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 Multiple Parameters Individual MeasureReports01 - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="multiple-gaps-indv-report01"/>
  <parameter>
    <name value="return"/>
    <resource>
      <Bundle>
        <id value="single-gaps-open-indv-report01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
        </meta>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:a11848c9-c9e4-42fc-8f53-cea03782c3e5"/>
        </identifier>
        <type value="document"/>
        <timestamp value="2020-06-30T13:08:53+00:00"/>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Composition/gaps-composition01"/>
          <resource>
            <Composition>
              <id value="gaps-composition01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
              </meta>
              <status value="final"/>
              <type>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="96315-7"/>
                  <display value="Gaps in care report"/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <date value="2020-06-30T13:08:53+00:00"/>
              <author>
                <reference
                           value="Organization/gaps-organization-reportingvendor"/>
              </author>
              <title value="Care Gap Report for patient gaps-patient01"/>
              <section>
                <title value="Colorectal Cancer Screening"/>
                <focus>
                  <reference value="MeasureReport/gaps-indv-measurereport01"/>
                </focus>
                <entry>
                  <reference value="DetectedIssue/gaps-detectedissue01"/>
                </entry>
              </section>
              <section>
                <title value="Cervical Cancer Screening"/>
                <focus>
                  <reference value="MeasureReport/gaps-indv-measurereport02"/>
                </focus>
                <entry>
                  <reference value="DetectedIssue/gaps-detectedissue02"/>
                </entry>
              </section>
            </Composition>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01"/>
          <resource>
            <MeasureReport>
              <id value="gaps-indv-measurereport01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                    <code value="proportion"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
                <valueIdentifier>
                  <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
                  <value value="0015HQN9BD3304E"/>
                </valueIdentifier>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
                <valueReference>
                  <reference
                             value="Organization/gaps-organization-reportingvendor"/>
                </valueReference>
              </extension>
              <status value="complete"/>
              <type value="individual"/>
              <measure
                       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <date value="2020-06-30T13:08:52+00:00"/>
              <reporter>
                <reference value="Organization/organization01"/>
              </reporter>
              <period>
                <start value="2020-01-01"/>
                <end value="2020-12-31"/>
              </period>
              <improvementNotation>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                  <code value="increase"/>
                </coding>
              </improvementNotation>
              <group id="group-exm130">
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                      <display value="Initial Population"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="numerator"/>
                      <display value="Numerator"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                      <display value="Denominator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator-exclusion"/>
                      <display value="Denominator Exclusion"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <measureScore>
                  <value value="0.0"/>
                </measureScore>
              </group>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="initial-population"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="denominator"/>
                </extension>
                <reference value="Encounter/gaps-encounter01"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="initial-population"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="denominator"/>
                </extension>
                <reference value="Patient/gaps-patient01"/>
              </evaluatedResource>
            </MeasureReport>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02"/>
          <resource>
            <MeasureReport>
              <id value="gaps-indv-measurereport02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                    <code value="proportion"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
                <valueIdentifier>
                  <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
                  <value value="0015HQN9BD3304E"/>
                </valueIdentifier>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
                <valueReference>
                  <reference
                             value="Organization/gaps-organization-reportingvendor"/>
                </valueReference>
              </extension>
              <status value="complete"/>
              <type value="individual"/>
              <measure
                       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example"/>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <date value="2020-07-02T13:08:52+00:00"/>
              <reporter>
                <reference value="Organization/organization01"/>
              </reporter>
              <period>
                <start value="2020-01-01"/>
                <end value="2020-12-31"/>
              </period>
              <improvementNotation>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                  <code value="increase"/>
                </coding>
              </improvementNotation>
              <group id="group-exm124">
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                      <display value="Initial Population"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="numerator"/>
                      <display value="Numerator"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                      <display value="Denominator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator-exclusion"/>
                      <display value="Denominator Exclusion"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <measureScore>
                  <value value="0.0"/>
                </measureScore>
              </group>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="initial-population"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="denominator"/>
                </extension>
                <reference value="Encounter/gaps-encounter01"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="initial-population"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="denominator"/>
                </extension>
                <reference value="Patient/gaps-patient01"/>
              </evaluatedResource>
            </MeasureReport>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01"/>
          <resource>
            <DetectedIssue>
              <id value="gaps-detectedissue01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
              </meta>
              <modifierExtension
                                 url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
                    <code value="open-gap"/>
                  </coding>
                </valueCodeableConcept>
              </modifierExtension>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                  <code value="CAREGAP"/>
                  <display value="Caregap"/>
                </coding>
              </code>
              <patient>
                <reference value="Patient/gaps-patient01"/>
              </patient>
              <evidence>
                <detail>
                  <reference value="MeasureReport/gaps-indv-measurereport01"/>
                </detail>
              </evidence>
            </DetectedIssue>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02"/>
          <resource>
            <DetectedIssue>
              <id value="gaps-detectedissue02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
              </meta>
              <modifierExtension
                                 url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
                    <code value="open-gap"/>
                  </coding>
                </valueCodeableConcept>
              </modifierExtension>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                  <code value="CAREGAP"/>
                  <display value="Caregap"/>
                </coding>
              </code>
              <patient>
                <reference value="Patient/gaps-patient01"/>
              </patient>
              <evidence>
                <detail>
                  <reference value="MeasureReport/gaps-indv-measurereport02"/>
                </detail>
              </evidence>
            </DetectedIssue>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Encounter/gaps-encounter01"/>
          <resource>
            <Encounter>
              <id value="gaps-encounter01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
              </meta>
              <status value="finished"/>
              <class>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="AMB"/>
                <display value="ambulatory"/>
              </class>
              <type>
                <coding>
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="99202"/>
                  <display
                           value="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."/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient01"/>
              </subject>
              <period>
                <start value="2020-05-30T00:00:00-00:00"/>
                <end value="2020-05-31T00:00:00-00:00"/>
              </period>
            </Encounter>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Patient/gaps-patient01"/>
          <resource>
            <Patient>
              <id value="gaps-patient01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
                <extension url="ombCategory">
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.238"/>
                    <code value="2028-9"/>
                    <display value="Asian"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Asian"/>
                </extension>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
                <extension url="ombCategory">
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.238"/>
                    <code value="2135-2"/>
                    <display value="Hispanic or Latino"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Hispanic or Latino"/>
                </extension>
              </extension>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="MR"/>
                    <display value="Medical Record Number"/>
                  </coding>
                </type>
                <system value="http://hospital.smarthealthit.org"/>
                <value value="999995992"/>
              </identifier>
              <name>
                <family value="Susan"/>
                <given value="Parker"/>
              </name>
              <gender value="female"/>
              <birthDate value="1965-01-01"/>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
          <resource>
            <Organization>
              <id value="gaps-organization-reportingvendor"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
              </meta>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="TAX"/>
                    <display value="Tax ID number"/>
                  </coding>
                </type>
                <system value="urn:oid:2.16.840.1.113883.4.4"/>
                <value value="123446789"/>
                <assigner>
                  <display value="www.irs.gov"/>
                </assigner>
              </identifier>
              <active value="true"/>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                  <code value="pay"/>
                  <display value="Payer"/>
                </coding>
              </type>
              <name value="GapsReportingVendor01"/>
              <telecom>
                <system value="phone"/>
                <value value="(+1) 401-545-1212"/>
              </telecom>
              <address>
                <line value="13 Drive Street"/>
                <city value="Cityplace"/>
                <state value="MA"/>
                <postalCode value="01101"/>
                <country value="USA"/>
              </address>
            </Organization>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </parameter>
  <parameter>
    <name value="return"/>
    <resource>
      <Bundle>
        <id value="single-gaps-closed-indv-report01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
        </meta>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:66556327-43dc-40fc-b20c-4e31a31e98e0"/>
        </identifier>
        <type value="document"/>
        <timestamp value="2020-06-30T13:08:53+00:00"/>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Composition/gaps-composition02"/>
          <resource>
            <Composition>
              <id value="gaps-composition02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
              </meta>
              <status value="final"/>
              <type>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="96315-7"/>
                  <display value="Gaps in care report"/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <date value="2020-06-30T13:08:53+00:00"/>
              <author>
                <reference
                           value="Organization/gaps-organization-reportingvendor"/>
              </author>
              <title value="Care Gap Report for patient gaps-patient02"/>
              <section>
                <title value="Colorectal Cancer Screening"/>
                <focus>
                  <reference value="MeasureReport/gaps-indv-measurereport03"/>
                </focus>
                <entry>
                  <reference value="DetectedIssue/gaps-detectedissue03"/>
                </entry>
              </section>
            </Composition>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03"/>
          <resource>
            <DetectedIssue>
              <id value="gaps-detectedissue03"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
              </meta>
              <modifierExtension
                                 url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
                    <code value="closed-gap"/>
                  </coding>
                </valueCodeableConcept>
              </modifierExtension>
              <status value="final"/>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                  <code value="CAREGAP"/>
                  <display value="Caregap"/>
                </coding>
              </code>
              <patient>
                <reference value="Patient/gaps-patient02"/>
              </patient>
              <evidence>
                <detail>
                  <reference value="MeasureReport/gaps-indv-measurereport03"/>
                </detail>
              </evidence>
            </DetectedIssue>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
          <resource>
            <MeasureReport>
              <id value="gaps-indv-measurereport03"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                    <code value="proportion"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier">
                <valueIdentifier>
                  <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
                  <value value="0015HQN9BD3304E"/>
                </valueIdentifier>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
                <valueReference>
                  <reference
                             value="Organization/gaps-organization-reportingvendor"/>
                </valueReference>
              </extension>
              <status value="complete"/>
              <type value="individual"/>
              <measure
                       value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <date value="2020-06-30T13:08:52+00:00"/>
              <reporter>
                <reference value="Organization/organization01"/>
              </reporter>
              <period>
                <start value="2020-01-01"/>
                <end value="2020-12-31"/>
              </period>
              <improvementNotation>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                  <code value="increase"/>
                </coding>
              </improvementNotation>
              <group id="group-exm130">
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="initial-population"/>
                      <display value="Initial Population"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="numerator"/>
                      <display value="Numerator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator"/>
                      <display value="Denominator"/>
                    </coding>
                  </code>
                  <count value="1"/>
                </population>
                <population>
                  <code>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                      <code value="denominator-exclusion"/>
                      <display value="Denominator Exclusion"/>
                    </coding>
                  </code>
                  <count value="0"/>
                </population>
                <measureScore>
                  <value value="1.0"/>
                </measureScore>
              </group>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="initial-population"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="denominator"/>
                </extension>
                <reference value="Encounter/gaps-encounter02"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="initial-population"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="denominator"/>
                </extension>
                <reference value="Patient/gaps-patient02"/>
              </evaluatedResource>
              <evaluatedResource>
                <extension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference">
                  <valueString value="numerator"/>
                </extension>
                <reference value="Procedure/gaps-procedure01"/>
              </evaluatedResource>
            </MeasureReport>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Encounter/gaps-encounter02"/>
          <resource>
            <Encounter>
              <id value="gaps-encounter02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
              </meta>
              <status value="finished"/>
              <class>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="AMB"/>
                <display value="ambulatory"/>
              </class>
              <type>
                <coding>
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="99202"/>
                  <display
                           value="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."/>
                </coding>
              </type>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <period>
                <start value="2020-03-05T07:00:00-00:00"/>
                <end value="2020-03-05T10:00:00-00:00"/>
              </period>
            </Encounter>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Procedure/gaps-procedure01"/>
          <resource>
            <Procedure>
              <id value="gaps-procedure01"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
                <valueDateTime value="2018-09-10T09:00:00-00:00"/>
              </extension>
              <status value="completed"/>
              <code>
                <coding>
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="45384"/>
                  <display
                           value="Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"/>
                </coding>
              </code>
              <subject>
                <reference value="Patient/gaps-patient02"/>
              </subject>
              <performedPeriod>
                <start value="2018-09-10T08:00:00-00:00"/>
                <end value="2018-09-10T09:00:00-00:00"/>
              </performedPeriod>
            </Procedure>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
          <resource>
            <Patient>
              <id value="gaps-patient02"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
              </meta>
              <extension
                         url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
                <extension url="ombCategory">
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.238"/>
                    <code value="2028-9"/>
                    <display value="Asian"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Asian"/>
                </extension>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
                <extension url="ombCategory">
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.238"/>
                    <code value="2135-2"/>
                    <display value="Hispanic or Latino"/>
                  </valueCoding>
                </extension>
                <extension url="text">
                  <valueString value="Hispanic or Latino"/>
                </extension>
              </extension>
              <identifier>
                <use value="usual"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="MR"/>
                    <display value="Medical Record Number"/>
                  </coding>
                </type>
                <system value="http://hospital.smarthealthit.org"/>
                <value value="999996992"/>
              </identifier>
              <name>
                <family value="Ludwich"/>
                <given value="Thomas"/>
              </name>
              <gender value="male"/>
              <birthDate value="1957-01-01"/>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl
                   value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
          <resource>
            <Organization>
              <id value="gaps-organization-reportingvendor"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
              </meta>
              <identifier>
                <use value="official"/>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="TAX"/>
                    <display value="Tax ID number"/>
                  </coding>
                </type>
                <system value="urn:oid:2.16.840.1.113883.4.4"/>
                <value value="123446789"/>
                <assigner>
                  <display value="www.irs.gov"/>
                </assigner>
              </identifier>
              <active value="true"/>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                  <code value="pay"/>
                  <display value="Payer"/>
                </coding>
              </type>
              <name value="GapsReportingVendor01"/>
              <telecom>
                <system value="phone"/>
                <value value="(+1) 401-545-1212"/>
              </telecom>
              <address>
                <line value="13 Drive Street"/>
                <city value="Cityplace"/>
                <state value="MA"/>
                <postalCode value="01101"/>
                <country value="USA"/>
              </address>
            </Organization>
          </resource>
        </entry>
      </Bundle>
    </resource>
  </parameter>
</Parameters>