Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.0.0: STU 3) 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

: Multiple Indv Mrp Task Report - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "multiple-indv-mrp-task-report",
  "type" : "transaction",
  "timestamp" : "2020-07-08T22:16:38.284687Z",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/receiver/Patient/patient03",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient03",
        "meta" : {
          "versionId" : "4",
          "lastUpdated" : "2019-02-07T18:47:34.000+00:00",
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2054-5}\">Black or African American</span></p><p><b>value</b>: Black or African American</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2186-5}\">Not Hispanic or Latino</span></p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 34567 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Virginia Hartman (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1983-09-12</p><p><b>deceased</b>: false</p><p><b>address</b>: 213 Lilac Ave. Freehold MI 48099 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus U}\">unmarried</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization03\">See above (Organization/organization03)</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          },
          {
            "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"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ]
            },
            "system" : "http://hospital.davinci.org",
            "value" : "34567"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Hartman",
            "given" : [
              "Virginia"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1983-09-12",
        "deceasedBoolean" : false,
        "address" : [
          {
            "use" : "home",
            "line" : [
              "213 Lilac Ave."
            ],
            "city" : "Freehold",
            "state" : "MI",
            "postalCode" : "48099",
            "country" : "USA"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "U",
              "display" : "unmarried"
            }
          ]
        },
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en-US",
                  "display" : "English (Region=United States)"
                }
              ]
            },
            "preferred" : true
          }
        ],
        "managingOrganization" : {
          "reference" : "Organization/organization03"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Patient/patient02",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient02",
        "meta" : {
          "versionId" : "4",
          "lastUpdated" : "2019-03-06T19:03:03.000+00:00",
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>US Core Birth Sex Extension</b>: M</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2028-9}\">Asian</span></p><p><b>value</b>: Asian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2186-5}\">Not Hispanic or Latino</span></p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 23456 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Darien Bernard (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1967-06-13</p><p><b>deceased</b>: false</p><p><b>address</b>: 6 Rockwell Street Lynnwood NJ 07420 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "M"
          },
          {
            "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" : "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"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ]
            },
            "system" : "http://hospital.davinci.org",
            "value" : "23456"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Bernard",
            "given" : [
              "Darien"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1967-06-13",
        "deceasedBoolean" : false,
        "address" : [
          {
            "use" : "home",
            "line" : [
              "6 Rockwell Street"
            ],
            "city" : "Lynnwood",
            "state" : "NJ",
            "postalCode" : "07420",
            "country" : "USA"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M",
              "display" : "Married"
            }
          ]
        },
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en-US",
                  "display" : "English (Region=United States)"
                }
              ]
            },
            "preferred" : true
          }
        ],
        "managingOrganization" : {
          "reference" : "Organization/organization02"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "indv-measurereport02",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"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=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes: {http://example.org/fhir/ mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Task_task01\">See above (Task/task01)</a></p></div>"
        },
        "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/organization02"
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject" : {
          "reference" : "Patient/patient01"
        },
        "date" : "2018-09-05T16:59:52.404Z",
        "reporter" : {
          "reference" : "Organization/organization01"
        },
        "period" : {
          "start" : "2018-08-01",
          "end" : "2018-09-01"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase",
              "display" : "Increased score indicates improvement"
            }
          ]
        },
        "group" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/",
                  "code" : "mrp-group",
                  "display" : "MRP Group"
                }
              ],
              "text" : "MRP Group"
            },
            "population" : [
              {
                "id" : "initial-population",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "id" : "numerator",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "id" : "denominator",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              }
            ],
            "measureScore" : {
              "value" : 1
            }
          }
        ],
        "evaluatedResource" : [
          {
            "reference" : "Task/task01"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Task/task01",
      "resource" : {
        "resourceType" : "Task",
        "id" : "task01",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "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</b></p><p><b>identifier</b>: id: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>for</b>: <a href=\"#Patient_patient01\">See above (Patient/patient01)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter01\">See above (Encounter/encounter01)</a></p><p><b>executionPeriod</b>: 2017-06-11 --&gt; 2017-06-11</p><p><b>authoredOn</b>: Sep 25, 2018 2:24:23 PM</p><p><b>owner</b>: <a href=\"#Practitioner_practitioner01\">See above (Practitioner/practitioner01)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://example.org/tasks",
            "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" : "Patient/patient01"
        },
        "encounter" : {
          "reference" : "Encounter/encounter01"
        },
        "executionPeriod" : {
          "start" : "2017-06-11",
          "end" : "2017-06-11"
        },
        "authoredOn" : "2018-09-25T14:24:23.584Z",
        "owner" : {
          "reference" : "Practitioner/practitioner01"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Task"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter03",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter03",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 53950000}\">Respiratory therapy</span></p><p><b>subject</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>period</b>: May 29, 2018 3:00:00 PM --&gt; May 29, 2018 3:00:00 PM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "53950000",
                "display" : "Respiratory therapy"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/patient03"
        },
        "period" : {
          "start" : "2018-05-29T11:00:00-04:00",
          "end" : "2018-05-29T11:00:00-04:00"
        },
        "hospitalization" : {
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home",
                "display" : "Home"
              }
            ]
          }
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Encounter"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Patient/patient01",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient01",
        "meta" : {
          "versionId" : "5",
          "lastUpdated" : "2019-02-11T14:19:25.000+00:00",
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>US Core Birth Sex Extension</b>: M</p><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2106-3}\">White</span></p><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2186-5}\">Not Hispanic or Latino</span></p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number: 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Jairo Webster (OFFICIAL)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1946-12-16</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (Region=United States)</span></td><td>true</td></tr></table><p><b>managingOrganization</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "M"
          },
          {
            "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"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ]
            },
            "system" : "http://hospital.davinci.org",
            "value" : "12345"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Webster",
            "given" : [
              "Jairo"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1946-12-16",
        "deceasedBoolean" : false,
        "address" : [
          {
            "use" : "home",
            "line" : [
              "7496 Beaver Ridge Ave"
            ],
            "city" : "Thornton",
            "state" : "NJ",
            "postalCode" : "07003",
            "country" : "USA"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M",
              "display" : "Married"
            }
          ]
        },
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en-US",
                  "display" : "English (Region=United States)"
                }
              ]
            },
            "preferred" : true
          }
        ],
        "managingOrganization" : {
          "reference" : "Organization/organization01"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Practitioner/practitioner01",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner01",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082583 (SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "345678912",
            "assigner" : {
              "display" : "www.cms.gov"
            }
          },
          {
            "use" : "secondary",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.336",
            "value" : "082583",
            "assigner" : {
              "display" : "www.cms.gov"
            }
          }
        ],
        "name" : [
          {
            "family" : "Bone",
            "given" : [
              "Ronald"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "address" : [
          {
            "use" : "home",
            "line" : [
              "1003 Healthcare Drive"
            ],
            "city" : "Amherst",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Practitioner"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Task/task03",
      "resource" : {
        "resourceType" : "Task",
        "id" : "task03",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "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</b></p><p><b>identifier</b>: id: 19011</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>for</b>: <a href=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter03\">See above (Encounter/encounter03)</a></p><p><b>executionPeriod</b>: 2017-08-11 --&gt; 2017-08-11</p><p><b>authoredOn</b>: Sep 25, 2018 2:24:23 PM</p><p><b>owner</b>: <a href=\"Practitioner-practitioner03.html\">Generated Summary: NPI: 9991994957 (OFFICIAL); active; Roland Aufderhar(OFFICIAL); Phone: 5555555555, Phone: 5555555555; gender: male; birthDate: 1964-06-19; <span title=\"Codes: {urn:ietf:bcp:47 es}\">English and Spanish</span></a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://example.org/tasks",
            "value" : "19011"
          }
        ],
        "status" : "completed",
        "intent" : "plan",
        "priority" : "routine",
        "code" : {
          "coding" : [
            {
              "system" : "http://www.ama-assn.org/go/cpt",
              "code" : "1111F",
              "display" : "Medication Reconciliation"
            }
          ]
        },
        "for" : {
          "reference" : "Patient/patient03"
        },
        "encounter" : {
          "reference" : "Encounter/encounter03"
        },
        "executionPeriod" : {
          "start" : "2017-08-11",
          "end" : "2017-08-11"
        },
        "authoredOn" : "2018-09-25T14:24:23.584Z",
        "owner" : {
          "reference" : "Practitioner/practitioner03"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Task"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Practitioner/practitioner02",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner02",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/practitioner-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Provider number: 9998266512 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Emile Zieme(OFFICIAL)</p><p><b>telecom</b>: ph: 8605555555(WORK), ph: 8605555555(WORK)</p><p><b>address</b>: UCONN MEDICAL GROUP, FARMINGTON, CT 060300001(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1964-06-19</p><p><b>communication</b>: <span title=\"Codes: {urn:ietf:bcp:47 es}\">English and Spanish</span></p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9998266512",
            "period" : {
              "start" : "2005-07-16T09:00:00-05:00"
            },
            "assigner" : {
              "display" : "www.cms.gov"
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "text" : "Emile Zieme",
            "family" : "Zieme",
            "given" : [
              "Emile"
            ],
            "suffix" : [
              "M.D."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "8605555555",
            "use" : "work",
            "rank" : 1
          },
          {
            "system" : "phone",
            "value" : "8605555555",
            "use" : "work",
            "rank" : 2
          }
        ],
        "address" : [
          {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "latitude",
                    "valueDecimal" : 41.791776
                  },
                  {
                    "url" : "longitude",
                    "valueDecimal" : -72.718832
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "use" : "home",
            "type" : "both",
            "text" : "UCONN MEDICAL GROUP, FARMINGTON, CT 060300001",
            "line" : [
              "UCONN MEDICAL GROUP"
            ],
            "city" : "FARMINGTON",
            "state" : "CT",
            "postalCode" : "060300001",
            "country" : "USA"
          }
        ],
        "gender" : "male",
        "birthDate" : "1964-06-19",
        "communication" : [
          {
            "coding" : [
              {
                "system" : "urn:ietf:bcp:47",
                "code" : "es",
                "display" : "Spanish",
                "userSelected" : true
              }
            ],
            "text" : "English and Spanish"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Practitioner"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Task/task02",
      "resource" : {
        "resourceType" : "Task",
        "id" : "task02",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "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</b></p><p><b>identifier</b>: id: 19010</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 1111F}\">Medication Reconciliation</span></p><p><b>for</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>encounter</b>: <a href=\"#Encounter_encounter02\">See above (Encounter/encounter02)</a></p><p><b>executionPeriod</b>: 2017-06-15 --&gt; 2017-06-17</p><p><b>authoredOn</b>: Sep 25, 2018 2:24:23 PM</p><p><b>owner</b>: <a href=\"#Practitioner_practitioner02\">See above (Practitioner/practitioner02)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://example.org/tasks",
            "value" : "19010"
          }
        ],
        "status" : "completed",
        "intent" : "plan",
        "priority" : "routine",
        "code" : {
          "coding" : [
            {
              "system" : "http://www.ama-assn.org/go/cpt",
              "code" : "1111F",
              "display" : "Medication Reconciliation"
            }
          ]
        },
        "for" : {
          "reference" : "Patient/patient02"
        },
        "encounter" : {
          "reference" : "Encounter/encounter02"
        },
        "executionPeriod" : {
          "start" : "2017-06-15",
          "end" : "2017-06-17"
        },
        "authoredOn" : "2018-09-25T14:24:23.584Z",
        "owner" : {
          "reference" : "Practitioner/practitioner02"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Task"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02b",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "indv-measurereport02b",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"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=\"#Patient_patient03\">See above (Patient/patient03)</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes: {http://example.org/fhir/ mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Task_task03\">See above (Task/task03)</a></p></div>"
        },
        "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/organization02"
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject" : {
          "reference" : "Patient/patient03"
        },
        "date" : "2018-09-05T16:59:52.404Z",
        "reporter" : {
          "reference" : "Organization/organization01"
        },
        "period" : {
          "start" : "2018-08-01",
          "end" : "2018-09-01"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase",
              "display" : "Increased score indicates improvement"
            }
          ]
        },
        "group" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/",
                  "code" : "mrp-group",
                  "display" : "MRP Group"
                }
              ],
              "text" : "MRP Group"
            },
            "population" : [
              {
                "id" : "initial-population",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "id" : "numerator",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "id" : "denominator",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              }
            ],
            "measureScore" : {
              "value" : 1
            }
          }
        ],
        "evaluatedResource" : [
          {
            "reference" : "Task/task03"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Organization/organization01",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization01",
        "meta" : {
          "versionId" : "4",
          "lastUpdated" : "2019-02-21T01:47:54.000+00:00",
          "source" : "http://example.org/fhir/server",
          "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</b></p><p><b>identifier</b>: Tax ID number: 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
        },
        "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" : "123456789",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "DaVinciHospital01",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 401-555-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "73 Lakewood Street"
            ],
            "city" : "Warwick",
            "state" : "RI",
            "postalCode" : "02886",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter01",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter01",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 56876005}\">Drug rehabilitation and detoxification</span></p><p><b>subject</b>: <a href=\"#Patient_patient01\">Jairo Webster. Generated Summary: Medical record number: 12345 (USUAL); active; Jairo Webster (OFFICIAL); gender: male; birthDate: 1946-12-16; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>period</b>: May 29, 2018 3:00:00 PM --&gt; May 29, 2018 3:00:00 PM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "56876005",
                "display" : "Drug rehabilitation and detoxification"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/patient01",
          "display" : "Jairo Webster"
        },
        "period" : {
          "start" : "2018-05-29T11:00:00-04:00",
          "end" : "2018-05-29T11:00:00-04:00"
        },
        "hospitalization" : {
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home",
                "display" : "Home"
              }
            ]
          }
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Encounter"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Organization/organization02",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization02",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2019-03-06T19:03:03.000+00:00",
          "source" : "http://example.org/fhir/server",
          "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</b></p><p><b>identifier</b>: Tax ID number: 234567891 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 USA </p></div>"
        },
        "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" : "234567891",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "DaVinciHospital02",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 551-555-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "3 Sherwood St."
            ],
            "city" : "Englewood",
            "state" : "NJ",
            "postalCode" : "07631",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Encounter/encounter02",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "encounter02",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span></p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 239279000}\">Fixation of fracture</span></p><p><b>subject</b>: <a href=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>period</b>: May 29, 2018 3:00:00 PM --&gt; May 29, 2018 3:00:00 PM</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>DischargeDisposition</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "239279000",
                "display" : "Fixation of fracture"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/patient02"
        },
        "period" : {
          "start" : "2018-05-29T11:00:00-04:00",
          "end" : "2018-05-29T11:00:00-04:00"
        },
        "hospitalization" : {
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home",
                "display" : "Home"
              }
            ]
          }
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Encounter"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/MeasureReport/indv-measurereport02a",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "indv-measurereport02a",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_organization02\">See above (Organization/organization02)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"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=\"#Patient_patient02\">See above (Patient/patient02)</a></p><p><b>date</b>: Sep 5, 2018 4:59:52 PM</p><p><b>reporter</b>: <a href=\"#Organization_organization01\">See above (Organization/organization01)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes: {http://example.org/fhir/ mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#Task_task02\">See above (Task/task02)</a></p></div>"
        },
        "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/organization02"
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject" : {
          "reference" : "Patient/patient02"
        },
        "date" : "2018-09-05T16:59:52.404Z",
        "reporter" : {
          "reference" : "Organization/organization01"
        },
        "period" : {
          "start" : "2018-08-01",
          "end" : "2018-09-01"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase",
              "display" : "Increased score indicates improvement"
            }
          ]
        },
        "group" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/",
                  "code" : "mrp-group",
                  "display" : "MRP Group"
                }
              ],
              "text" : "MRP Group"
            },
            "population" : [
              {
                "id" : "initial-population",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "id" : "numerator",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "id" : "denominator",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              }
            ],
            "measureScore" : {
              "value" : 1
            }
          }
        ],
        "evaluatedResource" : [
          {
            "reference" : "Task/task02"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/receiver/Organization/organization03",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization03",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2019-02-21T01:47:53.000+00:00",
          "source" : "http://example.org/fhir/server",
          "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</b></p><p><b>identifier</b>: Provider number: 345678912 (OFFICIAL), Provider number: 082584 (SECONDARY)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital03</p><p><b>telecom</b>: ph: (+1) 201-555-1212</p><p><b>address</b>: 94 Olive Ave. Union City NJ 07087 USA </p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "345678912",
            "assigner" : {
              "display" : "www.cms.gov"
            }
          },
          {
            "use" : "secondary",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.336",
            "value" : "082584",
            "assigner" : {
              "display" : "www.cms.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "DaVinciHospital03",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 201-555-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "94 Olive Ave."
            ],
            "city" : "Union City",
            "state" : "NJ",
            "postalCode" : "07087",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    }
  ]
}