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

: Gaps Bundle Open Individual MeasureReports - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "single-gaps-open-indv-report01",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:77f43ef5-8c60-4222-ae58-36969063a093"
  },
  "type" : "document",
  "timestamp" : "2020-06-30T13:08:53+00:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition01",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "gaps-composition01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 96315-7}\">Gaps in care report</span></p><p><b>date</b>: Jun 30, 2020 1:08:53 PM</p><p><b>author</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient01</p></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "96315-7",
              "display" : "Gaps in care report"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/gaps-patient01"
        },
        "date" : "2020-06-30T13:08:53+00:00",
        "author" : [
          {
            "reference" : "Organization/gaps-organization-reportingvendor"
          }
        ],
        "title" : "Care Gap Report for patient gaps-patient01",
        "section" : [
          {
            "title" : "Colorectal Cancer Screening",
            "focus" : {
              "reference" : "MeasureReport/gaps-indv-measurereport01"
            },
            "entry" : [
              {
                "reference" : "DetectedIssue/gaps-detectedissue01"
              }
            ]
          },
          {
            "title" : "Cervical Cancer Screening",
            "focus" : {
              "reference" : "MeasureReport/gaps-indv-measurereport02"
            },
            "entry" : [
              {
                "reference" : "DetectedIssue/gaps-detectedissue02"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "gaps-indv-measurereport01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "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_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: Jun 30, 2020 1:08:52 PM</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Generated Summary: Tax ID number: 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; Phone: (+1) 401-555-1212</a></p><p><b>period</b>: Jan 1, 2020 12:00:00 AM --&gt; Dec 31, 2020 12:00:00 AM</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><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>: 0</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><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Encounter_gaps-encounter01\">See above (Encounter/gaps-encounter01)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li></ul></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                  "code" : "proportion"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier" : {
              "system" : "urn:oid:2.16.840.1.113883.3.2074.1",
              "value" : "0015HQN9BD3304E"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference" : {
              "reference" : "Organization/gaps-organization-reportingvendor"
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
        "subject" : {
          "reference" : "Patient/gaps-patient01"
        },
        "date" : "2020-06-30T13:08:52+00:00",
        "reporter" : {
          "reference" : "Organization/organization01"
        },
        "period" : {
          "start" : "2020-01-01T00:00:00+00:00",
          "end" : "2020-12-31T00:00:00+00:00"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase"
            }
          ]
        },
        "group" : [
          {
            "id" : "group-exm130",
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 0
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator-exclusion",
                      "display" : "Denominator Exclusion"
                    }
                  ]
                },
                "count" : 0
              }
            ],
            "measureScore" : {
              "value" : 0.0
            }
          }
        ],
        "evaluatedResource" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "initial-population"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "denominator"
              }
            ],
            "reference" : "Encounter/gaps-encounter01"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "initial-population"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "denominator"
              }
            ],
            "reference" : "Patient/gaps-patient01"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "gaps-indv-measurereport02",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "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_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: Jul 2, 2020 1:08:52 PM</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Generated Summary: Tax ID number: 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; Phone: (+1) 401-555-1212</a></p><p><b>period</b>: Jan 1, 2020 12:00:00 AM --&gt; Dec 31, 2020 12:00:00 AM</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><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>: 0</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><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Encounter_gaps-encounter01\">See above (Encounter/gaps-encounter01)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li></ul></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                  "code" : "proportion"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier" : {
              "system" : "urn:oid:2.16.840.1.113883.3.2074.1",
              "value" : "0015HQN9BD3304E"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference" : {
              "reference" : "Organization/gaps-organization-reportingvendor"
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example",
        "subject" : {
          "reference" : "Patient/gaps-patient01"
        },
        "date" : "2020-07-02T13:08:52+00:00",
        "reporter" : {
          "reference" : "Organization/organization01"
        },
        "period" : {
          "start" : "2020-01-01T00:00:00+00:00",
          "end" : "2020-12-31T00:00:00+00:00"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase"
            }
          ]
        },
        "group" : [
          {
            "id" : "group-exm124",
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 0
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator-exclusion",
                      "display" : "Denominator Exclusion"
                    }
                  ]
                },
                "count" : 0
              }
            ],
            "measureScore" : {
              "value" : 0.0
            }
          }
        ],
        "evaluatedResource" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "initial-population"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "denominator"
              }
            ],
            "reference" : "Encounter/gaps-encounter01"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "initial-population"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference",
                "valueString" : "denominator"
              }
            ],
            "reference" : "Patient/gaps-patient01"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01",
      "resource" : {
        "resourceType" : "DetectedIssue",
        "id" : "gaps-detectedissue01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode CAREGAP}\">Care Gaps</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport01\">See above (MeasureReport/gaps-indv-measurereport01)</a></td></tr></table></div>"
        },
        "modifierExtension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status",
                  "code" : "closed-gap"
                }
              ]
            }
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "CAREGAP",
              "display" : "Care Gaps"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/gaps-patient01"
        },
        "evidence" : [
          {
            "detail" : [
              {
                "reference" : "MeasureReport/gaps-indv-measurereport01"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02",
      "resource" : {
        "resourceType" : "DetectedIssue",
        "id" : "gaps-detectedissue02",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode CAREGAP}\">Care Gaps</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport02\">See above (MeasureReport/gaps-indv-measurereport02)</a></td></tr></table></div>"
        },
        "modifierExtension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status",
                  "code" : "closed-gap"
                }
              ]
            }
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "CAREGAP",
              "display" : "Care Gaps"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/gaps-patient01"
        },
        "evidence" : [
          {
            "detail" : [
              {
                "reference" : "MeasureReport/gaps-indv-measurereport02"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter01",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "gaps-encounter01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "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 AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>period</b>: May 30, 2020 12:00:00 AM --&gt; May 31, 2020 12:00:00 AM</p></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "ambulatory"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://www.ama-assn.org/go/cpt",
                "code" : "99201",
                "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/gaps-patient01"
        },
        "period" : {
          "start" : "2020-05-30T00:00:00-00:00",
          "end" : "2020-05-31T00:00:00-00:00"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient01",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "gaps-patient01",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 2135-2}\">Hispanic or Latino</span></p><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: 999995992 (USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2028-9",
                  "display" : "Asian"
                }
              },
              {
                "url" : "text",
                "valueString" : "Asian"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2135-2",
                  "display" : "Hispanic or Latino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical Record Number"
                }
              ]
            },
            "system" : "http://hospital.smarthealthit.org",
            "value" : "999995992"
          }
        ],
        "name" : [
          {
            "family" : "Susan",
            "given" : [
              "Parker"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1965-01-01"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "gaps-organization-reportingvendor",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/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: 123446789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 USA </p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "TAX",
                  "display" : "Tax ID number"
                }
              ]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.4",
            "value" : "123446789",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "pay",
                "display" : "Payer"
              }
            ]
          }
        ],
        "name" : "GapsReportingVendor01",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 401-545-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "13 Drive Street"
            ],
            "city" : "Cityplace",
            "state" : "MA",
            "postalCode" : "01101",
            "country" : "USA"
          }
        ]
      }
    }
  ]
}