Data Exchange For Quality Measures Implementation Guide
3.1.0 - STU 3.1.0 US

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.1.0: STU 3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Gaps Multiple Parameters Individual MeasureReports01 - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "multiple-gaps-indv-report01",
  "parameter" : [
    {
      "name" : "return",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "single-gaps-open-indv-report01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
          ]
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:a11848c9-c9e4-42fc-8f53-cea03782c3e5"
        },
        "type" : "document",
        "timestamp" : "2020-06-30T13:08:53+00:00",
        "entry" : [
          {
            "fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition01",
            "resource" : {
              "resourceType" : "Composition",
              "id" : "gaps-composition01",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
                ]
              },
              "status" : "final",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "96315-7",
                    "display" : "Gaps in care report"
                  }
                ]
              },
              "subject" : {
                "reference" : "Patient/gaps-patient01"
              },
              "date" : "2020-06-30T13:08:53+00:00",
              "author" : [
                {
                  "reference" : "Organization/gaps-organization-reportingvendor"
                }
              ],
              "title" : "Care Gap Report for patient gaps-patient01",
              "section" : [
                {
                  "title" : "Colorectal Cancer Screening",
                  "focus" : {
                    "reference" : "MeasureReport/gaps-indv-measurereport01"
                  },
                  "entry" : [
                    {
                      "reference" : "DetectedIssue/gaps-detectedissue01"
                    }
                  ]
                },
                {
                  "title" : "Cervical Cancer Screening",
                  "focus" : {
                    "reference" : "MeasureReport/gaps-indv-measurereport02"
                  },
                  "entry" : [
                    {
                      "reference" : "DetectedIssue/gaps-detectedissue02"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01",
            "resource" : {
              "resourceType" : "MeasureReport",
              "id" : "gaps-indv-measurereport01",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
                ]
              },
              "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-patient01"
              },
              "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" : 0
                    },
                    {
                      "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" : 0.0
                  }
                }
              ],
              "evaluatedResource" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "initial-population"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "denominator"
                    }
                  ],
                  "reference" : "Encounter/gaps-encounter01"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "initial-population"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "denominator"
                    }
                  ],
                  "reference" : "Patient/gaps-patient01"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02",
            "resource" : {
              "resourceType" : "MeasureReport",
              "id" : "gaps-indv-measurereport02",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
                ]
              },
              "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-exm124-example",
              "subject" : {
                "reference" : "Patient/gaps-patient01"
              },
              "date" : "2020-07-02T13:08:52+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-exm124",
                  "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" : 0
                    },
                    {
                      "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" : 0.0
                  }
                }
              ],
              "evaluatedResource" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "initial-population"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "denominator"
                    }
                  ],
                  "reference" : "Encounter/gaps-encounter01"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "initial-population"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "denominator"
                    }
                  ],
                  "reference" : "Patient/gaps-patient01"
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01",
            "resource" : {
              "resourceType" : "DetectedIssue",
              "id" : "gaps-detectedissue01",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
                ]
              },
              "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" : "open-gap"
                      }
                    ]
                  }
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code" : "CAREGAP",
                    "display" : "Caregap"
                  }
                ]
              },
              "patient" : {
                "reference" : "Patient/gaps-patient01"
              },
              "evidence" : [
                {
                  "detail" : [
                    {
                      "reference" : "MeasureReport/gaps-indv-measurereport01"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02",
            "resource" : {
              "resourceType" : "DetectedIssue",
              "id" : "gaps-detectedissue02",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
                ]
              },
              "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" : "open-gap"
                      }
                    ]
                  }
                }
              ],
              "status" : "final",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code" : "CAREGAP",
                    "display" : "Caregap"
                  }
                ]
              },
              "patient" : {
                "reference" : "Patient/gaps-patient01"
              },
              "evidence" : [
                {
                  "detail" : [
                    {
                      "reference" : "MeasureReport/gaps-indv-measurereport02"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter01",
            "resource" : {
              "resourceType" : "Encounter",
              "id" : "gaps-encounter01",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
                ]
              },
              "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" : "99201",
                      "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."
                    }
                  ]
                }
              ],
              "subject" : {
                "reference" : "Patient/gaps-patient01"
              },
              "period" : {
                "start" : "2020-05-30T00:00:00-00:00",
                "end" : "2020-05-31T00:00:00-00:00"
              }
            }
          },
          {
            "fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient01",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "gaps-patient01",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
                ]
              },
              "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" : "999995992"
                }
              ],
              "name" : [
                {
                  "family" : "Susan",
                  "given" : [
                    "Parker"
                  ]
                }
              ],
              "gender" : "female",
              "birthDate" : "1965-01-01"
            }
          },
          {
            "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"
                ]
              },
              "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"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "name" : "return",
      "resource" : {
        "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:66556327-43dc-40fc-b20c-4e31a31e98e0"
        },
        "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"
                ]
              },
              "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"
                ]
              },
              "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"
                ]
              },
              "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-populationReference",
                      "valueString" : "initial-population"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "denominator"
                    }
                  ],
                  "reference" : "Encounter/gaps-encounter02"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "initial-population"
                    },
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "valueString" : "denominator"
                    }
                  ],
                  "reference" : "Patient/gaps-patient02"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                      "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/core/StructureDefinition/us-core-encounter"
                ]
              },
              "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" : "99201",
                      "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."
                    }
                  ]
                }
              ],
              "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/core/StructureDefinition/us-core-procedure"
                ]
              },
              "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 through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique"
                  }
                ]
              },
              "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/core/StructureDefinition/us-core-patient"
                ]
              },
              "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"
                ]
              },
              "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"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}