Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## : Single Indv Mrp Obs Report

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    {
      "resourceType" : "Bundle",
      "id" : "single-indv-mrp-obs-report",
      "meta" : {
        "source" : "http://example.org/fhir/server"
      },
      "language" : "en",
      "type" : "transaction",
      "timestamp" : "2019-12-06T06:28:44.902388Z",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3",
          "resource" : {
            "resourceType" : "MeasureReport",
            "id" : "a8f9c686-17f1-11ea-a072-4ccc6a181ed3",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_a8f9c686-17f1-11ea-a072-4ccc6a181ed3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport a8f9c686-17f1-11ea-a072-4ccc6a181ed3</b></p><a name=\"a8f9c686-17f1-11ea-a072-4ccc6a181ed3\"> </a><a name=\"hca8f9c686-17f1-11ea-a072-4ccc6a181ed3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-deqm-individualmeasurereport.html\">DEQM Individual MeasureReport Profile</a></p></div><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>: <code>urn:oid:2.16.840.1.113883.3.2074.1</code>/0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"Organization-organization02.html\">Organization DaVinciHospital02</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a> version: 1.0.0-ballot</p><p><b>subject</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-ebc3f5c4-6700-34af-8323-85621c313726\">Organization NOBLE HOSPITAL</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>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: mpr-group</p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: initial-population</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><blockquote><p><b>id</b></p>numerator</blockquote><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: numerator</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><blockquote><p><b>id</b></p>denominator</blockquote><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator</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=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3\">Observation Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                      "code" : "proportion"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-certificationIdentifier",
                "valueIdentifier" : {
                  "system" : "urn:oid:2.16.840.1.113883.3.2074.1",
                  "value" : "0015HQN9BD3304E"
                }
              },
              {
                "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor",
                "valueReference" : {
                  🔗 "reference" : "Organization/organization02"
                }
              }
            ],
            "status" : "complete",
            "type" : "individual",
            "measure" : "http://hl7.org/fhir/uv/deqm/Measure/measure-mrp-example|1.0.0-ballot",
            "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"
            },
            "improvementNotation" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                  "code" : "increase",
                  "display" : "Increased score indicates improvement"
                }
              ]
            },
            "group" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
                    "valueString" : "mpr-group"
                  }
                ],
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://example.org/fhir/",
                      "code" : "mrp-group",
                      "display" : "MRP Group"
                    }
                  ],
                  "text" : "MRP Group"
                },
                "population" : [
                  {
                    "id" : "initial-population",
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "initial-population"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "initial-population",
                          "display" : "Initial Population"
                        }
                      ]
                    },
                    "count" : 1
                  },
                  {
                    "id" : "numerator",
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "numerator"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "numerator",
                          "display" : "Numerator"
                        }
                      ]
                    },
                    "count" : 1
                  },
                  {
                    "id" : "denominator",
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                        "valueString" : "denominator"
                      }
                    ],
                    "code" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                          "code" : "denominator",
                          "display" : "Denominator"
                        }
                      ]
                    },
                    "count" : 1
                  }
                ],
                "measureScore" : {
                  "value" : 1
                }
              }
            ],
            "evaluatedResource" : [
              {
                "reference" : "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "MeasureReport"
          }
        },
        {
          "fullUrl" : "urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3",
          "resource" : {
            "resourceType" : "Coverage",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-coverage.html\">QICore Coverage</a></p></div><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)</a></p><p><b>subscriber</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3\">Organization DVPayer04</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" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code" : "self"
                }
              ]
            },
            "payor" : [
              {
                "reference" : "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Coverage"
          }
        },
        {
          "fullUrl" : "urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3",
          "resource" : {
            "resourceType" : "Organization",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/456789124\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</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:2.16.840.1.113883.4.4",
                "value" : "456789124",
                "assigner" : {
                  "display" : "www.irs.gov"
                }
              }
            ],
            "active" : true,
            "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:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3",
          "resource" : {
            "resourceType" : "Organization",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/456789125\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">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:2.16.840.1.113883.4.4",
                "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:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3",
          "resource" : {
            "resourceType" : "Observation",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-simple-observation.html\">QICore Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 1111F}\">Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)</span></p><p><b>subject</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)</a></p><p><b>encounter</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-1f33ae07-0891-4c2a-a376-fcd18800cb71\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.; period = 1976-06-20 10:41:49-0700 --&gt; 2018-04-29 10:41:49-0700</a></p><p><b>effective</b>: 2018-09-29 14:15:04+0000</p><p><b>issued</b>: 2018-09-29 14:15:04+0000</p><p><b>performer</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-0000016d-235f-39b3-0000-0000000000fa\">Practitioner Manuel446 Granados71 </a></p><p><b>value</b>: true</p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "exam",
                    "display" : "Exam"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://www.ama-assn.org/go/cpt",
                  "code" : "1111F",
                  "display" : "Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
            },
            "encounter" : {
              "reference" : "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
            },
            "effectiveDateTime" : "2018-09-29T14:15:04.424Z",
            "issued" : "2018-09-29T14:15:04.424Z",
            "performer" : [
              {
                "reference" : "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
              }
            ],
            "valueBoolean" : true
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
          "resource" : {
            "resourceType" : "Patient",
            "meta" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Debbie941 McDermott739 (official) Female, DoB: 1961-02-26 ( https://github.com/synthetichealth/synthea#0156e3a9-c4e1-4c0a-a53e-03ce3984ac65)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">M</span></td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Medical Record Number/0156e3a9-c4e1-4c0a-a53e-03ce3984ac65</li><li>Social Security Number/999-61-8566</li><li>Driver's license Number/S99966861</li><li>Passport Number/X52208740X</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Debbie941 Funk324 (Name changed for Marriage)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-755-4280(Home)</li><li>903 Wolff Ville Westfield MA 01085 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 pt}\">Portuguese</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5\">CDC Race and Ethnicity: 2186-5</a> (Not Hispanic or Latino)</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>text: White</li></ul></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/us/core/StructureDefinition/us-core-birthsex",
                "valueCode" : "F"
              }
            ],
            "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" : [
              {
                "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" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99221}\">Initial hospital care</span></p><p><b>subject</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-0000016d-235f-39b3-0000-0000000000fa\">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: 1976-06-20 10:41:49-0700 --&gt; 2018-04-29 10:41:49-0700</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-8938e769-59f7-40ff-a541-50b0bfcd6742\">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#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 inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."
                  }
                ],
                "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" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.5.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9020441793</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: <a href=\"mailto:Manuel446.Granados71@example.com\">Manuel446.Granados71@example.com</a></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" : "9020441793"
              }
            ],
            "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" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></p></div><p><b>identifier</b>: Provider number/8375569216\u00a0(use:\u00a0official,\u00a0)</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>: 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" : "8375569216"
              }
            ],
            "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" : {
              "source" : "http://example.org/fhir/server",
              "profile" : [
                🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-location.html\">QICore Location</a></p></div><p><b>identifier</b>: <code>http://example.org</code>/NOBLE HOSPITAL\u00a0(use:\u00a0temp,\u00a0)</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 style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
            },
            "identifier" : [
              {
                "use" : "temp",
                "system" : "http://example.org",
                "value" : "NOBLE HOSPITAL"
              }
            ],
            "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"
          }
        }
      ]
    }