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 4.0.0 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 Vte Report Option 7 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "single-indv-vte-report-option7",
  "meta" : {
    "source" : "http://example.org/fhir/server"
  },
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4",
      "resource" : {
        "resourceType" : "MeasureReport",
        "id" : "b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4",
        "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\"><p><b>Generated Narrative: MeasureReport</b><a name=\"b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4\"> </a></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\">Resource MeasureReport &quot;b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc4&quot; </p><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</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>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm108-example.html\">EXM108 - Venous Thromboembolism Prophylaxis</a></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</a></p><p><b>period</b>: 2018-12-31 --&gt; 2019-01-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5)</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"
                }
              ]
            }
          }
        ],
        "status" : "complete",
        "type" : "individual",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm108-example",
        "subject" : {
          "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"
        },
        "date" : "2019-03-14",
        "reporter" : {
          "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"
        },
        "period" : {
          "start" : "2018-12-31",
          "end" : "2019-01-01"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase",
              "display" : "Increased score indicates improvement"
            }
          ]
        },
        "group" : [
          {
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 1
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator-exclusion",
                      "display" : "Denominator Exclusion"
                    }
                  ]
                },
                "count" : 0
              }
            ],
            "measureScore" : {
              "value" : 1
            }
          }
        ],
        "evaluatedResource" : [
          {
            "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc5",
      "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\"><p><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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number:\u00a0<a href=\"http://terminology.hl7.org/5.2.0/NamingSystem-USEIN.html\">#</a>123456789\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 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" : "123456789",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "DaVinciHospital01",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 401-555-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "73 Lakewood Street"
            ],
            "city" : "Warwick",
            "state" : "RI",
            "postalCode" : "02886",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    },
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6",
      "resource" : {
        "resourceType" : "Patient",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p><b>US Core Birth Sex Extension</b>: F</p><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical record number:\u00a067890\u00a0(use:\u00a0USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p><h3>Communications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style=\"display: none\">*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td><td>true</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          },
          {
            "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"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ]
            },
            "system" : "http://hospital.davinci.org",
            "value" : "67890"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Webster",
            "given" : [
              "Thelma"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1948-04-28",
        "deceasedBoolean" : false,
        "address" : [
          {
            "use" : "home",
            "line" : [
              "7496 Beaver Ridge Ave"
            ],
            "city" : "Thornton",
            "state" : "NJ",
            "postalCode" : "07003",
            "country" : "USA"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M",
              "display" : "Married"
            }
          ]
        },
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en-US",
                  "display" : "English (Region=United States)"
                }
              ]
            },
            "preferred" : true
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7",
      "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\"><p><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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>type</b>: Hospital admission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32485007)</span></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>period</b>: 2018-07-19 06:10:27+0000 --&gt; 2018-07-19 06:10:27+0000</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=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8: Mother Charity Hospital)</a></td></tr></table></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "32485007",
                "display" : "Hospital admission"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"
        },
        "period" : {
          "start" : "2018-07-19T06:10:27Z",
          "end" : "2018-07-19T06:10:27Z"
        },
        "location" : [
          {
            "location" : {
              "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8",
              "display" : "Mother Charity Hospital"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Encounter"
      }
    },
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc8",
      "resource" : {
        "resourceType" : "Location",
        "meta" : {
          "source" : "http://example.org/fhir/server"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><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\">Information Source: http://example.org/fhir/server!</p></div><p><b>identifier</b>: id:\u00a01.2.3.4.181\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: active</p><p><b>name</b>: Mother Charity Hospital</p><p><b>mode</b>: instance</p><p><b>telecom</b>: ph: (313) 555-5671(WORK)</p><p><b>address</b>: 869 W Oak Street Royal Oak MI 48073 (WORK)</p><p><b>physicalType</b>: Building <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-location-physical-type.html\">Location type</a>#bu)</span></p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "http://www.hl7.org/oid/",
            "value" : "1.2.3.4.181"
          }
        ],
        "status" : "active",
        "name" : "Mother Charity Hospital",
        "mode" : "instance",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(313) 555-5671",
            "use" : "work"
          }
        ],
        "address" : {
          "use" : "work",
          "type" : "physical",
          "line" : [
            "869 W Oak Street"
          ],
          "city" : "Royal Oak",
          "district" : "Oakland County",
          "state" : "MI",
          "postalCode" : "48073"
        },
        "physicalType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
              "code" : "bu",
              "display" : "Building"
            }
          ]
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Location"
      }
    },
    {
      "fullUrl" : "urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003",
      "resource" : {
        "resourceType" : "Practitioner",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number:\u00a0<a href=\"http://terminology.hl7.org/5.2.0/NamingSystem-npi.html\">#</a>345678912\u00a0(use:\u00a0OFFICIAL), Provider number:\u00a0082583\u00a0(use:\u00a0SECONDARY)</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "345678912",
            "assigner" : {
              "display" : "www.cms.gov"
            }
          },
          {
            "use" : "secondary",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.336",
            "value" : "082583",
            "assigner" : {
              "display" : "www.cms.gov"
            }
          }
        ],
        "name" : [
          {
            "family" : "Bone",
            "given" : [
              "Ronald"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "address" : [
          {
            "use" : "home",
            "line" : [
              "1003 Healthcare Drive"
            ],
            "city" : "Amherst",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Practitioner"
      }
    },
    {
      "fullUrl" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc9",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</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\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-medicationnotrequested.html\">QICore Medication Not Requested</a></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (Not done value set: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1045.39/expansion\">Low Dose Unfractionated Heparin for VTE Prophylaxis</a>)</span></p><p><b>subject</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6)</a></p><p><b>encounter</b>: <a href=\"#urnuuidb5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7\">See above (urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7)</a></p><p><b>authoredOn</b>: 2019-12-05 06:10:27+0000</p><p><b>requester</b>: <a href=\"#urnuuidb539747a-ca48-11ea-87d0-0242ac130003\">See above (urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003)</a></p><p><b>reasonCode</b>: Drug declined by patient (situation) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#182895007)</span></p></div>"
        },
        "status" : "completed",
        "intent" : "order",
        "doNotPerform" : true,
        "medicationCodeableConcept" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet",
              "valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39"
            }
          ],
          "text" : "Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis"
        },
        "subject" : {
          "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc6"
        },
        "encounter" : {
          "reference" : "urn:uuid:b5cf5a8c-63f0-437f-84fd-dc8a3cf43cc7"
        },
        "authoredOn" : "2019-12-05T06:10:27Z",
        "requester" : {
          "reference" : "urn:uuid:b539747a-ca48-11ea-87d0-0242ac130003"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "182895007",
                "display" : "Drug declined by patient (situation)"
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MedicationRequest"
      }
    }
  ]
}