <given value="Ronald"/>
          <prefix value="Dr"/>
        </name>
        <address>
          <use value="home"/>
          <line value="1003 Healthcare Drive"/>
          <city value="Amherst"/>
          <state value="MA"/>
          <postalCode value="01002"/>
        </address>
      </Practitioner>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Task/task03"/>
    <resource>
      <Task>
        <id value="task03"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Task</b><a name="task03"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Task &quot;task03&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-task.html">QICore Task</a></p></div><p><b>identifier</b>: id: 19011</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Fulfill the focal request <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-task-code.html">Task Codes</a>#fulfill)</span></p><p><b>for</b>: <a href="#Patient_patient03">See above (Patient/patient03)</a></p><p><b>encounter</b>: <a href="#Encounter_encounter03">See above (Encounter/encounter03)</a></p><p><b>executionPeriod</b>: 2017-08-11 --&gt; 2017-08-11</p><p><b>authoredOn</b>: 2018-09-25 14:24:23+0000</p><p><b>owner</b>: <a href="Practitioner-practitioner03.html">Practitioner/practitioner03</a> &quot; AUFDERHAR&quot;</p></div>
        </text>
        <identifier>
          <system value="http://example.org/tasks"/>
          <value value="19011"/>
        </identifier>
        <status value="completed"/>
        <intent value="plan"/>
        <priority value="routine"/>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/CodeSystem/task-code"/>
            <code value="fulfill"/>
            <display value="Fulfill the focal request"/>
          </coding>
        </code>
        <for>
          <reference value="Patient/patient03"/>
        </for>
        <encounter>
          <reference value="Encounter/encounter03"/>
        </encounter>
        <executionPeriod>
          <start value="2017-08-11"/>
          <end value="2017-08-11"/>
        </executionPeriod>
        <authoredOn value="2018-09-25T14:24:23.584Z"/>
        <owner>
          <reference value="Practitioner/practitioner03"/>
        </owner>
      </Task>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Task"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/Practitioner/practitioner02"/>
    <resource>
      <Practitioner>
        <id value="practitioner02"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="practitioner02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner &quot;practitioner02&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-practitioner.html">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number: 9998266512 (use: OFFICIAL, period: 2005-07-16 09:00:00-0500 --&gt; (ongoing))</p><p><b>active</b>: true</p><p><b>name</b>: Emile Zieme(OFFICIAL)</p><p><b>telecom</b>: ph: 8605555555(WORK), ph: 8605555555(WORK)</p><p><b>address</b>: UCONN MEDICAL GROUP, FARMINGTON, CT 060300001(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1964-06-19</p><p><b>communication</b>: English and Spanish <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#es &quot;Spanish&quot;)</span></p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9998266512"/>
          <period>
            <start value="2005-07-16T09:00:00-05:00"/>
          </period>
          <assigner>
            <display value="www.cms.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <text value="Emile Zieme"/>
          <family value="Zieme"/>
          <given value="Emile"/>
          <suffix value="M.D."/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="8605555555"/>
          <use value="work"/>
          <rank value="1"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="8605555555"/>
          <use value="work"/>
          <rank value="2"/>
        </telecom>
        <address>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/geolocation">
            <extension url="latitude">
              <valueDecimal value="41.791776"/>
            </extension>
            <extension url="longitude">
              <valueDecimal value="-72.718832"/>
            </extension>
          </extension>
          <use value="home"/>
          <type value="both"/>
          <text value="UCONN MEDICAL GROUP, FARMINGTON, CT 060300001"/>
          <line value="UCONN MEDICAL GROUP"/>
          <city value="FARMINGTON"/>
          <state value="CT"/>
          <postalCode value="060300001"/>
          <country value="USA"/>
        </address>
        <gender value="male"/>
        <birthDate value="1964-06-19"/>
        <communication>
          <coding>
            <system value="urn:ietf:bcp:47"/>
            <code value="es"/>
            <display value="Spanish"/>
            <userSelected value="true"/>
          </coding>
          <text value="English and Spanish"/>
        </communication>
      </Practitioner>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Task/task02"/>
    <resource>
      <Task>
        <id value="task02"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Task</b><a name="task02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Task &quot;task02&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-task.html">QICore Task</a></p></div><p><b>identifier</b>: id: 19010</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Fulfill the focal request <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-task-code.html">Task Codes</a>#fulfill)</span></p><p><b>for</b>: <a href="#Patient_patient02">See above (Patient/patient02)</a></p><p><b>encounter</b>: <a href="#Encounter_encounter02">See above (Encounter/encounter02)</a></p><p><b>executionPeriod</b>: 2017-06-15 --&gt; 2017-06-17</p><p><b>authoredOn</b>: 2018-09-25 14:24:23+0000</p><p><b>owner</b>: <a href="#Practitioner_practitioner02">See above (Practitioner/practitioner02)</a></p></div>
        </text>
        <identifier>
          <system value="http://example.org/tasks"/>
          <value value="19010"/>
        </identifier>
        <status value="completed"/>
        <intent value="plan"/>
        <priority value="routine"/>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/CodeSystem/task-code"/>
            <code value="fulfill"/>
            <display value="Fulfill the focal request"/>
          </coding>
        </code>
        <for>
          <reference value="Patient/patient02"/>
        </for>
        <encounter>
          <reference value="Encounter/encounter02"/>
        </encounter>
        <executionPeriod>
          <start value="2017-06-15"/>
          <end value="2017-06-17"/>
        </executionPeriod>
        <authoredOn value="2018-09-25T14:24:23.584Z"/>
        <owner>
          <reference value="Practitioner/practitioner02"/>
        </owner>
      </Task>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Task"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b"/>
    <resource>
      <MeasureReport>
        <id value="indv-measurereport02b"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="indv-measurereport02b"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MeasureReport &quot;indv-measurereport02b&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href="#Organization_organization02">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="Measure-measure-mrp-example.html">MRP Measure</a></p><p><b>subject</b>: <a href="#Patient_patient03">See above (Patient/patient03)</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="#Organization_organization01">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href="#Task_task03">See above (Task/task03)</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="Patient/patient03"/>
        </subject>
        <date value="2018-09-05T16:59:52.404Z"/>
        <reporter>
          <reference value="Organization/organization01"/>
        </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/fhir/"/>
              <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="Task/task03"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/Organization/organization01"/>
    <resource>
      <Organization>
        <id value="organization01"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-02-21T01:47:54.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="organization01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization &quot;organization01&quot; Version &quot;4&quot; Updated &quot;2019-02-21 01:47:54+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123456789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="TAX"/>
              <display value="Tax ID number"/>
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.4"/>
          <value value="123456789"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="DaVinciHospital01"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 401-555-1212"/>
        </telecom>
        <address>
          <line value="73 Lakewood Street"/>
          <city value="Warwick"/>
          <state value="RI"/>
          <postalCode value="02886"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Encounter/encounter01"/>
    <resource>
      <Encounter>
        <id value="encounter01"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b><a name="encounter01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Encounter &quot;encounter01&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Drug rehabilitation and detoxification <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#56876005)</span></p><p><b>subject</b>: <a href="#Patient_patient01">See above (Patient/patient01: Jairo Webster)</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --&gt; 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td>Home <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-discharge-disposition.html">Discharge disposition</a>#home)</span></td></tr></table></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="56876005"/>
            <display value="Drug rehabilitation and detoxification"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/patient01"/>
          <display value="Jairo Webster"/>
        </subject>
        <period>
          <start value="2018-05-29T11:00:00-04:00"/>
          <end value="2018-05-29T11:00:00-04:00"/>
        </period>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="Home"/>
            </coding>
          </dischargeDisposition>
        </hospitalization>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/Organization/organization02"/>
    <resource>
      <Organization>
        <id value="organization02"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2019-03-06T19:03:03.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="organization02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization &quot;organization02&quot; Version &quot;3&quot; Updated &quot;2019-03-06 19:03:03+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 234567891 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 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="234567891"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="DaVinciHospital02"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 551-555-1212"/>
        </telecom>
        <address>
          <line value="3 Sherwood St."/>
          <city value="Englewood"/>
          <state value="NJ"/>
          <postalCode value="07631"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/receiver/Encounter/encounter02"/>
    <resource>
      <Encounter>
        <id value="encounter02"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b><a name="encounter02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Encounter &quot;encounter02&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Fixation of fracture <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#239279000)</span></p><p><b>subject</b>: <a href="#Patient_patient02">See above (Patient/patient02)</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --&gt; 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td>Home <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-discharge-disposition.html">Discharge disposition</a>#home)</span></td></tr></table></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="239279000"/>
            <display value="Fixation of fracture"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/patient02"/>
        </subject>
        <period>
          <start value="2018-05-29T11:00:00-04:00"/>
          <end value="2018-05-29T11:00:00-04:00"/>
        </period>
        <hospitalization>
          <dischargeDisposition>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
              <code value="home"/>
              <display value="Home"/>
            </coding>
          </dischargeDisposition>
        </hospitalization>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a"/>
    <resource>
      <MeasureReport>
        <id value="indv-measurereport02a"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="indv-measurereport02a"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MeasureReport &quot;indv-measurereport02a&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-indv-measurereport-deqm.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href="#Organization_organization02">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="Measure-measure-mrp-example.html">MRP Measure</a></p><p><b>subject</b>: <a href="#Patient_patient02">See above (Patient/patient02)</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="#Organization_organization01">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>numerator</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>denominator</blockquote><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href="#Task_task02">See above (Task/task02)</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="Patient/patient02"/>
        </subject>
        <date value="2018-09-05T16:59:52.404Z"/>
        <reporter>
          <reference value="Organization/organization01"/>
        </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/fhir/"/>
              <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="Task/task02"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/receiver/Organization/organization03"/>
    <resource>
      <Organization>
        <id value="organization03"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2019-02-21T01:47:53.000+00:00"/>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="organization03"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization &quot;organization03&quot; Version &quot;3&quot; Updated &quot;2019-02-21 01:47:53+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Provider number: 345678912 (use: OFFICIAL), Provider number: 082584 (use: SECONDARY)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital03</p><p><b>telecom</b>: ph: (+1) 201-555-1212</p><p><b>address</b>: 94 Olive Ave. Union City NJ 07087 USA </p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="345678912"/>
          <assigner>
            <display value="www.cms.gov"/>
          </assigner>
        </identifier>
        <identifier>
          <use value="secondary"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.336"/>
          <value value="082584"/>
          <assigner>
            <display value="www.cms.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="DaVinciHospital03"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 201-555-1212"/>
        </telecom>
        <address>
          <line value="94 Olive Ave."/>
          <city value="Union City"/>
          <state value="NJ"/>
          <postalCode value="07087"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
</Bundle>