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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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="single-indv-mrp-obs-report"/>
      <meta>
        <source value="http://example.org/fhir/server"/>
      </meta>
      <language value="en"/>
      <type value="transaction"/>
      <timestamp value="2019-12-06T06:28:44.902388Z"/>
      <entry>
        <fullUrl value="urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3"/>
        <resource>
          <MeasureReport>
            <id value="a8f9c686-17f1-11ea-a072-4ccc6a181ed3"/>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                  <code value="proportion"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-certificationIdentifier">
              <valueIdentifier>
                <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
                <value value="0015HQN9BD3304E"/>
              </valueIdentifier>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor">
              <valueReference>🔗
                <reference value="Organization/organization02"/>
              </valueReference>
            </extension>
            <status value="complete"/>
            <type value="individual"/>
            <measure
                     value="http://hl7.org/fhir/uv/deqm/Measure/measure-mrp-example|1.0.0-ballot"/>
            <subject>
              <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
            </subject>
            <date value="2018-09-05T16:59:52.404Z"/>
            <reporter>
              <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
            </reporter>
            <period>
              <start value="2018-08-01"/>
              <end value="2018-09-01"/>
            </period>
            <improvementNotation>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                <code value="increase"/>
                <display value="Increased score indicates improvement"/>
              </coding>
            </improvementNotation>
            <group>
              <extension
                         url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId">
                <valueString value="mpr-group"/>
              </extension>
              <code>
                <coding>
                  <system value="http://example.org/fhir/"/>
                  <code value="mrp-group"/>
                  <display value="MRP Group"/>
                </coding>
                <text value="MRP Group"/>
              </code>
              <population id="initial-population">
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="initial-population"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                    <display value="Initial Population"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population id="numerator">
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="numerator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                    <display value="Numerator"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population id="denominator">
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                    <display value="Denominator"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <measureScore>
                <value value="1"/>
              </measureScore>
            </group>
            <evaluatedResource>
              <reference value="urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"/>
            </evaluatedResource>
          </MeasureReport>
        </resource>
        <request>
          <method value="POST"/>
          <url value="MeasureReport"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3"/>
        <resource>
          <Coverage>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="active"/>
            <policyHolder>
              <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
            </policyHolder>
            <subscriber>
              <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
            </subscriber>
            <subscriberId value="A123456789"/>
            <beneficiary>
              <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
            </beneficiary>
            <relationship>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
                <code value="self"/>
              </coding>
            </relationship>
            <payor>
              <reference value="urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"/>
            </payor>
          </Coverage>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Coverage"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3"/>
        <resource>
          <Organization>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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 (use: official, )</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>
            </text>
            <identifier>
              <use value="official"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="TAX"/>
                  <display value="Tax ID number"/>
                </coding>
              </type>
              <system value="urn:oid:2.16.840.1.113883.4.4"/>
              <value value="456789124"/>
              <assigner>
                <display value="www.irs.gov"/>
              </assigner>
            </identifier>
            <active value="true"/>
            <name value="DV Quality Measure Data Reporter"/>
            <telecom>
              <system value="phone"/>
              <value value="(+1) 616-555-1212"/>
            </telecom>
            <address>
              <line value="160 Glen Eagles Road"/>
              <city value="Grand Rapids"/>
              <state value="MI"/>
              <postalCode value="49503"/>
              <country value="USA"/>
            </address>
          </Organization>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Organization"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"/>
        <resource>
          <Organization>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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 (use: official, )</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>
            </text>
            <identifier>
              <use value="official"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="TAX"/>
                  <display value="Tax ID number"/>
                </coding>
              </type>
              <system value="urn:oid:2.16.840.1.113883.4.4"/>
              <value value="456789125"/>
              <assigner>
                <display value="www.irs.gov"/>
              </assigner>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="ins"/>
                <display value="Insurance Company"/>
              </coding>
            </type>
            <name value="DVPayer04"/>
            <telecom>
              <system value="phone"/>
              <value value="(+1) 616-555-1212"/>
            </telecom>
            <address>
              <line value="160 Glen Eagles Road"/>
              <city value="Grand Rapids"/>
              <state value="MI"/>
              <postalCode value="49503"/>
              <country value="USA"/>
            </address>
          </Organization>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Organization"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"/>
        <resource>
          <Observation>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="exam"/>
                <display value="Exam"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://www.ama-assn.org/go/cpt"/>
                <code value="1111F"/>
                <display
                         value="Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
            </subject>
            <encounter>
              <reference value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
            </encounter>
            <effectiveDateTime value="2018-09-29T14:15:04.424Z"/>
            <issued value="2018-09-29T14:15:04.424Z"/>
            <performer>
              <reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
            </performer>
            <valueBoolean value="true"/>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        <resource>
          <Patient>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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:

     - American Indian or Alaska Native
     - Asian
     - Black or African American
     - Native Hawaiian or Other Pacific Islander
     - 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>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2106-3"/>
                  <display value="White"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="White"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2186-5"/>
                  <display value="Not Hispanic or Latino"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Not Hispanic or Latino"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
              <valueCode value="F"/>
            </extension>
            <identifier>
              <system value="https://github.com/synthetichealth/synthea"/>
              <value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                  <display value="Medical Record Number"/>
                </coding>
                <text value="Medical Record Number"/>
              </type>
              <system value="http://hospital.smarthealthit.org"/>
              <value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="SS"/>
                  <display value="Social Security Number"/>
                </coding>
                <text value="Social Security Number"/>
              </type>
              <system value="http://hl7.org/fhir/sid/us-ssn"/>
              <value value="999-61-8566"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="DL"/>
                  <display value="Driver's license Number"/>
                </coding>
                <text value="Driver's license Number"/>
              </type>
              <system value="urn:oid:2.16.840.1.113883.4.3.25"/>
              <value value="S99966861"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PPN"/>
                  <display value="Passport Number"/>
                </coding>
                <text value="Passport Number"/>
              </type>
              <system
                      value="http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber"/>
              <value value="X52208740X"/>
            </identifier>
            <name>
              <use value="official"/>
              <family value="McDermott739"/>
              <given value="Debbie941"/>
              <prefix value="Mrs."/>
            </name>
            <name>
              <use value="maiden"/>
              <family value="Funk324"/>
              <given value="Debbie941"/>
              <prefix value="Mrs."/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="555-755-4280"/>
              <use value="home"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1961-02-26"/>
            <address>
              <line value="903 Wolff Ville"/>
              <city value="Westfield"/>
              <state value="MA"/>
              <postalCode value="01085"/>
              <country value="US"/>
            </address>
            <maritalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
                <code value="M"/>
                <display value="Married"/>
              </coding>
              <text value="M"/>
            </maritalStatus>
            <multipleBirthBoolean value="false"/>
            <communication>
              <language>
                <coding>
                  <system value="urn:ietf:bcp:47"/>
                  <code value="pt"/>
                  <display value="Portuguese"/>
                </coding>
                <text value="Portuguese"/>
              </language>
            </communication>
          </Patient>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Patient"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
        <resource>
          <Encounter>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="AMB"/>
            </class>
            <type>
              <coding>
                <system value="http://www.ama-assn.org/go/cpt"/>
                <code value="99221"/>
                <display
                         value="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."/>
              </coding>
              <text value="Initial hospital care"/>
            </type>
            <subject>
              <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
              <display value="Mrs. Debbie941 McDermott739"/>
            </subject>
            <participant>
              <individual>
                <reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
                <display value="Dr. Manuel446 Granados71"/>
              </individual>
            </participant>
            <period>
              <start value="1976-06-20T10:41:49-07:00"/>
              <end value="2018-04-29T10:41:49-07:00"/>
            </period>
            <location>
              <location>
                <reference value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
                <display value="NOBLE HOSPITAL"/>
              </location>
            </location>
            <serviceProvider>
              <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
              <display value="NOBLE HOSPITAL"/>
            </serviceProvider>
          </Encounter>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Encounter"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
        <resource>
          <Practitioner>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="9020441793"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Granados71"/>
              <given value="Manuel446"/>
              <prefix value="Dr."/>
            </name>
            <telecom>
              <extension
                         url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct">
                <valueBoolean value="true"/>
              </extension>
              <system value="email"/>
              <value value="Manuel446.Granados71@example.com"/>
              <use value="work"/>
            </telecom>
            <address>
              <line value="115 WEST SILVER STREET"/>
              <city value="WESTFIELD"/>
              <state value="MA"/>
              <postalCode value="01085"/>
              <country value="US"/>
            </address>
            <gender value="male"/>
          </Practitioner>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Practitioner"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
        <resource>
          <Organization>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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 (use: 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>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>
            </text>
            <identifier>
              <use value="official"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PRN"/>
                </coding>
              </type>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="8375569216"/>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
                <display value="Healthcare Provider"/>
              </coding>
              <text value="Healthcare Provider"/>
            </type>
            <name value="NOBLE HOSPITAL"/>
            <telecom>
              <system value="phone"/>
              <value value="4135682811"/>
            </telecom>
            <address>
              <line value="115 WEST SILVER STREET"/>
              <city value="WESTFIELD"/>
              <state value="MA"/>
              <postalCode value="01085"/>
              <country value="US"/>
            </address>
          </Organization>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Organization"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
        <resource>
          <Location>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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 (use: temp, )</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>
            </text>
            <identifier>
              <use value="temp"/>
              <system value="http://example.org"/>
              <value value="NOBLE HOSPITAL"/>
            </identifier>
            <status value="active"/>
            <name value="NOBLE HOSPITAL"/>
            <telecom>
              <system value="phone"/>
              <value value="4135682811"/>
            </telecom>
            <address>
              <line value="115 WEST SILVER STREET"/>
              <city value="WESTFIELD"/>
              <state value="MA"/>
              <postalCode value="01085"/>
              <country value="US"/>
            </address>
            <position>
              <longitude value="-72.755911"/>
              <latitude value="42.138838"/>
            </position>
            <managingOrganization>
              <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
              <display value="NOBLE HOSPITAL"/>
            </managingOrganization>
          </Location>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Location"/>
        </request>
      </entry>
    </Bundle>