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

## : Gaps Multiple Parameters Individual MeasureReports02

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    {
      "resourceType" : "Parameters",
      "id" : "multiple-gaps-indv-report02",
      "language" : "en",
      "parameter" : [
        {
          "name" : "return",
          "resource" : {
            "resourceType" : "Bundle",
            "id" : "single-gaps-closed-indv-report02",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarebundle"
              ]
            },
            "language" : "en",
            "identifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "urn:uuid:7396eb14-8f5c-4fe1-b023-1c6838152136"
            },
            "type" : "document",
            "timestamp" : "2020-07-07T13:08:53+00:00",
            "entry" : [
              {
                "fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition03",
                "resource" : {
                  "resourceType" : "Composition",
                  "id" : "gaps-composition03",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarecomposition"
                    ]
                  },
                  "language" : "en",
                  "status" : "final",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "96315-7",
                        "display" : "Gaps in care report"
                      }
                    ]
                  },
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient01"
                  },
                  "date" : "2020-07-07T13:08:53+00:00",
                  "author" : [
                    {
                      🔗 "reference" : "Organization/gaps-organization-reportingvendor"
                    }
                  ],
                  "title" : "Care Gap Report for patient gaps-patient01",
                  "section" : [
                    {
                      "title" : "Colorectal Cancer Screening",
                      "focus" : {
                        🔗 "reference" : "MeasureReport/gaps-indv-measurereport04"
                      },
                      "entry" : [
                        {
                          🔗 "reference" : "DetectedIssue/gaps-detectedissue05"
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue05",
                "resource" : {
                  "resourceType" : "DetectedIssue",
                  "id" : "gaps-detectedissue05",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincaredetectedissue"
                    ]
                  },
                  "language" : "en",
                  "modifierExtension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapStatus",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-gaps-status",
                            "code" : "closed-gap"
                          }
                        ]
                      }
                    }
                  ],
                  "status" : "final",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                        "code" : "CAREGAP",
                        "display" : "Caregap"
                      }
                    ]
                  },
                  "patient" : {
                    🔗 "reference" : "Patient/gaps-patient01"
                  },
                  "evidence" : [
                    {
                      "detail" : [
                        {
                          🔗 "reference" : "MeasureReport/gaps-indv-measurereport04"
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04",
                "resource" : {
                  "resourceType" : "MeasureReport",
                  "id" : "gaps-indv-measurereport04",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"
                    ]
                  },
                  "language" : "en",
                  "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/gaps-organization-reportingvendor"
                      }
                    }
                  ],
                  "status" : "complete",
                  "type" : "individual",
                  "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000",
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient01"
                  },
                  "date" : "2020-07-07T13:08:52+00:00",
                  "reporter" : {
                    🔗 "reference" : "Organization/gaps-organization-reportingvendor"
                  },
                  "period" : {
                    "start" : "2020-01-01",
                    "end" : "2020-12-31"
                  },
                  "improvementNotation" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                        "code" : "increase"
                      }
                    ]
                  },
                  "group" : [
                    {
                      "id" : "group-exm130",
                      "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
                          "valueString" : "group-exm130"
                        }
                      ],
                      "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
                        },
                        {
                          "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
                        },
                        {
                          "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
                        },
                        {
                          "extension" : [
                            {
                              "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                              "valueString" : "denominator-exclusion"
                            }
                          ],
                          "code" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code" : "denominator-exclusion",
                                "display" : "Denominator Exclusion"
                              }
                            ]
                          },
                          "count" : 0
                        }
                      ],
                      "measureScore" : {
                        "value" : 1.0
                      }
                    }
                  ],
                  "evaluatedResource" : [
                    {
                      🔗 "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "initial-population"
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "denominator"
                        }
                      ],
                      "reference" : "Encounter/gaps-encounter03"
                    },
                    {
                      🔗 "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "initial-population"
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "denominator"
                        }
                      ],
                      "reference" : "Patient/gaps-patient01"
                    },
                    {
                      🔗 "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "numerator"
                        }
                      ],
                      "reference" : "Procedure/gaps-procedure02"
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter03",
                "resource" : {
                  "resourceType" : "Encounter",
                  "id" : "gaps-encounter03",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
                    ]
                  },
                  "language" : "en",
                  "status" : "finished",
                  "class" : {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code" : "AMB",
                    "display" : "ambulatory"
                  },
                  "type" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://www.ama-assn.org/go/cpt",
                          "code" : "99202",
                          "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."
                        }
                      ]
                    }
                  ],
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient01"
                  },
                  "period" : {
                    "start" : "2020-07-06T07:07:00-00:00",
                    "end" : "2020-07-06T10:11:00-00:00"
                  }
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Procedure/gaps-procedure02",
                "resource" : {
                  "resourceType" : "Procedure",
                  "id" : "gaps-procedure02",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
                    ]
                  },
                  "language" : "en",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded",
                      "valueDateTime" : "2020-07-06T09:00:00-00:00"
                    }
                  ],
                  "status" : "completed",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://www.ama-assn.org/go/cpt",
                        "code" : "45384",
                        "display" : "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"
                      }
                    ]
                  },
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient01"
                  },
                  "performedPeriod" : {
                    "start" : "2020-07-06T08:00:00-00:00",
                    "end" : "2020-07-06T09:00:00-00:00"
                  }
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient01",
                "resource" : {
                  "resourceType" : "Patient",
                  "id" : "gaps-patient01",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
                    ]
                  },
                  "language" : "en",
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "ombCategory",
                          "valueCoding" : {
                            "system" : "urn:oid:2.16.840.1.113883.6.238",
                            "code" : "2028-9",
                            "display" : "Asian"
                          }
                        },
                        {
                          "url" : "text",
                          "valueString" : "Asian"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "ombCategory",
                          "valueCoding" : {
                            "system" : "urn:oid:2.16.840.1.113883.6.238",
                            "code" : "2135-2",
                            "display" : "Hispanic or Latino"
                          }
                        },
                        {
                          "url" : "text",
                          "valueString" : "Hispanic or Latino"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
                    }
                  ],
                  "identifier" : [
                    {
                      "use" : "usual",
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code" : "MR",
                            "display" : "Medical Record Number"
                          }
                        ]
                      },
                      "system" : "http://hospital.smarthealthit.org",
                      "value" : "999995992"
                    }
                  ],
                  "name" : [
                    {
                      "family" : "Susan",
                      "given" : [
                        "Parker"
                      ]
                    }
                  ],
                  "gender" : "female",
                  "birthDate" : "1965-01-01"
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
                "resource" : {
                  "resourceType" : "Organization",
                  "id" : "gaps-organization-reportingvendor",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
                    ]
                  },
                  "language" : "en",
                  "identifier" : [
                    {
                      "use" : "official",
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code" : "TAX",
                            "display" : "Tax ID number"
                          }
                        ]
                      },
                      "system" : "urn:oid:2.16.840.1.113883.4.4",
                      "value" : "123446789",
                      "assigner" : {
                        "display" : "www.irs.gov"
                      }
                    }
                  ],
                  "active" : true,
                  "type" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                          "code" : "pay",
                          "display" : "Payer"
                        }
                      ]
                    }
                  ],
                  "name" : "GapsReportingVendor01",
                  "telecom" : [
                    {
                      "system" : "phone",
                      "value" : "(+1) 401-545-1212"
                    }
                  ],
                  "address" : [
                    {
                      "line" : [
                        "13 Drive Street"
                      ],
                      "city" : "Cityplace",
                      "state" : "MA",
                      "postalCode" : "01101",
                      "country" : "USA"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "name" : "return",
          "resource" : {
            "resourceType" : "Bundle",
            "id" : "single-gaps-closed-indv-report01",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarebundle"
              ]
            },
            "language" : "en",
            "identifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "urn:uuid:80c493d0-e3c7-4e63-81fe-81fb3b16b9ab"
            },
            "type" : "document",
            "timestamp" : "2020-07-07T13:08:53+00:00",
            "entry" : [
              {
                "fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition02",
                "resource" : {
                  "resourceType" : "Composition",
                  "id" : "gaps-composition02",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarecomposition"
                    ]
                  },
                  "language" : "en",
                  "status" : "final",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "96315-7",
                        "display" : "Gaps in care report"
                      }
                    ]
                  },
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient02"
                  },
                  "date" : "2020-07-07T13:08:53+00:00",
                  "author" : [
                    {
                      🔗 "reference" : "Organization/gaps-organization-reportingvendor"
                    }
                  ],
                  "title" : "Care Gap Report for patient gaps-patient02",
                  "section" : [
                    {
                      "title" : "Colorectal Cancer Screening",
                      "focus" : {
                        🔗 "reference" : "MeasureReport/gaps-indv-measurereport03"
                      },
                      "entry" : [
                        {
                          🔗 "reference" : "DetectedIssue/gaps-detectedissue03"
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03",
                "resource" : {
                  "resourceType" : "DetectedIssue",
                  "id" : "gaps-detectedissue03",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincaredetectedissue"
                    ]
                  },
                  "language" : "en",
                  "modifierExtension" : [
                    {
                      "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapStatus",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-gaps-status",
                            "code" : "closed-gap"
                          }
                        ]
                      }
                    }
                  ],
                  "status" : "final",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                        "code" : "CAREGAP",
                        "display" : "Caregap"
                      }
                    ]
                  },
                  "patient" : {
                    🔗 "reference" : "Patient/gaps-patient02"
                  },
                  "evidence" : [
                    {
                      "detail" : [
                        {
                          🔗 "reference" : "MeasureReport/gaps-indv-measurereport03"
                        }
                      ]
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03",
                "resource" : {
                  "resourceType" : "MeasureReport",
                  "id" : "gaps-indv-measurereport03",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"
                    ]
                  },
                  "language" : "en",
                  "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/gaps-organization-reportingvendor"
                      }
                    }
                  ],
                  "status" : "complete",
                  "type" : "individual",
                  "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000",
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient02"
                  },
                  "date" : "2020-07-07T13:08:53+00:00",
                  "reporter" : {
                    🔗 "reference" : "Organization/gaps-organization-reportingvendor"
                  },
                  "period" : {
                    "start" : "2020-01-01",
                    "end" : "2020-12-31"
                  },
                  "improvementNotation" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                        "code" : "increase"
                      }
                    ]
                  },
                  "group" : [
                    {
                      "id" : "group-exm130",
                      "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
                          "valueString" : "group-exm130"
                        }
                      ],
                      "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
                        },
                        {
                          "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
                        },
                        {
                          "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
                        },
                        {
                          "extension" : [
                            {
                              "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                              "valueString" : "denominator-exclusion"
                            }
                          ],
                          "code" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                                "code" : "denominator-exclusion",
                                "display" : "Denominator Exclusion"
                              }
                            ]
                          },
                          "count" : 0
                        }
                      ],
                      "measureScore" : {
                        "value" : 1.0
                      }
                    }
                  ],
                  "evaluatedResource" : [
                    {
                      🔗 "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "initial-population"
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "denominator"
                        }
                      ],
                      "reference" : "Encounter/gaps-encounter02"
                    },
                    {
                      🔗 "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "initial-population"
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "denominator"
                        }
                      ],
                      "reference" : "Patient/gaps-patient02"
                    },
                    {
                      🔗 "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
                          "valueString" : "numerator"
                        }
                      ],
                      "reference" : "Procedure/gaps-procedure01"
                    }
                  ]
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter02",
                "resource" : {
                  "resourceType" : "Encounter",
                  "id" : "gaps-encounter02",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
                    ]
                  },
                  "language" : "en",
                  "status" : "finished",
                  "class" : {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code" : "AMB",
                    "display" : "ambulatory"
                  },
                  "type" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://www.ama-assn.org/go/cpt",
                          "code" : "99202",
                          "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."
                        }
                      ]
                    }
                  ],
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient02"
                  },
                  "period" : {
                    "start" : "2020-03-05T07:00:00-00:00",
                    "end" : "2020-03-05T10:00:00-00:00"
                  }
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Procedure/gaps-procedure01",
                "resource" : {
                  "resourceType" : "Procedure",
                  "id" : "gaps-procedure01",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"
                    ]
                  },
                  "language" : "en",
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded",
                      "valueDateTime" : "2018-09-10T09:00:00-00:00"
                    }
                  ],
                  "status" : "completed",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://www.ama-assn.org/go/cpt",
                        "code" : "45384",
                        "display" : "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"
                      }
                    ]
                  },
                  "subject" : {
                    🔗 "reference" : "Patient/gaps-patient02"
                  },
                  "performedPeriod" : {
                    "start" : "2018-09-10T08:00:00-00:00",
                    "end" : "2018-09-10T09:00:00-00:00"
                  }
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient02",
                "resource" : {
                  "resourceType" : "Patient",
                  "id" : "gaps-patient02",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
                    ]
                  },
                  "language" : "en",
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "ombCategory",
                          "valueCoding" : {
                            "system" : "urn:oid:2.16.840.1.113883.6.238",
                            "code" : "2028-9",
                            "display" : "Asian"
                          }
                        },
                        {
                          "url" : "text",
                          "valueString" : "Asian"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "ombCategory",
                          "valueCoding" : {
                            "system" : "urn:oid:2.16.840.1.113883.6.238",
                            "code" : "2135-2",
                            "display" : "Hispanic or Latino"
                          }
                        },
                        {
                          "url" : "text",
                          "valueString" : "Hispanic or Latino"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
                    }
                  ],
                  "identifier" : [
                    {
                      "use" : "usual",
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code" : "MR",
                            "display" : "Medical Record Number"
                          }
                        ]
                      },
                      "system" : "http://hospital.smarthealthit.org",
                      "value" : "999996992"
                    }
                  ],
                  "name" : [
                    {
                      "family" : "Ludwich",
                      "given" : [
                        "Thomas"
                      ]
                    }
                  ],
                  "gender" : "male",
                  "birthDate" : "1957-01-01"
                }
              },
              {
                "fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
                "resource" : {
                  "resourceType" : "Organization",
                  "id" : "gaps-organization-reportingvendor",
                  "meta" : {
                    "profile" : [
                      🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
                    ]
                  },
                  "language" : "en",
                  "identifier" : [
                    {
                      "use" : "official",
                      "type" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code" : "TAX",
                            "display" : "Tax ID number"
                          }
                        ]
                      },
                      "system" : "urn:oid:2.16.840.1.113883.4.4",
                      "value" : "123446789",
                      "assigner" : {
                        "display" : "www.irs.gov"
                      }
                    }
                  ],
                  "active" : true,
                  "type" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                          "code" : "pay",
                          "display" : "Payer"
                        }
                      ]
                    }
                  ],
                  "name" : "GapsReportingVendor01",
                  "telecom" : [
                    {
                      "system" : "phone",
                      "value" : "(+1) 401-545-1212"
                    }
                  ],
                  "address" : [
                    {
                      "line" : [
                        "13 Drive Street"
                      ],
                      "city" : "Cityplace",
                      "state" : "MA",
                      "postalCode" : "01101",
                      "country" : "USA"
                    }
                  ]
                }
              }
            ]
          }
        }
      ]
    }