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

: Gaps Bundle Closed Individual MeasureReport01 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "single-gaps-closed-indv-report01",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae"
  },
  "type" : "document",
  "timestamp" : "2020-06-30T13:08:53+00:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition02",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "gaps-composition02",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"gaps-composition02\"> </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 Composition &quot;gaps-composition02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-composition-deqm.html\">DEQM Gaps In Care Composition Profile</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Gaps in care report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#96315-7)</span></p><p><b>date</b>: 2020-06-30 13:08:53+0000</p><p><b>author</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient02</p></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "96315-7",
              "display" : "Gaps in care report"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/gaps-patient02"
        },
        "date" : "2020-06-30T13:08:53+00:00",
        "author" : [
          {
            "reference" : "Organization/gaps-organization-reportingvendor"
          }
        ],
        "title" : "Care Gap Report for patient gaps-patient02",
        "section" : [
          {
            "title" : "Colorectal Cancer Screening",
            "focus" : {
              "reference" : "MeasureReport/gaps-indv-measurereport03"
            },
            "entry" : [
              {
                "reference" : "DetectedIssue/gaps-detectedissue03"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03",
      "resource" : {
        "resourceType" : "DetectedIssue",
        "id" : "gaps-detectedissue03",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DetectedIssue</b><a name=\"gaps-detectedissue03\"> </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 DetectedIssue &quot;gaps-detectedissue03&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-detectedissue-deqm.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><blockquote><p><b>modifierExtension[http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus]</b></p></blockquote><p><b>status</b>: final</p><p><b>code</b>: Caregap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-ActCode.html\">ActCode</a>#CAREGAP)</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient02\">See above (Patient/gaps-patient02)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport03\">See above (MeasureReport/gaps-indv-measurereport03)</a></td></tr></table></div>"
        },
        "modifierExtension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status",
                  "code" : "closed-gap"
                }
              ]
            }
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "CAREGAP",
              "display" : "Caregap"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/gaps-patient02"
        },
        "evidence" : [
          {
            "detail" : [
              {
                "reference" : "MeasureReport/gaps-indv-measurereport03"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "gaps-indv-measurereport03",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"gaps-indv-measurereport03\"> </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;gaps-indv-measurereport03&quot; </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:\u00a00015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm130-example.html\">Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient02\">See above (Patient/gaps-patient02)</a></p><p><b>date</b>: 2020-06-30 13:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>period</b>: 2020-01-01 --&gt; 2020-12-31</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><blockquote><p><b>id</b></p>group-exm130</blockquote><blockquote><p><b>population</b></p><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><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><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><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <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-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\">See above (Encounter/gaps-encounter02)</a></li><li><a href=\"#Patient_gaps-patient02\">See above (Patient/gaps-patient02)</a></li><li><a href=\"#Procedure_gaps-procedure01\">See above (Procedure/gaps-procedure01)</a></li></ul></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                  "code" : "proportion"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier" : {
              "system" : "urn:oid:2.16.840.1.113883.3.2074.1",
              "value" : "0015HQN9BD3304E"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference" : {
              "reference" : "Organization/gaps-organization-reportingvendor"
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
        "subject" : {
          "reference" : "Patient/gaps-patient02"
        },
        "date" : "2020-06-30T13:08:52+00:00",
        "reporter" : {
          "reference" : "Organization/organization01"
        },
        "period" : {
          "start" : "2020-01-01",
          "end" : "2020-12-31"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase"
            }
          ]
        },
        "group" : [
          {
            "id" : "group-exm130",
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator-exclusion",
                      "display" : "Denominator Exclusion"
                    }
                  ]
                },
                "count" : 0
              }
            ],
            "measureScore" : {
              "value" : 1.0
            }
          }
        ],
        "evaluatedResource" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                "valueString" : "initial-population"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                "valueString" : "denominator"
              }
            ],
            "reference" : "Encounter/gaps-encounter02"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                "valueString" : "initial-population"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                "valueString" : "denominator"
              }
            ],
            "reference" : "Patient/gaps-patient02"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference",
                "valueString" : "numerator"
              }
            ],
            "reference" : "Procedure/gaps-procedure01"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter02",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "gaps-encounter02",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"gaps-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;gaps-encounter02&quot; </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>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99202)</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient02\">See above (Patient/gaps-patient02)</a></p><p><b>period</b>: 2020-03-05 07:00:00+0000 --&gt; 2020-03-05 10:00:00+0000</p></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "ambulatory"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://www.ama-assn.org/go/cpt",
                "code" : "99202",
                "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/gaps-patient02"
        },
        "period" : {
          "start" : "2020-03-05T07:00:00-00:00",
          "end" : "2020-03-05T10:00:00-00:00"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Procedure/gaps-procedure01",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "gaps-procedure01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"gaps-procedure01\"> </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 Procedure &quot;gaps-procedure01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-procedure.html\">QICore Procedure</a></p></div><p><b>QICore Not Done Recorded</b>: 2018-09-10 09:00:00+0000</p><p><b>status</b>: completed</p><p><b>code</b>: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#45384)</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient02\">See above (Patient/gaps-patient02)</a></p><p><b>performed</b>: 2018-09-10 08:00:00+0000 --&gt; 2018-09-10 09:00:00+0000</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded",
            "valueDateTime" : "2018-09-10T09:00:00-00:00"
          }
        ],
        "status" : "completed",
        "code" : {
          "coding" : [
            {
              "system" : "http://www.ama-assn.org/go/cpt",
              "code" : "45384",
              "display" : "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/gaps-patient02"
        },
        "performedPeriod" : {
          "start" : "2018-09-10T08:00:00-00:00",
          "end" : "2018-09-10T09:00:00-00:00"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient02",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "gaps-patient02",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"gaps-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;gaps-patient02&quot; </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><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>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = '2135-2', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: 999996992\u00a0(use:\u00a0USUAL)</p><p><b>name</b>: Thomas Ludwich </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1957-01-01</p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2028-9",
                  "display" : "Asian"
                }
              },
              {
                "url" : "text",
                "valueString" : "Asian"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2135-2",
                  "display" : "Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical Record Number"
                }
              ]
            },
            "system" : "http://hospital.smarthealthit.org",
            "value" : "999996992"
          }
        ],
        "name" : [
          {
            "family" : "Ludwich",
            "given" : [
              "Thomas"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1957-01-01"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "gaps-organization-reportingvendor",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"gaps-organization-reportingvendor\"> </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;gaps-organization-reportingvendor&quot; </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: 123446789\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Payer <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>#pay)</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>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "TAX",
                  "display" : "Tax ID number"
                }
              ]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.4",
            "value" : "123446789",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "pay",
                "display" : "Payer"
              }
            ]
          }
        ],
        "name" : "GapsReportingVendor01",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 401-545-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "13 Drive Street"
            ],
            "city" : "Cityplace",
            "state" : "MA",
            "postalCode" : "01101",
            "country" : "USA"
          }
        ]
      }
    }
  ]
}