This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
JSON Format: Bundle-multiple-indv-mrp-task-report
Download Raw json
{
"resourceType" : "Bundle",
"id" : "multiple-indv-mrp-task-report",
"type" : "transaction",
"timestamp" : "2019-12-06T06:29:32.747871Z",
"entry" : [
{
"fullUrl" : "urn:uuid:c90e56d8-17f1-11ea-9ce8-4ccc6a181ed3",
"resource" : {
"resourceType" : "MeasureReport",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018 12:00:00 AM --> Sep 1, 2018 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3\">urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3</a></p></div>"
},
"extension" : [
{
"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" : "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org",
"code" : "112",
"display" : "112"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org",
"code" : "initial-population",
"display" : "Initial Population"
}
]
}
}
],
"measureScore" : {
"value" : 100
}
}
],
"evaluatedResource" : [
{
"reference" : "urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3",
"resource" : {
"resourceType" : "Task",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>encounter</b>: <a href=\"urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71\">urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71</a></p><p><b>executionPeriod</b>: Jun 11, 2017 12:00:00 AM --> Jun 11, 2017 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">urn:uuid:0000016d-235f-39b3-0000-0000000000fa</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.org",
"value" : "19009"
}
],
"status" : "completed",
"intent" : "plan",
"priority" : "routine",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"for" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"encounter" : {
"reference" : "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
},
"executionPeriod" : {
"start" : "2017-06-11",
"end" : "2017-06-11"
},
"authoredOn" : "2018-09-25T14:24:23.584Z",
"owner" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
}
},
"request" : {
"method" : "POST",
"url" : "Task"
}
},
{
"fullUrl" : "urn:uuid:c90ecb36-17f1-11ea-bb3a-4ccc6a181ed3",
"resource" : {
"resourceType" : "Coverage",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3\">urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3</a></p></div>"
},
"status" : "active",
"policyHolder" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"subscriber" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"subscriberId" : "A123456789",
"beneficiary" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
},
"relationship" : {
"coding" : [
{
"code" : "self"
}
]
},
"payor" : [
{
"reference" : "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "Coverage"
}
},
{
"fullUrl" : "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789124 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'other' = 'Other', given as 'Other'})</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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:2.16.840.1.113883.4.2",
"value" : "456789124",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "other",
"display" : "Other"
}
]
}
],
"name" : "DV Quality Measure Data Reporter",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 616-555-1212"
}
],
"address" : [
{
"line" : [
"160 Glen Eagles Road"
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789125 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'ins' = 'Insurance Company', given as 'Insurance Company'})</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 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:2.16.840.1.113883.4.2",
"value" : "456789125",
"assigner" : {
"display" : "www.irs.gov"
}
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "ins",
"display" : "Insurance Company"
}
]
}
],
"name" : "DVPayer04",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 616-555-1212"
}
],
"address" : [
{
"line" : [
"160 Glen Eagles Road"
],
"city" : "Grand Rapids",
"state" : "MI",
"postalCode" : "49503",
"country" : "USA"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:c90ef354-17f1-11ea-bae2-4ccc6a181ed3",
"resource" : {
"resourceType" : "MeasureReport",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018 12:00:00 AM --> Sep 1, 2018 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3\">urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3</a></p></div>"
},
"extension" : [
{
"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" : "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org",
"code" : "112",
"display" : "112"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org",
"code" : "initial-population",
"display" : "Initial Population"
}
]
}
}
],
"measureScore" : {
"value" : 100
}
}
],
"evaluatedResource" : [
{
"reference" : "urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3",
"resource" : {
"resourceType" : "Task",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>encounter</b>: <a href=\"urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518\">urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518</a></p><p><b>executionPeriod</b>: Jun 11, 2017 12:00:00 AM --> Jun 11, 2017 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-000000011fc6\">urn:uuid:0000016d-235f-39b3-0000-000000011fc6</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.org",
"value" : "19009"
}
],
"status" : "completed",
"intent" : "plan",
"priority" : "routine",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"for" : {
"reference" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
},
"encounter" : {
"reference" : "urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518"
},
"executionPeriod" : {
"start" : "2017-06-11",
"end" : "2017-06-11"
},
"authoredOn" : "2018-09-25T14:24:23.584Z",
"owner" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-000000011fc6"
}
},
"request" : {
"method" : "POST",
"url" : "Task"
}
},
{
"fullUrl" : "urn:uuid:c90f1923-17f1-11ea-943f-4ccc6a181ed3",
"resource" : {
"resourceType" : "Coverage",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>subscriberId</b>: A123456790</p><p><b>beneficiary</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3\">urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3</a></p></div>"
},
"status" : "active",
"policyHolder" : {
"reference" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
},
"subscriber" : {
"reference" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
},
"subscriberId" : "A123456790",
"beneficiary" : {
"reference" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
},
"relationship" : {
"coding" : [
{
"code" : "self"
}
]
},
"payor" : [
{
"reference" : "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "Coverage"
}
},
{
"fullUrl" : "urn:uuid:c90f1925-17f1-11ea-a7e8-4ccc6a181ed3",
"resource" : {
"resourceType" : "MeasureReport",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018 12:00:00 AM --> Sep 1, 2018 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3\">urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3</a></p></div>"
},
"extension" : [
{
"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" : "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3"
}
}
],
"status" : "complete",
"type" : "individual",
"measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
"subject" : {
"reference" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
},
"date" : "2018-09-05T16:59:52.404Z",
"reporter" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
},
"period" : {
"start" : "2018-08-01",
"end" : "2018-09-01"
},
"group" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org",
"code" : "112",
"display" : "112"
}
]
},
"population" : [
{
"code" : {
"coding" : [
{
"system" : "http://example.org",
"code" : "initial-population",
"display" : "Initial Population"
}
]
}
}
],
"measureScore" : {
"value" : 100
}
}
],
"evaluatedResource" : [
{
"reference" : "urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "MeasureReport"
}
},
{
"fullUrl" : "urn:uuid:c90f411a-17f1-11ea-b9ba-4ccc6a181ed3",
"resource" : {
"resourceType" : "Task",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>encounter</b>: <a href=\"urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016\">urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016</a></p><p><b>executionPeriod</b>: Jun 11, 2017 12:00:00 AM --> Jun 11, 2017 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-000000001298\">urn:uuid:0000016d-235f-39b3-0000-000000001298</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.org",
"value" : "19009"
}
],
"status" : "completed",
"intent" : "plan",
"priority" : "routine",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "1111F",
"display" : "Medication Reconciliation"
}
]
},
"for" : {
"reference" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
},
"encounter" : {
"reference" : "urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016"
},
"executionPeriod" : {
"start" : "2017-06-11",
"end" : "2017-06-11"
},
"authoredOn" : "2018-09-25T14:24:23.584Z",
"owner" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-000000001298"
}
},
"request" : {
"method" : "POST",
"url" : "Task"
}
},
{
"fullUrl" : "urn:uuid:c90f411b-17f1-11ea-829e-4ccc6a181ed3",
"resource" : {
"resourceType" : "Coverage",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>subscriberId</b>: A123456795</p><p><b>beneficiary</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3\">urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3</a></p></div>"
},
"status" : "active",
"policyHolder" : {
"reference" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
},
"subscriber" : {
"reference" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
},
"subscriberId" : "A123456795",
"beneficiary" : {
"reference" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
},
"relationship" : {
"coding" : [
{
"code" : "self"
}
]
},
"payor" : [
{
"reference" : "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3"
}
]
},
"request" : {
"method" : "POST",
"url" : "Coverage"
}
},
{
"fullUrl" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
"resource" : {
"resourceType" : "Patient",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number = 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number = 999-61-8566, Driver's license Number = S99966861, Passport Number = X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Portuguese <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'pt' = 'Portuguese', given as 'Portuguese'})</span></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"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" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
"valueString" : "Freda902 Tillman293"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Faro",
"state" : "Algarve",
"country" : "PT"
}
}
],
"identifier" : [
{
"system" : "https://github.com/synthetichealth/synthea",
"value" : "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security Number"
}
],
"text" : "Social Security Number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "999-61-8566"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "DL",
"display" : "Driver's license Number"
}
],
"text" : "Driver's license Number"
},
"system" : "urn:oid:2.16.840.1.113883.4.3.25",
"value" : "S99966861"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PPN",
"display" : "Passport Number"
}
],
"text" : "Passport Number"
},
"system" : "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
"value" : "X52208740X"
}
],
"name" : [
{
"use" : "official",
"family" : "McDermott739",
"given" : [
"Debbie941"
],
"prefix" : [
"Mrs."
]
},
{
"use" : "maiden",
"family" : "Funk324",
"given" : [
"Debbie941"
],
"prefix" : [
"Mrs."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-755-4280",
"use" : "home"
}
],
"gender" : "female",
"birthDate" : "1961-02-26",
"address" : [
{
"extension" : [
{
"extension" : [
{
"url" : "latitude",
"valueDecimal" : 42.21379047108309
},
{
"url" : "longitude",
"valueDecimal" : -72.73951315911818
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
}
],
"line" : [
"903 Wolff Ville"
],
"city" : "Westfield",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
],
"text" : "M"
},
"multipleBirthBoolean" : false,
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "pt",
"display" : "Portuguese"
}
],
"text" : "Portuguese"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71",
"resource" : {
"resourceType" : "Encounter",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: Jun 20, 1976 5:41:49 PM --> Apr 29, 2018 5:41:49 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99221",
"display" : "Initial hospital care"
}
],
"text" : "Initial hospital care"
}
],
"subject" : {
"reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
"display" : "Mrs. Debbie941 McDermott739"
},
"participant" : [
{
"individual" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
"display" : "Dr. Manuel446 Granados71"
}
}
],
"period" : {
"start" : "1976-06-20T10:41:49-07:00",
"end" : "2018-04-29T10:41:49-07:00"
},
"location" : [
{
"location" : {
"reference" : "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
"display" : "NOBLE HOSPITAL"
}
}
],
"serviceProvider" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
"display" : "NOBLE HOSPITAL"
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
"resource" : {
"resourceType" : "Practitioner",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: Manuel446.Granados71@example.com(WORK)</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "250"
}
],
"active" : true,
"name" : [
{
"family" : "Granados71",
"given" : [
"Manuel446"
],
"prefix" : [
"Dr."
]
}
],
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
"valueBoolean" : true
}
],
"system" : "email",
"value" : "Manuel446.Granados71@example.com",
"use" : "work"
}
],
"address" : [
{
"line" : [
"115 WEST SILVER STREET"
],
"city" : "WESTFIELD",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
}
],
"gender" : "male"
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
},
{
"fullUrl" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
"resource" : {
"resourceType" : "Organization",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 9999999999 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9999999999"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
],
"text" : "Healthcare Provider"
}
],
"name" : "NOBLE HOSPITAL",
"telecom" : [
{
"system" : "phone",
"value" : "4135682811"
}
],
"address" : [
{
"line" : [
"115 WEST SILVER STREET"
],
"city" : "WESTFIELD",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
}
]
},
"request" : {
"method" : "POST",
"url" : "Organization"
}
},
{
"fullUrl" : "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
"resource" : {
"resourceType" : "Location",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><h3>Positions</h3><table class=\"grid\"><tr><td>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
},
"status" : "active",
"name" : "NOBLE HOSPITAL",
"telecom" : [
{
"system" : "phone",
"value" : "4135682811"
}
],
"address" : {
"line" : [
"115 WEST SILVER STREET"
],
"city" : "WESTFIELD",
"state" : "MA",
"postalCode" : "01085",
"country" : "US"
},
"position" : {
"longitude" : -72.755911,
"latitude" : 42.138838
},
"managingOrganization" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
"display" : "NOBLE HOSPITAL"
}
},
"request" : {
"method" : "POST",
"url" : "Location"
}
},
{
"fullUrl" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9",
"resource" : {
"resourceType" : "Patient",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: f605b676-acb4-4cb0-bd77-f8c87f7b83a2, Medical Record Number = f605b676-acb4-4cb0-bd77-f8c87f7b83a2, Social Security Number = 999-75-8071, Driver's license Number = S99968294, Passport Number = X86200374X</p><p><b>name</b>: Royce974 Hegmann834 (OFFICIAL)</p><p><b>telecom</b>: ph: 555-539-7855(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1942-08-10</p><p><b>address</b>: 624 Williamson Ville Boston MA 02108 US </p><p><b>maritalStatus</b>: Never Married <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'S' = 'Never Married', given as 'Never Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'en-US' = 'English (Region=United States)', given as 'English (Region=United States)'})</span></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"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" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
"valueString" : "Hettie215 Johnston597"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Reading",
"state" : "Massachusetts",
"country" : "US"
}
}
],
"identifier" : [
{
"system" : "https://github.com/synthetichealth/synthea",
"value" : "f605b676-acb4-4cb0-bd77-f8c87f7b83a2"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "f605b676-acb4-4cb0-bd77-f8c87f7b83a2"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security Number"
}
],
"text" : "Social Security Number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "999-75-8071"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "DL",
"display" : "Driver's license Number"
}
],
"text" : "Driver's license Number"
},
"system" : "urn:oid:2.16.840.1.113883.4.3.25",
"value" : "S99968294"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PPN",
"display" : "Passport Number"
}
],
"text" : "Passport Number"
},
"system" : "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
"value" : "X86200374X"
}
],
"name" : [
{
"use" : "official",
"family" : "Hegmann834",
"given" : [
"Royce974"
],
"prefix" : [
"Mr."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-539-7855",
"use" : "home"
}
],
"gender" : "male",
"birthDate" : "1942-08-10",
"address" : [
{
"extension" : [
{
"extension" : [
{
"url" : "latitude",
"valueDecimal" : 42.41560920330857
},
{
"url" : "longitude",
"valueDecimal" : -70.93765725466737
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
}
],
"line" : [
"624 Williamson Ville"
],
"city" : "Boston",
"state" : "MA",
"postalCode" : "02108",
"country" : "US"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "S",
"display" : "Never Married"
}
],
"text" : "Never Married"
},
"multipleBirthBoolean" : false,
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
}
],
"text" : "English (Region=United States)"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518",
"resource" : {
"resourceType" : "Encounter",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">Mr. Royce974 Hegmann834</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-000000011fc6\">Dr. Delores12 Kautzer186</a></td></tr></table><p><b>period</b>: Sep 5, 1955 9:19:34 PM --> Sep 5, 1955 9:34:34 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99221",
"display" : "Initial hospital care"
}
],
"text" : "Initial hospital care"
}
],
"subject" : {
"reference" : "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9",
"display" : "Mr. Royce974 Hegmann834"
},
"participant" : [
{
"individual" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-000000011fc6",
"display" : "Dr. Delores12 Kautzer186"
}
}
],
"period" : {
"start" : "1955-09-05T14:19:34-07:00",
"end" : "1955-09-05T14:34:34-07:00"
},
"location" : [
{
"location" : {
"reference" : "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"
}
}
],
"serviceProvider" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "urn:uuid:0000016d-235f-39b3-0000-000000011fc6",
"resource" : {
"resourceType" : "Practitioner",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 73670</p><p><b>active</b>: true</p><p><b>name</b>: Delores12 Kautzer186 </p><p><b>telecom</b>: Delores12.Kautzer186@example.com(WORK)</p><p><b>address</b>: 10 GOVE ST EAST BOSTON MA 02128-1920 US </p><p><b>gender</b>: female</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "73670"
}
],
"active" : true,
"name" : [
{
"family" : "Kautzer186",
"given" : [
"Delores12"
],
"prefix" : [
"Dr."
]
}
],
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
"valueBoolean" : true
}
],
"system" : "email",
"value" : "Delores12.Kautzer186@example.com",
"use" : "work"
}
],
"address" : [
{
"line" : [
"10 GOVE ST"
],
"city" : "EAST BOSTON",
"state" : "MA",
"postalCode" : "02128-1920",
"country" : "US"
}
],
"gender" : "female"
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
},
{
"fullUrl" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073",
"resource" : {
"resourceType" : "Patient",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 4b83a64c-8947-4048-822c-6ea95d8bb33f, Medical Record Number = 4b83a64c-8947-4048-822c-6ea95d8bb33f, Social Security Number = 999-94-2029, Driver's license Number = S99932279, Passport Number = X84312651X</p><p><b>name</b>: José3 Mota271 (OFFICIAL)</p><p><b>telecom</b>: ph: 555-580-6204(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1935-01-28</p><p><b>address</b>: 823 Quigley Lodge Unit 81 Boston MA 02108 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Spanish <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'es' = 'Spanish', given as 'Spanish'})</span></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2054-5",
"display" : "Black or African American"
}
},
{
"url" : "text",
"valueString" : "Black or African American"
}
],
"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" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
"valueString" : "Emilia403 Moya426"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"city" : "Portsmouth",
"state" : "Saint John Parish",
"country" : "DM"
}
}
],
"identifier" : [
{
"system" : "https://github.com/synthetichealth/synthea",
"value" : "4b83a64c-8947-4048-822c-6ea95d8bb33f"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "4b83a64c-8947-4048-822c-6ea95d8bb33f"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS",
"display" : "Social Security Number"
}
],
"text" : "Social Security Number"
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "999-94-2029"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "DL",
"display" : "Driver's license Number"
}
],
"text" : "Driver's license Number"
},
"system" : "urn:oid:2.16.840.1.113883.4.3.25",
"value" : "S99932279"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PPN",
"display" : "Passport Number"
}
],
"text" : "Passport Number"
},
"system" : "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
"value" : "X84312651X"
}
],
"name" : [
{
"use" : "official",
"family" : "Mota271",
"given" : [
"José3"
],
"prefix" : [
"Mr."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-580-6204",
"use" : "home"
}
],
"gender" : "male",
"birthDate" : "1935-01-28",
"address" : [
{
"extension" : [
{
"extension" : [
{
"url" : "latitude",
"valueDecimal" : 42.34029992468983
},
{
"url" : "longitude",
"valueDecimal" : -70.95553286247721
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
}
],
"line" : [
"823 Quigley Lodge Unit 81"
],
"city" : "Boston",
"state" : "MA",
"postalCode" : "02108",
"country" : "US"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
],
"text" : "M"
},
"multipleBirthBoolean" : false,
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "es",
"display" : "Spanish"
}
],
"text" : "Spanish"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "Patient"
}
},
{
"fullUrl" : "urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016",
"resource" : {
"resourceType" : "Encounter",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">Mr. José3 Mota271</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-000000001298\">Dr. Hayden835 Mraz590</a></td></tr></table><p><b>period</b>: Apr 18, 1972 7:19:25 AM --> Apr 18, 1972 7:34:25 AM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99221",
"display" : "Initial hospital care"
}
],
"text" : "Initial hospital care"
}
],
"subject" : {
"reference" : "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073",
"display" : "Mr. José3 Mota271"
},
"participant" : [
{
"individual" : {
"reference" : "urn:uuid:0000016d-235f-39b3-0000-000000001298",
"display" : "Dr. Hayden835 Mraz590"
}
}
],
"period" : {
"start" : "1972-04-17T23:19:25-08:00",
"end" : "1972-04-17T23:34:25-08:00"
},
"location" : [
{
"location" : {
"reference" : "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"
}
}
],
"serviceProvider" : {
"reference" : "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
}
},
"request" : {
"method" : "POST",
"url" : "Encounter"
}
},
{
"fullUrl" : "urn:uuid:0000016d-235f-39b3-0000-000000001298",
"resource" : {
"resourceType" : "Practitioner",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 4760</p><p><b>active</b>: true</p><p><b>name</b>: Hayden835 Mraz590 </p><p><b>telecom</b>: Hayden835.Mraz590@example.com(WORK)</p><p><b>address</b>: 50 JEFFERSON ST WINTHROP MA 02152-2649 US </p><p><b>gender</b>: male</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "4760"
}
],
"active" : true,
"name" : [
{
"family" : "Mraz590",
"given" : [
"Hayden835"
],
"prefix" : [
"Dr."
]
}
],
"telecom" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
"valueBoolean" : true
}
],
"system" : "email",
"value" : "Hayden835.Mraz590@example.com",
"use" : "work"
}
],
"address" : [
{
"line" : [
"50 JEFFERSON ST"
],
"city" : "WINTHROP",
"state" : "MA",
"postalCode" : "02152-2649",
"country" : "US"
}
],
"gender" : "male"
},
"request" : {
"method" : "POST",
"url" : "Practitioner"
}
}
]
}
