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Packagehl7.fhir.us.davinci-deqm.r4
Resource TypeBundle
IdBundle-single-indv-mrp-obs-report.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "single-indv-mrp-obs-report",
  "meta": {
    "source": "http://example.org/fhir/server"
  },
  "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/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "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><a name=\"a8f9c686-17f1-11ea-a072-4ccc6a181ed3-en-US\"> </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-indv-measurereport-deqm.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 Measureversion: null5.0.0)</a></p><p><b>subject</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ mrp-group}\">MRP Group</span></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population</blockquote><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>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>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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                  "code": "proportion"
                }
              ]
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "Organization/organization02"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example|5.0.0",
        "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": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org/fhir/",
                  "code": "mrp-group",
                  "display": "MRP Group"
                }
              ],
              "text": "MRP Group"
            },
            "population": [
              {
                "id": "initial-population",
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                },
                "count": 1
              },
              {
                "id": "numerator",
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "numerator",
                      "display": "Numerator"
                    }
                  ]
                },
                "count": 1
              },
              {
                "id": "denominator",
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "denominator",
                      "display": "Denominator"
                    }
                  ]
                },
                "count": 1
              }
            ],
            "measureScore": {
              "value": 1
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "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"
          ]
        },
        "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/STU6/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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</a></p><p><b>subscriber</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</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"
          ]
        },
        "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/STU6/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>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type other}\">Other</span></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,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "other",
                "display": "Other"
              }
            ]
          }
        ],
        "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"
          ]
        },
        "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/STU6/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>"
        },
        "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"
          ]
        },
        "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/STU6/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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-single-indv-mrp-obs-report.html#urn-uuid-1f33ae07-0891-4c2a-a376-fcd18800cb71\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</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\">Bundle: type = transaction; timestamp = 2019-12-06 06:28:44+0000</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"
          ]
        },
        "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/STU6/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: CDC Race and Ethnicity 2186-5: 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/STU6.1/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: CDC Race and Ethnicity 2106-3: 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"
          ]
        },
        "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/STU6/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/5.5.0/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"
          ]
        },
        "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/STU6.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/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"
          ]
        },
        "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/STU6.1/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>"
        },
        "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"
          ]
        },
        "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/STU6/StructureDefinition-qicore-location.html\">QICore Location</a></p></div><p><b>identifier</b>: <code>http://exampleoflocation.com</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>"
        },
        "identifier": [
          {
            "use": "temp",
            "system": "http://exampleoflocation.com",
            "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"
      }
    }
  ]
}