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

: Single Indv Mrp Obs Report - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="single-indv-mrp-obs-report"/>
  <meta>
    <source value="http://example.org/fhir/server"/>
  </meta>
  <type value="transaction"/>
  <timestamp value="2019-12-06T06:28:44.902388Z"/>
  <entry>
    <fullUrl value="urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3"/>
    <resource>
      <MeasureReport>
        <id value="a8f9c686-17f1-11ea-a072-4ccc6a181ed3"/>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_a8f9c686-17f1-11ea-a072-4ccc6a181ed3"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport a8f9c686-17f1-11ea-a072-4ccc6a181ed3</b></p><a name="a8f9c686-17f1-11ea-a072-4ccc6a181ed3"> </a><a name="hca8f9c686-17f1-11ea-a072-4ccc6a181ed3"> </a><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 Measure</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>
        </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/organization02"/>
          </valueReference>
        </extension>
        <status value="complete"/>
        <type value="individual"/>
        <measure
                 value="http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example"/>
        <subject>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </subject>
        <date value="2018-09-05T16:59:52.404Z"/>
        <reporter>
          <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
        </reporter>
        <period>
          <start value="2018-08-01"/>
          <end value="2018-09-01"/>
        </period>
        <improvementNotation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
            <code value="increase"/>
            <display value="Increased score indicates improvement"/>
          </coding>
        </improvementNotation>
        <group>
          <code>
            <coding>
              <system value="http://example.org/fhir/"/>
              <code value="mrp-group"/>
              <display value="MRP Group"/>
            </coding>
            <text value="MRP Group"/>
          </code>
          <population id="initial-population">
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
                <display value="Initial Population"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population id="numerator">
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <population id="denominator">
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator"/>
                <display value="Denominator"/>
              </coding>
            </code>
            <count value="1"/>
          </population>
          <measureScore>
            <value value="1"/>
          </measureScore>
        </group>
        <evaluatedResource>
          <reference value="urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3"/>
    <resource>
      <Coverage>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_null"> </a><p class="res-header-id"><b>Generated Narrative: Coverage </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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>
        </text>
        <status value="active"/>
        <policyHolder>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </policyHolder>
        <subscriber>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </subscriber>
        <subscriberId value="A123456789"/>
        <beneficiary>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="self"/>
          </coding>
        </relationship>
        <payor>
          <reference value="urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"/>
        </payor>
      </Coverage>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Coverage"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="TAX"/>
              <display value="Tax ID number"/>
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.4"/>
          <value value="456789124"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="other"/>
            <display value="Other"/>
          </coding>
        </type>
        <name value="DV Quality Measure Data Reporter"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 616-555-1212"/>
        </telecom>
        <address>
          <line value="160 Glen Eagles Road"/>
          <city value="Grand Rapids"/>
          <state value="MI"/>
          <postalCode value="49503"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="TAX"/>
              <display value="Tax ID number"/>
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.4"/>
          <value value="456789125"/>
          <assigner>
            <display value="www.irs.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="ins"/>
            <display value="Insurance Company"/>
          </coding>
        </type>
        <name value="DVPayer04"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 616-555-1212"/>
        </telecom>
        <address>
          <line value="160 Glen Eagles Road"/>
          <city value="Grand Rapids"/>
          <state value="MI"/>
          <postalCode value="49503"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"/>
    <resource>
      <Observation>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p class="res-header-id"><b>Generated Narrative: Observation </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="exam"/>
            <display value="Exam"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="1111F"/>
            <display
                     value="Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
        </subject>
        <encounter>
          <reference value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
        </encounter>
        <effectiveDateTime value="2018-09-29T14:15:04.424Z"/>
        <issued value="2018-09-29T14:15:04.424Z"/>
        <performer>
          <reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
        </performer>
        <valueBoolean value="true"/>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
    <resource>
      <Patient>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_null"> </a><p class="res-header-id"><b>Generated Narrative: Patient </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2186-5">CDC Race and Ethnicity</a> 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:

 - 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-2106-3">CDC Race and Ethnicity</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <identifier>
          <system value="https://github.com/synthetichealth/synthea"/>
          <value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
            <text value="Medical Record Number"/>
          </type>
          <system value="http://hospital.smarthealthit.org"/>
          <value value="0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SS"/>
              <display value="Social Security Number"/>
            </coding>
            <text value="Social Security Number"/>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="999-61-8566"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="DL"/>
              <display value="Driver's license Number"/>
            </coding>
            <text value="Driver's license Number"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.3.25"/>
          <value value="S99966861"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PPN"/>
              <display value="Passport Number"/>
            </coding>
            <text value="Passport Number"/>
          </type>
          <system
                  value="http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber"/>
          <value value="X52208740X"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="McDermott739"/>
          <given value="Debbie941"/>
          <prefix value="Mrs."/>
        </name>
        <name>
          <use value="maiden"/>
          <family value="Funk324"/>
          <given value="Debbie941"/>
          <prefix value="Mrs."/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="555-755-4280"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1961-02-26"/>
        <address>
          <line value="903 Wolff Ville"/>
          <city value="Westfield"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
          <text value="M"/>
        </maritalStatus>
        <multipleBirthBoolean value="false"/>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="pt"/>
              <display value="Portuguese"/>
            </coding>
            <text value="Portuguese"/>
          </language>
        </communication>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"/>
    <resource>
      <Encounter>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_null"> </a><p class="res-header-id"><b>Generated Narrative: Encounter </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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</a> AMB: ambulatory</p><p><b>type</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 99221}">Initial hospital care</span></p><p><b>subject</b>: <a href="Bundle-single-indv-mrp-obs-report.html#urn-uuid-6f0cef31-2235-4d66-82e2-fa861fc909a8">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-single-indv-mrp-obs-report.html#urn-uuid-0000016d-235f-39b3-0000-0000000000fa">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: 1976-06-20 10:41:49-0700 --&gt; 2018-04-29 10:41:49-0700</p><h3>Locations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Location</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-single-indv-mrp-obs-report.html#urn-uuid-8938e769-59f7-40ff-a541-50b0bfcd6742">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href="Bundle-single-indv-mrp-obs-report.html#urn-uuid-ebc3f5c4-6700-34af-8323-85621c313726">NOBLE HOSPITAL</a></p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99221"/>
            <display
                     value="Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."/>
          </coding>
          <text value="Initial hospital care"/>
        </type>
        <subject>
          <reference value="urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"/>
          <display value="Mrs. Debbie941 McDermott739"/>
        </subject>
        <participant>
          <individual>
            <reference value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
            <display value="Dr. Manuel446 Granados71"/>
          </individual>
        </participant>
        <period>
          <start value="1976-06-20T10:41:49-07:00"/>
          <end value="2018-04-29T10:41:49-07:00"/>
        </period>
        <location>
          <location>
            <reference value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
            <display value="NOBLE HOSPITAL"/>
          </location>
        </location>
        <serviceProvider>
          <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
          <display value="NOBLE HOSPITAL"/>
        </serviceProvider>
      </Encounter>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Encounter"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0000016d-235f-39b3-0000-0000000000fa"/>
    <resource>
      <Practitioner>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_null"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/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>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9020441793"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Granados71"/>
          <given value="Manuel446"/>
          <prefix value="Dr."/>
        </name>
        <telecom>
          <extension
                     url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct">
            <valueBoolean value="true"/>
          </extension>
          <system value="email"/>
          <value value="Manuel446.Granados71@example.com"/>
          <use value="work"/>
        </telecom>
        <address>
          <line value="115 WEST SILVER STREET"/>
          <city value="WESTFIELD"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
        <gender value="male"/>
      </Practitioner>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
    <resource>
      <Organization>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/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>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="8375569216"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
          <text value="Healthcare Provider"/>
        </type>
        <name value="NOBLE HOSPITAL"/>
        <telecom>
          <system value="phone"/>
          <value value="4135682811"/>
        </telecom>
        <address>
          <line value="115 WEST SILVER STREET"/>
          <city value="WESTFIELD"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"/>
    <resource>
      <Location>
        <meta>
          <source value="http://example.org/fhir/server"/>
          <profile
                   value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_null"> </a><p class="res-header-id"><b>Generated Narrative: Location </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Information Source: <a href="http://example.org/fhir/server">http://example.org/fhir/server</a></p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/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>
        </text>
        <identifier>
          <use value="temp"/>
          <system value="http://exampleoflocation.com"/>
          <value value="NOBLE HOSPITAL"/>
        </identifier>
        <status value="active"/>
        <name value="NOBLE HOSPITAL"/>
        <telecom>
          <system value="phone"/>
          <value value="4135682811"/>
        </telecom>
        <address>
          <line value="115 WEST SILVER STREET"/>
          <city value="WESTFIELD"/>
          <state value="MA"/>
          <postalCode value="01085"/>
          <country value="US"/>
        </address>
        <position>
          <longitude value="-72.755911"/>
          <latitude value="42.138838"/>
        </position>
        <managingOrganization>
          <reference value="urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"/>
          <display value="NOBLE HOSPITAL"/>
        </managingOrganization>
      </Location>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Location"/>
    </request>
  </entry>
</Bundle>