Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

: Gaps Bundle Closed Individual MeasureReport01 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-gaps-closed-indv-report01"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2020-06-30T13:08:53+00:00"/>
  <entry>
    <fullUrl
             value="http://example.org/fhir/gaps/Composition/gaps-composition02"/>
    <resource>
      <Composition>
        <id value="gaps-composition02"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_gaps-composition02"> </a><p class="res-header-id"><b>Generated Narrative: Composition gaps-composition02</b></p><a name="gaps-composition02"> </a><a name="hcgaps-composition02"> </a><a name="gaps-composition02-en-US"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 96315-7}">Gaps in care report</span></p><p><b>date</b>: 2020-06-30 13:08:53+0000</p><p><b>author</b>: <a href="Organization-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient02</p></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="96315-7"/>
            <display value="Gaps in care report"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <date value="2020-06-30T13:08:53+00:00"/>
        <author>🔗 
          <reference value="Organization/gaps-organization-reportingvendor"/>
        </author>
        <title value="Care Gap Report for patient gaps-patient02"/>
        <section>
          <title value="Colorectal Cancer Screening"/>
          <focus>🔗 
            <reference value="MeasureReport/gaps-indv-measurereport03"/>
          </focus>
          <entry>🔗 
            <reference value="DetectedIssue/gaps-detectedissue03"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03"/>
    <resource>
      <DetectedIssue>
        <id value="gaps-detectedissue03"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DetectedIssue_gaps-detectedissue03"> </a><p class="res-header-id"><b>Generated Narrative: DetectedIssue gaps-detectedissue03</b></p><a name="gaps-detectedissue03"> </a><a name="hcgaps-detectedissue03"> </a><a name="gaps-detectedissue03-en-US"> </a><p><b>DEQM Gap Status Modifier Extension</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status closed-gap}">Closed Gap</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode CAREGAP}">Caregap</span></p><p><b>patient</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><h3>Evidences</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td><a href="MeasureReport-gaps-indv-measurereport03.html">MeasureReport: extension = Proportion,urn:oid:2.16.840.1.113883.3.2074.1#0015HQN9BD3304E,-&gt;Organization GapsReportingVendor01; status = complete; type = individual; measure = http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example; date = 2020-06-30 13:08:52+0000; period = 2020-01-01 --&gt; 2020-12-31; improvementNotation = Increased score indicates improvement</a></td></tr></table></div>
        </text>
        <modifierExtension
                           url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"/>
              <code value="closed-gap"/>
            </coding>
          </valueCodeableConcept>
        </modifierExtension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="CAREGAP"/>
            <display value="Caregap"/>
          </coding>
        </code>
        <patient>🔗 
          <reference value="Patient/gaps-patient02"/>
        </patient>
        <evidence>
          <detail>🔗 
            <reference value="MeasureReport/gaps-indv-measurereport03"/>
          </detail>
        </evidence>
      </DetectedIssue>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
    <resource>
      <MeasureReport>
        <id value="gaps-indv-measurereport03"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_gaps-indv-measurereport03"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport gaps-indv-measurereport03</b></p><a name="gaps-indv-measurereport03"> </a><a name="hcgaps-indv-measurereport03"> </a><a name="gaps-indv-measurereport03-en-US"> </a><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-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Measure-measure-exm130-example.html">Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>date</b>: 2020-06-30 13:08:52+0000</p><p><b>reporter</b>: <a href="Organization-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>period</b>: 2020-01-01 --&gt; 2020-12-31</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-exm130</blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter02.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = 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.; period = 2020-03-05 07:00:00+0000 --&gt; 2020-03-05 10:00:00+0000</a></li><li><a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></li><li><a href="Procedure-gaps-procedure01.html">Procedure Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</a></li></ul></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="proportion"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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/us/davinci-deqm/StructureDefinition/extension-reportingVendor">
          <valueReference>🔗 
            <reference
                       value="Organization/gaps-organization-reportingvendor"/>
          </valueReference>
        </extension>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"/>
        <subject>🔗 
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <date value="2020-06-30T13:08:52+00:00"/>
        <reporter>🔗 
          <reference value="Organization/gaps-organization-reportingvendor"/>
        </reporter>
        <period>
          <start value="2020-01-01"/>
          <end value="2020-12-31"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
          </coding>
        </improvementNotation>
        <group id="group-exm130">
          <population>
            <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>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator"/>
                <display value="Denominator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator-exclusion"/>
                <display value="Denominator Exclusion"/>
              </coding>
            </code>
            <count value="0"/>
          </population>
          <measureScore>
            <value value="1.0"/>
          </measureScore>
        </group>
        <evaluatedResource>🔗 
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="initial-population"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="denominator"/>
          </extension>
          <reference value="Encounter/gaps-encounter02"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="initial-population"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="denominator"/>
          </extension>
          <reference value="Patient/gaps-patient02"/>
        </evaluatedResource>
        <evaluatedResource>🔗 
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
            <valueString value="numerator"/>
          </extension>
          <reference value="Procedure/gaps-procedure01"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Encounter/gaps-encounter02"/>
    <resource>
      <Encounter>
        <id value="gaps-encounter02"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_gaps-encounter02"> </a><p class="res-header-id"><b>Generated Narrative: Encounter gaps-encounter02</b></p><a name="gaps-encounter02"> </a><a name="hcgaps-encounter02"> </a><a name="gaps-encounter02-en-US"> </a><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</a> AMB: ambulatory</p><p><b>type</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 99202}">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.</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>period</b>: 2020-03-05 07:00:00+0000 --&gt; 2020-03-05 10:00:00+0000</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99202"/>
            <display
                     value="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."/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <period>
          <start value="2020-03-05T07:00:00-00:00"/>
          <end value="2020-03-05T10:00:00-00:00"/>
        </period>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Procedure/gaps-procedure01"/>
    <resource>
      <Procedure>
        <id value="gaps-procedure01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_gaps-procedure01"> </a><p class="res-header-id"><b>Generated Narrative: Procedure gaps-procedure01</b></p><a name="gaps-procedure01"> </a><a name="hcgaps-procedure01"> </a><a name="gaps-procedure01-en-US"> </a><p><b>QICore Not Done Recorded</b>: 2018-09-10 09:00:00+0000</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 45384}">Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</span></p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>performed</b>: 2018-09-10 08:00:00+0000 --&gt; 2018-09-10 09:00:00+0000</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded">
          <valueDateTime value="2018-09-10T09:00:00-00:00"/>
        </extension>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="45384"/>
            <display
                     value="Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/gaps-patient02"/>
        </subject>
        <performedPeriod>
          <start value="2018-09-10T08:00:00-00:00"/>
          <end value="2018-09-10T09:00:00-00:00"/>
        </performedPeriod>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
    <resource>
      <Patient>
        <id value="gaps-patient02"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_gaps-patient02"> </a><p class="res-header-id"><b>Generated Narrative: Patient gaps-patient02</b></p><a name="gaps-patient02"> </a><a name="hcgaps-patient02"> </a><a name="gaps-patient02-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</p><hr/><table class="grid"><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/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></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/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>text: Asian</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="2028-9"/>
              <display value="Asian"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Asian"/>
          </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="2135-2"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
          </type>
          <system value="http://hospital.smarthealthit.org"/>
          <value value="999996992"/>
        </identifier>
        <name>
          <family value="Ludwich"/>
          <given value="Thomas"/>
        </name>
        <gender value="male"/>
        <birthDate value="1957-01-01"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"/>
    <resource>
      <Organization>
        <id value="gaps-organization-reportingvendor"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_gaps-organization-reportingvendor"> </a><p class="res-header-id"><b>Generated Narrative: Organization gaps-organization-reportingvendor</b></p><a name="gaps-organization-reportingvendor"> </a><a name="hcgaps-organization-reportingvendor"> </a><a name="gaps-organization-reportingvendor-en-US"> </a><p><b>identifier</b>: Tax ID number/123446789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type pay}">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 USA </p></div>
        </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="123446789"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="pay"/>
            <display value="Payer"/>
          </coding>
        </type>
        <name value="GapsReportingVendor01"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 401-545-1212"/>
        </telecom>
        <address>
          <line value="13 Drive Street"/>
          <city value="Cityplace"/>
          <state value="MA"/>
          <postalCode value="01101"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
  </entry>
</Bundle>