Data Exchange For Quality Measures STU2 for FHIR R4 Implementation Guide CI Build

Data Exchange For Quality Measures STU2 for FHIR R4, published by HL7 International - Clinical Quality Information Work Group. This is not an authorized publication; it is the continuous build for version 1.1.1). This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Medication Reconciliation Process

Introduction

The Medication Reconciliation Use Case defines the process by which the MRP Measure data can be exchanged between a provider acting in the role of the Producer to a Payer which is acting in the role of the Consumer. MRP Measure is an attestation that a medication reconciliation post-discharge was performed on a covered member. This use case covers both the request to send attestation information and the unsolicited submission of that data.

MRP Use Case Background

In the case of medication reconciliation after discharge from the hospital, the patient’s discharge medication(s) is compared with the medication(s) the patient was taking prior to hospitalization. This can avoid medication errors such as omissions, duplications, dosing errors or drug interactions, and should be done at every transition of care in which new medications are ordered or existing orders are rewritten. This attestation message is intended to be performed by the next provider where the patient returns for follow-up and can then be used by the payer to show compliance for the HEDIS measure Medication Reconciliation Post-Discharge. (Any necessary documentation will also be put in the record)

In the past, attestation to the reconciliation had been done by posting a CPT2 code on a claim typically for a small monetary amount that was then denied by the payer and had to be written off by the provider. This is a cumbersome process and most providers are no longer doing this.

Proof of 30 day medication reconciliations is increasingly required for value based care incentives.  Providers and care coordinators face the challenge of collecting accurate and complete patient medication records across care settings. Today’s manual and ad hoc processes are costly and will not scale. Payers and providers need common standards to share the data required to complete medication reconciliation at all transitions of care, for care management plans, and during medication changes. Vendors are actively leveraging FHIR resources to improve partner’s access to patient medication history by unlocking existing silos of this critical data from vendor systems, healthcare operations systems and provider EHRs.

Note that the exchange of the reconciled medication list, indication of conversations with the patient, and notification of discharge from inpatient systems are out of scope for this version of the use case.

FHIR Resource Overview

Resources supported for this Use Case

Resource Type Profile Name Link to Profile
Coverage QI Core Coverage Profile QI Core Coverage
Encounter QI Core Encounter Profile QI Core Encounter
Location QI Core Location Profile QI Core Location
Library CQFM Library Profile CQFM Library
Measure CQFM Measure Profile CQFM Measure
MeasureReport DEQM Data Exchange MeasureReport Profile DEQM Data Exchange MeasureReport Profile
MeasureReport DEQM Individual MeasureReport Profile DEQM Individual MeasureReport Profile
MeasureReport DEQM Summary MeasureReport Profile DEQM Summary MeasureReport Profile
Observation QI Core Observation Profile QI Core Observation
Organization DEQM Organization Profile1 DEQM Organization
Patient QI Core Patient Profile QI Core Patient
Practitioner QI Core Practitioner Profile1 QI Core Practitioner
Task QI Core Task Profile QI Core Task

Graph of MRP Resources

For MRP either a Task resource or an Observation resource can be used as the primary resource for evaluating the measure. The Task resource is more appropriate to represent an administrative activity that can be performed and the state of completion of that activity tracked. In the case where systems do not support Task, Observation can be used to track the status of the process. The table below compares how the activity is represented

Data element Task Observation
The activity Task.code Observation.code
The state of completion Task.status Observation.valueBoolean(= “true” for complete) + Observation.status
Figure 3-1 MRP Using Task
mrp-task.jpg

Figure 3-2 MRP Using Observation
mrp-observation.jpg

MRP Data Exchange Interactions

In the following interactions, the Provider is acting in the role of the Producer and the Payer (“Aggregator”) is acting in the role of the Consumer.

Gather Data Requirements from Payer

In this optional step, the Provider queries the Payer (“Aggregator”) for which resources are needed for MRP measure reporting. Note that instead of using this API, the measure definition can be reviewed manually to determine what data needs to be submitted.

Example

Scenario

Provider X acting in the role of the Producer requests data requirements for the MRP measure from Payer Z which is acting in the role of Consumer. A Library resource containing the required resources for MRP attestation returned on successful evaluation.

Request using GET

GET [base]/Measure/measure-mrp/$data-requirements?periodStart=2018&periodEnd=2018

Request using POST

POST [base]/Measure/measure-mrp/$data-requirements

Request body

{
   "resourceType":"Parameters",
   "parameter":[
      {
         "name":"periodStart",
         "valueDate":"2018"
      },
      {
         "name":"periodEnd",
         "valueDate":"2018"
      }
    ]
 }

Response

HTTP/1.1 200 OK
[other headers]

Response body

{
  "resourceType": "Library",
  "id": "library-mrp-example",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: library-mrp-example</p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Library/library-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Library/library-mrp-example</a></p><p><b>version</b>: 1.1.1</p><p><b>name</b>: DEQMLibraryMRPExample</p><p><b>title</b>: DEQM Library MRP Example</p><p><b>status</b>: active</p><p><b>type</b>: module-definition <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'module-definition' = 'module-definition)</span></p><p><b>date</b>: Feb 15, 2020, 1:42:10 AM</p><p><b>description</b>: Example Library resource to demonstrate the framework for MRP</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow\">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span></p><p><b>dataRequirement</b>: , , , , , , </p></div>"
  },
  "url": "http://hl7.org/fhir/us/davinci-deqm/Library/library-mrp-example",
  "version": "1.1.1",
  "name": "DEQMLibraryMRPExample",
  "title": "DEQM Library MRP Example",
  "status": "active",
  "type": {
    "coding": [
      {
        "code": "module-definition"
      }
    ]
  },
  "date": "2020-02-15T01:42:10+00:00",
  "description": "Example Library resource to demonstrate the framework for MRP",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "dataRequirement": [
    {
      "type": "MeasureReport",
      "profile": [
        "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
      ]
    },
    {
      "type": "Patient",
      "profile": [
        "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
      ]
    },
    {
      "type": "Encounter",
      "profile": [
        "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
      ]
    },
    {
      "type": "Location",
      "profile": [
        "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
      ]
    },
    {
      "type": "Task",
      "profile": [
        "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
      ]
    },
    {
      "type": "Organization",
      "profile": [
        "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
      ]
    },
    {
      "type": "Practitioner",
      "profile": [
        "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
      ]
    }
  ]
}

Data Exchange Using the Submit Data Operation

The Provider will use the Submit Data operation to submit a MeasureReport and the referenced resources required by the payers as supporting evidence to provide the MRP attestation to the Payer. Note that the Collect Data and Subscription Operations are not supported for this use case.

The technical Workflow is outlined in the following figure. The parts outlined in orange are the actual FHIR transactions that are the focus of this Guide and are described in detail in the following sections:

Figure 3-3 Submit Data Technical Workflow
MRP_Technical_Workflow.jpg

Examples

Scenario:

Provider X acting in the role of Producer submits MRP data for Patient Y to Payer Z who is acting in the role of Consumer. The body of the request is a Parameters resource containing the required profiles for MRP attestation using Task as the resource used to evaluate the measure. An HTTP Status success code is returned on successful submission.

Request using POST

POST [base]/Measure/measure-mrp/$submit-data

Request body

{
  "resourceType": "Parameters",
  "id": "mrp-submit-task",
  "parameter": [
    {
      "name": "measure-report",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "datax-measurereport01",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2018-09-05T16:59:53.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: datax-measurereport01</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: </p><p><b>measure</b>: <a href=\"Measure-measure-mrp.html\">Generated Summary: id: measure-mrp; url: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp; status: active; date: Oct 3, 2019, 2:53:57 AM; <span title=\"Codes: {urn:iso:std:iso:3166 US}\">United States of America</span></a></p><p><b>patient</b>: <a href=\"Patient-patient01.html\">Generated Summary: id: patient01; Medical record number = 12345 (USUAL); active; Jairo Webster (OFFICIAL); gender: male; birthDate: Dec 16, 1946; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reportingOrganization</b>: <a href=\"Organization-organization01.html\">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><p><b>evaluatedResource</b>: <a href=\"Task-Task01.html\">Generated Summary: id: Task01; identifier: 19009 status: completed code: Medication Reconciliation (Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</a></p></div>"
        },
        "status": "complete",
        "type": "data-collection",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "Patient/patient01"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "Organization/organization01"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "evaluatedResource": [
          {
            "reference": "Task/Task01"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Patient",
        "id": "patient01",
        "meta": {
          "versionId": "5",
          "lastUpdated": "2019-02-11T14:19:25.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Jairo <b>WEBSTER </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>7496 Beaver Ridge Ave </span><br/><span>Thornton </span><span>NJ </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 December 1946</span></td></tr></tbody></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "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": "12345"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Webster",
            "given": [
              "Jairo"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1946-12-16",
        "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
          }
        ],
        "managingOrganization": {
          "reference": "Organization/organization01"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Task",
        "id": "Task01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
          ]
        },
        "identifier": [
          {
            "system": "http://example.org/tasks",
            "value": "19009"
          }
        ],
        "status": "completed",
        "intent": "plan",
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "for": {
          "reference": "Patient/patient01"
        },
        "encounter": {
          "reference": "Encounter/Encounter01"
        },
        "executionPeriod": {
          "start": "2017-06-11",
          "end": "2017-06-11"
        },
        "authoredOn": "2018-09-25T14:24:23.584Z",
        "owner": {
          "reference": "Practitioner/practitioner01"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "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": "456789123"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Hale",
            "given": [
              "Cody"
            ],
            "suffix": [
              "MD"
            ]
          }
        ],
        "gender": "male"
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Encounter",
        "id": "Encounter01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "56876005",
                "display": "Drug rehabilitation and detoxification"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/patient01",
          "display": "Jairo Webster"
        },
        "period": {
          "start": "2018-05-29T11:00:00-04:00",
          "end": "2018-05-29T11:00:00-04:00"
        },
        "hospitalization": {
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "Home"
              }
            ]
          }
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Coverage",
        "id": "coverage01",
        "meta": {
          "versionId": "2",
          "lastUpdated": "2019-02-11T14:19:25.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "status": "active",
        "policyHolder": {
          "reference": "Patient/patient01"
        },
        "subscriber": {
          "reference": "Patient/patient01"
        },
        "subscriberId": "A123456789",
        "beneficiary": {
          "reference": "Patient/patient01"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "Organization/organization04"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Location",
        "id": "location01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
          ]
        },
        "name": "DaVinciClinic01",
        "address": {
          "line": [
            "102 Heritage Dr."
          ],
          "city": "Somerset",
          "state": "NJ",
          "postalCode": "08873",
          "country": "USA"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization01",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-02-21T01:47:54.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "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"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization02",
        "meta": {
          "versionId": "3",
          "lastUpdated": "2019-03-06T19:03:03.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "234567891",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ]
          }
        ],
        "name": "DaVinciHospital02",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 551-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "3 Sherwood St."
            ],
            "city": "Englewood",
            "state": "NJ",
            "postalCode": "07631",
            "country": "USA"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization04",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-03-06T19:03:03.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789123",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ]
          }
        ],
        "name": "DVPayer04",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

Examples

Scenario:

Provider X acting in the role of Producer submits MRP data for Patient Y to Payer Z who is acting in the role of Consumer. The body of the request is a Parameters resource containing the required profiles for MRP attestation using Observation as the resource used to evaluate the measure. An HTTP Status success code is returned on successful submission.

Request using POST

POST [base]/Measure/measure-mrp/$submit-data

Request body

{
  "resourceType": "Parameters",
  "id": "mrp-submit-obs",
  "parameter": [
    {
      "name": "measure-report",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "datax-measurereport02",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2018-09-05T16:59:53.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: datax-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: </p><p><b>measure</b>: <a href=\"Measure-measure-mrp.html\">Generated Summary: id: measure-mrp; url: http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp; status: active; date: Oct 3, 2019, 2:54:52 AM; <span title=\"Codes: {urn:iso:std:iso:3166 US}\">United States of America</span></a></p><p><b>patient</b>: <a href=\"Patient-patient02.html\">Generated Summary: id: patient02; Medical record number = 23456 (USUAL); active; Darien Bernard (OFFICIAL); gender: male; birthDate: Jun 13, 1967; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reportingOrganization</b>: <a href=\"Organization-organization01.html\">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><p><b>evaluatedResource</b>:  <a href=\"Observation-observation01.html\">Generated Summary: id: observation01; status: final; active; code: Medication Reconciliation (Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'}); value: true</a></p></div>"
        },
        "status": "complete",
        "type": "data-collection",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "Patient/patient02"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "Organization/organization01"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "evaluatedResource": [
          {
            "reference": "Observation/observation01"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Patient",
        "id": "patient01",
        "meta": {
          "versionId": "5",
          "lastUpdated": "2019-02-11T14:19:25.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Jairo <b>WEBSTER </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>7496 Beaver Ridge Ave </span><br/><span>Thornton </span><span>NJ </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 December 1946</span></td></tr></tbody></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "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": "12345"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Webster",
            "given": [
              "Jairo"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1946-12-16",
        "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
          }
        ],
        "managingOrganization": {
          "reference": "Organization/organization01"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Observation",
        "id": "observation01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://acme.org/observation-category",
                "code": "measure",
                "display": "Measure"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient01"
        },
        "encounter": {
          "reference": "Encounter/Encounter01"
        },
        "effectiveDateTime": "2018-09-29T14:15:04.424Z",
        "issued": "2018-09-29T14:15:04.424Z",
        "performer": [
          {
            "reference": "Practitioner/practitioner01"
          }
        ],
        "valueBoolean": true
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "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": "456789123"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Hale",
            "given": [
              "Cody"
            ],
            "suffix": [
              "MD"
            ]
          }
        ],
        "gender": "male"
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Encounter",
        "id": "Encounter01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "56876005",
                "display": "Drug rehabilitation and detoxification"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/patient01",
          "display": "Jairo Webster"
        },
        "period": {
          "start": "2018-05-29T11:00:00-04:00",
          "end": "2018-05-29T11:00:00-04:00"
        },
        "hospitalization": {
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "Home"
              }
            ]
          }
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Coverage",
        "id": "coverage01",
        "meta": {
          "versionId": "2",
          "lastUpdated": "2019-02-11T14:19:25.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "status": "active",
        "policyHolder": {
          "reference": "Patient/patient01"
        },
        "subscriber": {
          "reference": "Patient/patient01"
        },
        "subscriberId": "A123456789",
        "beneficiary": {
          "reference": "Patient/patient01"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "Organization/organization04"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Location",
        "id": "location01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"
          ]
        },
        "name": "DaVinciClinic01",
        "address": {
          "line": [
            "102 Heritage Dr."
          ],
          "city": "Somerset",
          "state": "NJ",
          "postalCode": "08873",
          "country": "USA"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization01",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-02-21T01:47:54.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "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"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization02",
        "meta": {
          "versionId": "3",
          "lastUpdated": "2019-03-06T19:03:03.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "234567891",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ]
          }
        ],
        "name": "DaVinciHospital02",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 551-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "3 Sherwood St."
            ],
            "city": "Englewood",
            "state": "NJ",
            "postalCode": "07631",
            "country": "USA"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization04",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-03-06T19:03:03.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789123",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ]
          }
        ],
        "name": "DVPayer04",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

MRP Measure Reporting Interactions

In the following interactions, The Payer (“Aggregator”) is acting in the role of the Reporter.

Individual MeasureReport

The Payer (“Aggregator”) pushes the Bundle of supporting resources with the MRP Individual MeasureReport Bundle to the Receiver.

Figure 3-4 Individual Reporting Technical Workflow
mrp_indv_report.jpg

Examples

Scenario:

Payer X who is acting in the role of a Reporter submits a MRP Individual Report for Patient P to Receiver Z. The body of the request is a transaction bundle including the Individual MeasureReport and Task resources all the related resources containing the relevant data used to compute the CQM criteria. An HTTP Status success code and a transaction-response Bundle is returned on successful submission.

POST Summary Report

POST [base]

Request body

{
  "resourceType": "Bundle",
  "id": "single-indv-mrp-task-report",
  "type": "transaction",
  "timestamp": "2019-12-06T06:28:16.152480Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:97e6dbd2-17f1-11ea-82fa-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3\">urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:97e750b6-17f1-11ea-89ea-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:97e702cc-17f1-11ea-8b65-4ccc6a181ed3",
      "resource": {
        "resourceType": "Task",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>encounter</b>: <a href=\"urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71\">urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71</a></p><p><b>executionPeriod</b>: Jun 11, 2017, 12:00:00 AM --&gt; Jun 11, 2017, 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018, 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">urn:uuid:0000016d-235f-39b3-0000-0000000000fa</a></p></div>"
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "19009"
          }
        ],
        "status": "completed",
        "intent": "plan",
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "for": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "encounter": {
          "reference": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
        },
        "executionPeriod": {
          "start": "2017-06-11",
          "end": "2017-06-11"
        },
        "authoredOn": "2018-09-25T14:24:23.584Z",
        "owner": {
          "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
        }
      },
      "request": {
        "method": "POST",
        "url": "Task"
      }
    },
    {
      "fullUrl": "urn:uuid:97e729ba-17f1-11ea-ae32-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3\">urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriber": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriberId": "A123456789",
        "beneficiary": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:97e750b6-17f1-11ea-89ea-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789124 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'other' = 'Other', given as 'Other'})</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789124",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "other",
                "display": "Other"
              }
            ]
          }
        ],
        "name": "DV Quality Measure Data Reporter",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:97e750b7-17f1-11ea-b4af-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789125 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'ins' = 'Insurance Company', given as 'Insurance Company'})</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789125",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ]
          }
        ],
        "name": "DVPayer04",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number = 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number = 999-61-8566, Driver's license Number = S99966861, Passport Number = X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Portuguese <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'pt' = 'Portuguese', given as 'Portuguese'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Freda902 Tillman293"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Faro",
              "state": "Algarve",
              "country": "PT"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-61-8566"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99966861"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X52208740X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "McDermott739",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          },
          {
            "use": "maiden",
            "family": "Funk324",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-755-4280",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1961-02-26",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.21379047108309
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -72.73951315911818
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "903 Wolff Ville"
            ],
            "city": "Westfield",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "pt",
                  "display": "Portuguese"
                }
              ],
              "text": "Portuguese"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: Jun 20, 1976, 5:41:49 PM --&gt; Apr 29, 2018, 5:41:49 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
          "display": "Mrs. Debbie941 McDermott739"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
              "display": "Dr. Manuel446 Granados71"
            }
          }
        ],
        "period": {
          "start": "1976-06-20T10:41:49-07:00",
          "end": "2018-04-29T10:41:49-07:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
              "display": "NOBLE HOSPITAL"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: Manuel446.Granados71@example.com(WORK)</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "250"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Granados71",
            "given": [
              "Manuel446"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Manuel446.Granados71@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "gender": "male"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 9999999999 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9999999999"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ],
            "text": "Healthcare Provider"
          }
        ],
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
      "resource": {
        "resourceType": "Location",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </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>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "active",
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": {
          "line": [
            "115 WEST SILVER STREET"
          ],
          "city": "WESTFIELD",
          "state": "MA",
          "postalCode": "01085",
          "country": "US"
        },
        "position": {
          "longitude": -72.755911,
          "latitude": 42.138838
        },
        "managingOrganization": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Location"
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

{
"resourceType": "Bundle",
"id": "5d9f7be3-f755-4a3e-8a05-782a1aa4943c",
"type": "transaction-response",
"link": [
{
"relation": "self",
"url": "http://hapi.fhir.org/baseR4"
}
],
"entry": [
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223276/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Task/223277/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223278/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223279/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223280/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223281/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223282/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223283/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223284/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Location/223285/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:21:19.522+00:00"
}
}
]
}

Examples

Scenario:

Payer X who is acting in the role of a Reporter submits a MRP Individual Reports for Patients P, Q and R to Receiver Z. The body of the request is a transaction bundle including the Individual MeasureReport and Task resources all the related resources containing the relevant data used to compute the CQM criteria. An HTTP Status success code and a transaction-response Bundle is returned on successful submission.

POST Summary Report

POST [base]

Request body

{
  "resourceType": "Bundle",
  "id": "multiple-indv-mrp-task-report",
  "type": "transaction",
  "timestamp": "2019-12-06T06:29:32.747871Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:c90e56d8-17f1-11ea-9ce8-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3\">urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3",
      "resource": {
        "resourceType": "Task",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>encounter</b>: <a href=\"urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71\">urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71</a></p><p><b>executionPeriod</b>: Jun 11, 2017, 12:00:00 AM --&gt; Jun 11, 2017, 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018, 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">urn:uuid:0000016d-235f-39b3-0000-0000000000fa</a></p></div>"
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "19009"
          }
        ],
        "status": "completed",
        "intent": "plan",
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "for": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "encounter": {
          "reference": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
        },
        "executionPeriod": {
          "start": "2017-06-11",
          "end": "2017-06-11"
        },
        "authoredOn": "2018-09-25T14:24:23.584Z",
        "owner": {
          "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
        }
      },
      "request": {
        "method": "POST",
        "url": "Task"
      }
    },
    {
      "fullUrl": "urn:uuid:c90ecb36-17f1-11ea-bb3a-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3\">urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriber": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriberId": "A123456789",
        "beneficiary": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789124 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'other' = 'Other', given as 'Other'})</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789124",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "other",
                "display": "Other"
              }
            ]
          }
        ],
        "name": "DV Quality Measure Data Reporter",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789125 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'ins' = 'Insurance Company', given as 'Insurance Company'})</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789125",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ]
          }
        ],
        "name": "DVPayer04",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:c90ef354-17f1-11ea-bae2-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3\">urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:c90f1922-17f1-11ea-bec5-4ccc6a181ed3",
      "resource": {
        "resourceType": "Task",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>encounter</b>: <a href=\"urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518\">urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518</a></p><p><b>executionPeriod</b>: Jun 11, 2017, 12:00:00 AM --&gt; Jun 11, 2017, 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018, 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-000000011fc6\">urn:uuid:0000016d-235f-39b3-0000-000000011fc6</a></p></div>"
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "19009"
          }
        ],
        "status": "completed",
        "intent": "plan",
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "for": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "encounter": {
          "reference": "urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518"
        },
        "executionPeriod": {
          "start": "2017-06-11",
          "end": "2017-06-11"
        },
        "authoredOn": "2018-09-25T14:24:23.584Z",
        "owner": {
          "reference": "urn:uuid:0000016d-235f-39b3-0000-000000011fc6"
        }
      },
      "request": {
        "method": "POST",
        "url": "Task"
      }
    },
    {
      "fullUrl": "urn:uuid:c90f1923-17f1-11ea-943f-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>subscriberId</b>: A123456790</p><p><b>beneficiary</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3\">urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "subscriber": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "subscriberId": "A123456790",
        "beneficiary": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:c90f1925-17f1-11ea-a7e8-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3\">urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:c90ecb37-17f1-11ea-9420-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:c90ea546-17f1-11ea-a370-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:c90f411a-17f1-11ea-b9ba-4ccc6a181ed3",
      "resource": {
        "resourceType": "Task",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 19009</p><p><b>status</b>: completed</p><p><b>intent</b>: plan</p><p><b>priority</b>: routine</p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>for</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>encounter</b>: <a href=\"urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016\">urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016</a></p><p><b>executionPeriod</b>: Jun 11, 2017, 12:00:00 AM --&gt; Jun 11, 2017, 12:00:00 AM</p><p><b>authoredOn</b>: Sep 25, 2018, 2:24:23 PM</p><p><b>owner</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-000000001298\">urn:uuid:0000016d-235f-39b3-0000-000000001298</a></p></div>"
        },
        "identifier": [
          {
            "system": "http://example.org",
            "value": "19009"
          }
        ],
        "status": "completed",
        "intent": "plan",
        "priority": "routine",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "for": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "encounter": {
          "reference": "urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016"
        },
        "executionPeriod": {
          "start": "2017-06-11",
          "end": "2017-06-11"
        },
        "authoredOn": "2018-09-25T14:24:23.584Z",
        "owner": {
          "reference": "urn:uuid:0000016d-235f-39b3-0000-000000001298"
        }
      },
      "request": {
        "method": "POST",
        "url": "Task"
      }
    },
    {
      "fullUrl": "urn:uuid:c90f411b-17f1-11ea-829e-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>subscriberId</b>: A123456795</p><p><b>beneficiary</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3\">urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "subscriber": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "subscriberId": "A123456795",
        "beneficiary": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:c90ef352-17f1-11ea-bc8b-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number = 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number = 999-61-8566, Driver's license Number = S99966861, Passport Number = X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Portuguese <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'pt' = 'Portuguese', given as 'Portuguese'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Freda902 Tillman293"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Faro",
              "state": "Algarve",
              "country": "PT"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-61-8566"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99966861"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X52208740X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "McDermott739",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          },
          {
            "use": "maiden",
            "family": "Funk324",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-755-4280",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1961-02-26",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.21379047108309
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -72.73951315911818
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "903 Wolff Ville"
            ],
            "city": "Westfield",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "pt",
                  "display": "Portuguese"
                }
              ],
              "text": "Portuguese"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: Jun 20, 1976, 5:41:49 PM --&gt; Apr 29, 2018, 5:41:49 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
          "display": "Mrs. Debbie941 McDermott739"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
              "display": "Dr. Manuel446 Granados71"
            }
          }
        ],
        "period": {
          "start": "1976-06-20T10:41:49-07:00",
          "end": "2018-04-29T10:41:49-07:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
              "display": "NOBLE HOSPITAL"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: Manuel446.Granados71@example.com(WORK)</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "250"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Granados71",
            "given": [
              "Manuel446"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Manuel446.Granados71@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "gender": "male"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 9999999999 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9999999999"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ],
            "text": "Healthcare Provider"
          }
        ],
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
      "resource": {
        "resourceType": "Location",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </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>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "active",
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": {
          "line": [
            "115 WEST SILVER STREET"
          ],
          "city": "WESTFIELD",
          "state": "MA",
          "postalCode": "01085",
          "country": "US"
        },
        "position": {
          "longitude": -72.755911,
          "latitude": 42.138838
        },
        "managingOrganization": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Location"
      }
    },
    {
      "fullUrl": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: f605b676-acb4-4cb0-bd77-f8c87f7b83a2, Medical Record Number = f605b676-acb4-4cb0-bd77-f8c87f7b83a2, Social Security Number = 999-75-8071, Driver's license Number = S99968294, Passport Number = X86200374X</p><p><b>name</b>: Royce974 Hegmann834 (OFFICIAL)</p><p><b>telecom</b>: ph: 555-539-7855(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1942-08-10</p><p><b>address</b>: 624 Williamson Ville Boston MA 02108 US </p><p><b>maritalStatus</b>: Never Married <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'S' = 'Never Married', given as 'Never Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'en-US' = 'English (Region=United States)', given as 'English (Region=United States)'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Hettie215 Johnston597"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Reading",
              "state": "Massachusetts",
              "country": "US"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "f605b676-acb4-4cb0-bd77-f8c87f7b83a2"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "f605b676-acb4-4cb0-bd77-f8c87f7b83a2"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-75-8071"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99968294"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X86200374X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Hegmann834",
            "given": [
              "Royce974"
            ],
            "prefix": [
              "Mr."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-539-7855",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1942-08-10",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.41560920330857
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -70.93765725466737
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "624 Williamson Ville"
            ],
            "city": "Boston",
            "state": "MA",
            "postalCode": "02108",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "S",
              "display": "Never Married"
            }
          ],
          "text": "Never Married"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (Region=United States)"
                }
              ],
              "text": "English (Region=United States)"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">Mr. Royce974 Hegmann834</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-000000011fc6\">Dr. Delores12 Kautzer186</a></td></tr></table><p><b>period</b>: Sep 5, 1955, 9:19:34 PM --&gt; Sep 5, 1955, 9:34:34 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9",
          "display": "Mr. Royce974 Hegmann834"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-000000011fc6",
              "display": "Dr. Delores12 Kautzer186"
            }
          }
        ],
        "period": {
          "start": "1955-09-05T14:19:34-07:00",
          "end": "1955-09-05T14:34:34-07:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-000000011fc6",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 73670</p><p><b>active</b>: true</p><p><b>name</b>: Delores12 Kautzer186 </p><p><b>telecom</b>: Delores12.Kautzer186@example.com(WORK)</p><p><b>address</b>: 10 GOVE ST EAST BOSTON MA 02128-1920 US </p><p><b>gender</b>: female</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "73670"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Kautzer186",
            "given": [
              "Delores12"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Delores12.Kautzer186@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "10 GOVE ST"
            ],
            "city": "EAST BOSTON",
            "state": "MA",
            "postalCode": "02128-1920",
            "country": "US"
          }
        ],
        "gender": "female"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 4b83a64c-8947-4048-822c-6ea95d8bb33f, Medical Record Number = 4b83a64c-8947-4048-822c-6ea95d8bb33f, Social Security Number = 999-94-2029, Driver's license Number = S99932279, Passport Number = X84312651X</p><p><b>name</b>: José3 Mota271 (OFFICIAL)</p><p><b>telecom</b>: ph: 555-580-6204(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1935-01-28</p><p><b>address</b>: 823 Quigley Lodge Unit 81 Boston MA 02108 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Spanish <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'es' = 'Spanish', given as 'Spanish'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2054-5",
                  "display": "Black or African American"
                }
              },
              {
                "url": "text",
                "valueString": "Black or African American"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Emilia403 Moya426"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Portsmouth",
              "state": "Saint John Parish",
              "country": "DM"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "4b83a64c-8947-4048-822c-6ea95d8bb33f"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "4b83a64c-8947-4048-822c-6ea95d8bb33f"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-94-2029"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99932279"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X84312651X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Mota271",
            "given": [
              "José3"
            ],
            "prefix": [
              "Mr."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-580-6204",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1935-01-28",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.34029992468983
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -70.95553286247721
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "823 Quigley Lodge Unit 81"
            ],
            "city": "Boston",
            "state": "MA",
            "postalCode": "02108",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "es",
                  "display": "Spanish"
                }
              ],
              "text": "Spanish"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">Mr. José3 Mota271</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-000000001298\">Dr. Hayden835 Mraz590</a></td></tr></table><p><b>period</b>: Apr 18, 1972, 7:19:25 AM --&gt; Apr 18, 1972, 7:34:25 AM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073",
          "display": "Mr. José3 Mota271"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-000000001298",
              "display": "Dr. Hayden835 Mraz590"
            }
          }
        ],
        "period": {
          "start": "1972-04-17T23:19:25-08:00",
          "end": "1972-04-17T23:34:25-08:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-000000001298",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 4760</p><p><b>active</b>: true</p><p><b>name</b>: Hayden835 Mraz590 </p><p><b>telecom</b>: Hayden835.Mraz590@example.com(WORK)</p><p><b>address</b>: 50 JEFFERSON ST WINTHROP MA 02152-2649 US </p><p><b>gender</b>: male</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "4760"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Mraz590",
            "given": [
              "Hayden835"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Hayden835.Mraz590@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "50 JEFFERSON ST"
            ],
            "city": "WINTHROP",
            "state": "MA",
            "postalCode": "02152-2649",
            "country": "US"
          }
        ],
        "gender": "male"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

{
"resourceType": "Bundle",
"id": "0f8c1be3-70e7-4b96-ad36-f4c408cc4e22",
"type": "transaction-response",
"link": [
{
"relation": "self",
"url": "http://hapi.fhir.org/baseR4"
}
],
"entry": [
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223306/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Task/223307/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223308/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223309/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223310/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223311/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Task/223312/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223313/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223314/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Task/223315/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223316/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223317/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223318/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223319/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223320/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Location/223321/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223322/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223323/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223324/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223325/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223326/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223327/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:32:06.116+00:00"
}
}
]
}

Examples

Scenario:

Reporter X submits a MRP Individual Report for Patient P to Receiver Z. The body of the request is a transaction bundle including the Individual MeasureReport and Observation resources all the related resources containing the relevant data used to compute the CQM criteria. An HTTP Status success code and a transaction-response Bundle is returned on successful submission.

POST Summary Report

POST [base]

Request body

{
  "resourceType": "Bundle",
  "id": "single-indv-mrp-obs-report",
  "type": "transaction",
  "timestamp": "2019-12-06T06:28:44.902388Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:a8f9c686-17f1-11ea-a072-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3\">urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:a8fa147a-17f1-11ea-91ce-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3\">urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriber": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriberId": "A123456789",
        "beneficiary": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:a8fa147b-17f1-11ea-9ba7-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789124 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'other' = 'Other', given as 'Other'})</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789124",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "other",
                "display": "Other"
              }
            ]
          }
        ],
        "name": "DV Quality Measure Data Reporter",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:a8fa3b68-17f1-11ea-93ae-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789125 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'ins' = 'Insurance Company', given as 'Insurance Company'})</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789125",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ]
          }
        ],
        "name": "DVPayer04",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:a8fa3b69-17f1-11ea-bd75-4ccc6a181ed3",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'measure' = 'measure', given as 'Measure'})</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>encounter</b>: <a href=\"urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71\">urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71</a></p><p><b>effective</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>issued</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>performer</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">urn:uuid:0000016d-235f-39b3-0000-0000000000fa</a></p><p><b>value</b>: true</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://example.org",
                "code": "measure",
                "display": "Measure"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "encounter": {
          "reference": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
        },
        "effectiveDateTime": "2018-09-29T14:15:04.424Z",
        "issued": "2018-09-29T14:15:04.424Z",
        "performer": [
          {
            "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
          }
        ],
        "valueBoolean": true
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number = 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number = 999-61-8566, Driver's license Number = S99966861, Passport Number = X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Portuguese <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'pt' = 'Portuguese', given as 'Portuguese'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Freda902 Tillman293"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Faro",
              "state": "Algarve",
              "country": "PT"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-61-8566"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99966861"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X52208740X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "McDermott739",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          },
          {
            "use": "maiden",
            "family": "Funk324",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-755-4280",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1961-02-26",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.21379047108309
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -72.73951315911818
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "903 Wolff Ville"
            ],
            "city": "Westfield",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "pt",
                  "display": "Portuguese"
                }
              ],
              "text": "Portuguese"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: Jun 20, 1976, 5:41:49 PM --&gt; Apr 29, 2018, 5:41:49 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
          "display": "Mrs. Debbie941 McDermott739"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
              "display": "Dr. Manuel446 Granados71"
            }
          }
        ],
        "period": {
          "start": "1976-06-20T10:41:49-07:00",
          "end": "2018-04-29T10:41:49-07:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
              "display": "NOBLE HOSPITAL"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: Manuel446.Granados71@example.com(WORK)</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "250"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Granados71",
            "given": [
              "Manuel446"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Manuel446.Granados71@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "gender": "male"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 9999999999 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9999999999"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ],
            "text": "Healthcare Provider"
          }
        ],
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
      "resource": {
        "resourceType": "Location",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </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>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "active",
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": {
          "line": [
            "115 WEST SILVER STREET"
          ],
          "city": "WESTFIELD",
          "state": "MA",
          "postalCode": "01085",
          "country": "US"
        },
        "position": {
          "longitude": -72.755911,
          "latitude": 42.138838
        },
        "managingOrganization": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Location"
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

{
"resourceType": "Bundle",
"id": "acb38f7f-2fcc-4b74-b46b-2af1c20854dc",
"type": "transaction-response",
"link": [
{
"relation": "self",
"url": "http://hapi.fhir.org/baseR4"
}
],
"entry": [
{
"response": {
"status": "201 Created",
"location": "MeasureReport/224761/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/224762/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/224763/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/224764/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Observation/224765/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
}
]
}

Examples

Scenario:

Payer X who is acting in the role of a Reporter submits a MRP Individual Reports for Patients P, Q and R to Receiver Z. The body of the request is a transaction bundle including the Individual MeasureReport and Observation resources all the related resources containing the relevant data used to compute the CQM criteria. An HTTP Status success code and a transaction-response Bundle is returned on successful submission.

POST Summary Report

POST [base]

Request body

{
  "resourceType": "Bundle",
  "id": "multiple-indv-mrp-obs-report",
  "type": "transaction",
  "timestamp": "2019-12-06T06:29:06.039507Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:b959c1ca-17f1-11ea-95df-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3\">urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:b95a36b1-17f1-11ea-96a1-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a36b0-17f1-11ea-9328-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3\">urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriber": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "subscriberId": "A123456789",
        "beneficiary": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a36b1-17f1-11ea-96a1-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789124 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'other' = 'Other', given as 'Other'})</span></p><p><b>name</b>: DV Quality Measure Data Reporter</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789124",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "other",
                "display": "Other"
              }
            ]
          }
        ],
        "name": "DV Quality Measure Data Reporter",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 456789125 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Insurance Company <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'ins' = 'Insurance Company', given as 'Insurance Company'})</span></p><p><b>name</b>: DVPayer04</p><p><b>telecom</b>: ph: (+1) 616-555-1212</p><p><b>address</b>: 160 Glen Eagles Road Grand Rapids MI 49503 USA </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "TAX",
                  "display": "Tax ID number"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.2",
            "value": "456789125",
            "assigner": {
              "display": "www.irs.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "ins",
                "display": "Insurance Company"
              }
            ]
          }
        ],
        "name": "DVPayer04",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 616-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "160 Glen Eagles Road"
            ],
            "city": "Grand Rapids",
            "state": "MI",
            "postalCode": "49503",
            "country": "USA"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'measure' = 'measure', given as 'Measure'})</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8</a></p><p><b>encounter</b>: <a href=\"urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71\">urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71</a></p><p><b>effective</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>issued</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>performer</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">urn:uuid:0000016d-235f-39b3-0000-0000000000fa</a></p><p><b>value</b>: true</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://example.org",
                "code": "measure",
                "display": "Measure"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8"
        },
        "encounter": {
          "reference": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71"
        },
        "effectiveDateTime": "2018-09-29T14:15:04.424Z",
        "issued": "2018-09-29T14:15:04.424Z",
        "performer": [
          {
            "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa"
          }
        ],
        "valueBoolean": true
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a5da4-17f1-11ea-97b6-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:b95a849a-17f1-11ea-88a5-4ccc6a181ed3\">urn:uuid:b95a849a-17f1-11ea-88a5-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:b95a36b1-17f1-11ea-96a1-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:b95a849a-17f1-11ea-88a5-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a5da6-17f1-11ea-93f4-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>subscriberId</b>: A123456790</p><p><b>beneficiary</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3\">urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "subscriber": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "subscriberId": "A123456790",
        "beneficiary": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a849a-17f1-11ea-88a5-4ccc6a181ed3",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'measure' = 'measure', given as 'Measure'})</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9</a></p><p><b>encounter</b>: <a href=\"urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518\">urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518</a></p><p><b>effective</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>issued</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>performer</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-000000011fc6\">urn:uuid:0000016d-235f-39b3-0000-000000011fc6</a></p><p><b>value</b>: true</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://example.org",
                "code": "measure",
                "display": "Measure"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9"
        },
        "encounter": {
          "reference": "urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518"
        },
        "effectiveDateTime": "2018-09-29T14:15:04.424Z",
        "issued": "2018-09-29T14:15:04.424Z",
        "performer": [
          {
            "reference": "urn:uuid:0000016d-235f-39b3-0000-000000011fc6"
          }
        ],
        "valueBoolean": true
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:b95a849b-17f1-11ea-97a4-4ccc6a181ed3",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td></tr></table><p><b>measureScore</b>: 100</p></blockquote><p><b>evaluatedResource</b>: <a href=\"urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3\">urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier": {
              "system": "urn:oid:2.16.840.1.113883.3.2074.1",
              "value": "0015HQN9BD3304E"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference": {
              "reference": "urn:uuid:b95a36b1-17f1-11ea-96a1-4ccc6a181ed3"
            }
          }
        ],
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "subject": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "date": "2018-09-05T16:59:52.404Z",
        "reporter": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        },
        "period": {
          "start": "2018-08-01",
          "end": "2018-09-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "112",
                  "display": "112"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://example.org",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                }
              }
            ],
            "measureScore": {
              "value": 100
            }
          }
        ],
        "evaluatedResource": [
          {
            "reference": "urn:uuid:b95a36b3-17f1-11ea-9d01-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:b95aab8c-17f1-11ea-950f-4ccc6a181ed3",
      "resource": {
        "resourceType": "Coverage",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>subscriber</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>subscriberId</b>: A123456795</p><p><b>beneficiary</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3\">urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3</a></p></div>"
        },
        "status": "active",
        "policyHolder": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "subscriber": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "subscriberId": "A123456795",
        "beneficiary": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "relationship": {
          "coding": [
            {
              "code": "self"
            }
          ]
        },
        "payor": [
          {
            "reference": "urn:uuid:b95a36b2-17f1-11ea-afb7-4ccc6a181ed3"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Coverage"
      }
    },
    {
      "fullUrl": "urn:uuid:b95aab8d-17f1-11ea-ba9e-4ccc6a181ed3",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Measure <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'measure' = 'measure', given as 'Measure'})</span></p><p><b>code</b>: Medication Reconciliation <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '1111F' = '1111F', given as 'Medication Reconciliation'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073</a></p><p><b>encounter</b>: <a href=\"urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016\">urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016</a></p><p><b>effective</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>issued</b>: Sep 29, 2018, 2:15:04 PM</p><p><b>performer</b>: <a href=\"urn:uuid:0000016d-235f-39b3-0000-000000001298\">urn:uuid:0000016d-235f-39b3-0000-000000001298</a></p><p><b>value</b>: true</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://example.org",
                "code": "measure",
                "display": "Measure"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "1111F",
              "display": "Medication Reconciliation"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073"
        },
        "encounter": {
          "reference": "urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016"
        },
        "effectiveDateTime": "2018-09-29T14:15:04.424Z",
        "issued": "2018-09-29T14:15:04.424Z",
        "performer": [
          {
            "reference": "urn:uuid:0000016d-235f-39b3-0000-000000001298"
          }
        ],
        "valueBoolean": true
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Medical Record Number = 0156e3a9-c4e1-4c0a-a53e-03ce3984ac65, Social Security Number = 999-61-8566, Driver's license Number = S99966861, Passport Number = X52208740X</p><p><b>name</b>: Debbie941 McDermott739 (OFFICIAL), Debbie941 Funk324 (MAIDEN)</p><p><b>telecom</b>: ph: 555-755-4280(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1961-02-26</p><p><b>address</b>: 903 Wolff Ville Westfield MA 01085 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Portuguese <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'pt' = 'Portuguese', given as 'Portuguese'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Freda902 Tillman293"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Faro",
              "state": "Algarve",
              "country": "PT"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "0156e3a9-c4e1-4c0a-a53e-03ce3984ac65"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-61-8566"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99966861"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X52208740X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "McDermott739",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          },
          {
            "use": "maiden",
            "family": "Funk324",
            "given": [
              "Debbie941"
            ],
            "prefix": [
              "Mrs."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-755-4280",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1961-02-26",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.21379047108309
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -72.73951315911818
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "903 Wolff Ville"
            ],
            "city": "Westfield",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "pt",
                  "display": "Portuguese"
                }
              ],
              "text": "Portuguese"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:1f33ae07-0891-4c2a-a376-fcd18800cb71",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8\">Mrs. Debbie941 McDermott739</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-0000000000fa\">Dr. Manuel446 Granados71</a></td></tr></table><p><b>period</b>: Jun 20, 1976, 5:41:49 PM --&gt; Apr 29, 2018, 5:41:49 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">NOBLE HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:6f0cef31-2235-4d66-82e2-fa861fc909a8",
          "display": "Mrs. Debbie941 McDermott739"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
              "display": "Dr. Manuel446 Granados71"
            }
          }
        ],
        "period": {
          "start": "1976-06-20T10:41:49-07:00",
          "end": "2018-04-29T10:41:49-07:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
              "display": "NOBLE HOSPITAL"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-0000000000fa",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 250</p><p><b>active</b>: true</p><p><b>name</b>: Manuel446 Granados71 </p><p><b>telecom</b>: Manuel446.Granados71@example.com(WORK)</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p><p><b>gender</b>: male</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "250"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Granados71",
            "given": [
              "Manuel446"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Manuel446.Granados71@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ],
        "gender": "male"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 9999999999 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</span></p><p><b>name</b>: NOBLE HOSPITAL</p><p><b>telecom</b>: ph: 4135682811</p><p><b>address</b>: 115 WEST SILVER STREET WESTFIELD MA 01085 US </p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9999999999"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ],
            "text": "Healthcare Provider"
          }
        ],
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": [
          {
            "line": [
              "115 WEST SILVER STREET"
            ],
            "city": "WESTFIELD",
            "state": "MA",
            "postalCode": "01085",
            "country": "US"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742",
      "resource": {
        "resourceType": "Location",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </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>-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td>*</td><td>-72.755911</td><td>42.138838</td></tr></table><p><b>managingOrganization</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">NOBLE HOSPITAL</a></p></div>"
        },
        "status": "active",
        "name": "NOBLE HOSPITAL",
        "telecom": [
          {
            "system": "phone",
            "value": "4135682811"
          }
        ],
        "address": {
          "line": [
            "115 WEST SILVER STREET"
          ],
          "city": "WESTFIELD",
          "state": "MA",
          "postalCode": "01085",
          "country": "US"
        },
        "position": {
          "longitude": -72.755911,
          "latitude": 42.138838
        },
        "managingOrganization": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726",
          "display": "NOBLE HOSPITAL"
        }
      },
      "request": {
        "method": "POST",
        "url": "Location"
      }
    },
    {
      "fullUrl": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: f605b676-acb4-4cb0-bd77-f8c87f7b83a2, Medical Record Number = f605b676-acb4-4cb0-bd77-f8c87f7b83a2, Social Security Number = 999-75-8071, Driver's license Number = S99968294, Passport Number = X86200374X</p><p><b>name</b>: Royce974 Hegmann834 (OFFICIAL)</p><p><b>telecom</b>: ph: 555-539-7855(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1942-08-10</p><p><b>address</b>: 624 Williamson Ville Boston MA 02108 US </p><p><b>maritalStatus</b>: Never Married <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'S' = 'Never Married', given as 'Never Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'en-US' = 'English (Region=United States)', given as 'English (Region=United States)'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Hettie215 Johnston597"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Reading",
              "state": "Massachusetts",
              "country": "US"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "f605b676-acb4-4cb0-bd77-f8c87f7b83a2"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "f605b676-acb4-4cb0-bd77-f8c87f7b83a2"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-75-8071"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99968294"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X86200374X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Hegmann834",
            "given": [
              "Royce974"
            ],
            "prefix": [
              "Mr."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-539-7855",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1942-08-10",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.41560920330857
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -70.93765725466737
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "624 Williamson Ville"
            ],
            "city": "Boston",
            "state": "MA",
            "postalCode": "02108",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "S",
              "display": "Never Married"
            }
          ],
          "text": "Never Married"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (Region=United States)"
                }
              ],
              "text": "English (Region=United States)"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:d3aa6b0b-f3fd-4b19-93c8-ccdd8b9da518",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9\">Mr. Royce974 Hegmann834</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-000000011fc6\">Dr. Delores12 Kautzer186</a></td></tr></table><p><b>period</b>: Sep 5, 1955, 9:19:34 PM --&gt; Sep 5, 1955, 9:34:34 PM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:b40a7b60-acc6-4f89-88ad-349a291921c9",
          "display": "Mr. Royce974 Hegmann834"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-000000011fc6",
              "display": "Dr. Delores12 Kautzer186"
            }
          }
        ],
        "period": {
          "start": "1955-09-05T14:19:34-07:00",
          "end": "1955-09-05T14:34:34-07:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-000000011fc6",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 73670</p><p><b>active</b>: true</p><p><b>name</b>: Delores12 Kautzer186 </p><p><b>telecom</b>: Delores12.Kautzer186@example.com(WORK)</p><p><b>address</b>: 10 GOVE ST EAST BOSTON MA 02128-1920 US </p><p><b>gender</b>: female</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "73670"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Kautzer186",
            "given": [
              "Delores12"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Delores12.Kautzer186@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "10 GOVE ST"
            ],
            "city": "EAST BOSTON",
            "state": "MA",
            "postalCode": "02128-1920",
            "country": "US"
          }
        ],
        "gender": "female"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 4b83a64c-8947-4048-822c-6ea95d8bb33f, Medical Record Number = 4b83a64c-8947-4048-822c-6ea95d8bb33f, Social Security Number = 999-94-2029, Driver's license Number = S99932279, Passport Number = X84312651X</p><p><b>name</b>: José3 Mota271 (OFFICIAL)</p><p><b>telecom</b>: ph: 555-580-6204(HOME)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1935-01-28</p><p><b>address</b>: 823 Quigley Lodge Unit 81 Boston MA 02108 US </p><p><b>maritalStatus</b>: M <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><p><b>multipleBirth</b>: false</p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>Spanish <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'es' = 'Spanish', given as 'Spanish'})</span></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2054-5",
                  "display": "Black or African American"
                }
              },
              {
                "url": "text",
                "valueString": "Black or African American"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Emilia403 Moya426"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "Portsmouth",
              "state": "Saint John Parish",
              "country": "DM"
            }
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "4b83a64c-8947-4048-822c-6ea95d8bb33f"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "4b83a64c-8947-4048-822c-6ea95d8bb33f"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "SS",
                  "display": "Social Security Number"
                }
              ],
              "text": "Social Security Number"
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999-94-2029"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license Number"
                }
              ],
              "text": "Driver's license Number"
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99932279"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN",
                  "display": "Passport Number"
                }
              ],
              "text": "Passport Number"
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X84312651X"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Mota271",
            "given": [
              "José3"
            ],
            "prefix": [
              "Mr."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-580-6204",
            "use": "home"
          }
        ],
        "gender": "male",
        "birthDate": "1935-01-28",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.34029992468983
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -70.95553286247721
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "823 Quigley Lodge Unit 81"
            ],
            "city": "Boston",
            "state": "MA",
            "postalCode": "02108",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "es",
                  "display": "Spanish"
                }
              ],
              "text": "Spanish"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:39fd3052-6b0f-4ed1-bcc5-4ae041f1e016",
      "resource": {
        "resourceType": "Encounter",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Initial hospital care <span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99221' = '99221', given as 'Initial hospital care'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073\">Mr. José3 Mota271</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:0000016d-235f-39b3-0000-000000001298\">Dr. Hayden835 Mraz590</a></td></tr></table><p><b>period</b>: Apr 18, 1972, 7:19:25 AM --&gt; Apr 18, 1972, 7:34:25 AM</p><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742\">urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726\">urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99221",
                "display": "Initial hospital care"
              }
            ],
            "text": "Initial hospital care"
          }
        ],
        "subject": {
          "reference": "urn:uuid:e70497fc-35a3-40ef-a94a-71acb56ce073",
          "display": "Mr. José3 Mota271"
        },
        "participant": [
          {
            "individual": {
              "reference": "urn:uuid:0000016d-235f-39b3-0000-000000001298",
              "display": "Dr. Hayden835 Mraz590"
            }
          }
        ],
        "period": {
          "start": "1972-04-17T23:19:25-08:00",
          "end": "1972-04-17T23:34:25-08:00"
        },
        "location": [
          {
            "location": {
              "reference": "urn:uuid:8938e769-59f7-40ff-a541-50b0bfcd6742"
            }
          }
        ],
        "serviceProvider": {
          "reference": "urn:uuid:ebc3f5c4-6700-34af-8323-85621c313726"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:0000016d-235f-39b3-0000-000000001298",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: 4760</p><p><b>active</b>: true</p><p><b>name</b>: Hayden835 Mraz590 </p><p><b>telecom</b>: Hayden835.Mraz590@example.com(WORK)</p><p><b>address</b>: 50 JEFFERSON ST WINTHROP MA 02152-2649 US </p><p><b>gender</b>: male</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "4760"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Mraz590",
            "given": [
              "Hayden835"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ],
        "telecom": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
                "valueBoolean": true
              }
            ],
            "system": "email",
            "value": "Hayden835.Mraz590@example.com",
            "use": "work"
          }
        ],
        "address": [
          {
            "line": [
              "50 JEFFERSON ST"
            ],
            "city": "WINTHROP",
            "state": "MA",
            "postalCode": "02152-2649",
            "country": "US"
          }
        ],
        "gender": "male"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

{
"resourceType": "Bundle",
"id": "0b04c784-5983-4358-992f-7cd95a1cec05",
"type": "transaction-response",
"link": [
{
"relation": "self",
"url": "http://hapi.fhir.org/baseR4"
}
],
"entry": [
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223377/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223378/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223379/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223380/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Observation/223381/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223382/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223383/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Observation/223384/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "MeasureReport/223385/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Coverage/223386/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Observation/223387/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223388/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223389/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223390/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/223391/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Location/223392/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223393/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223394/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223395/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/223396/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Encounter/223397/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/223398/_history/1",
"etag": "1",
"lastModified": "2019-12-06T09:34:14.739+00:00"
}
}
]
}

Summary MeasureReport

The Payer (“Aggregator”) pushes the MRP Summary MeasureReport to the Receiver.

Figure 3-5 Summary Reporting Technical Workflow
mrp_summ_report.jpg

Examples

Scenario:

Payer X who is acting in the role of a Reporter submits a MRP Summary Report for MRP for period P to Receiver Z. The body of the request is MeasureReport resource containing the required summary data for MRP attestation for the period. An HTTP Status success code is returned on successful submission.

POST Summary Report

POST [base]/MeasureReport

Request body

{
  "resourceType": "MeasureReport",
  "id": "summ-measurereport01",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: summ-measurereport01</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example\">http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example</a></p><p><b>date</b>: Sep 5, 2018, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Aug 1, 2018, 12:00:00 AM --&gt; Sep 1, 2018, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: 112 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '112' = '112', given as '112'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td><td>100</td></tr></table><p><b>measureScore</b>: 100</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: 4456 <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code '4456' = '4456', given as '4456'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Male <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'male' = 'Male', given as 'Male'})</span></p><h3>Populations</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Count</b></td></tr><tr><td>*</td><td>Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://example.org code 'initial-population' = 'initial-population', given as 'Initial Population'})</span></td><td>50</td></tr></table><p><b>measureScore</b>: 100</p></blockquote></blockquote></blockquote></div>"
  },
  "status": "complete",
  "type": "summary",
  "measure": "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
  "date": "2018-09-05T16:59:52.404Z",
  "reporter": {
    "reference": "Organization/organization01"
  },
  "period": {
    "start": "2018-08-01",
    "end": "2018-09-01"
  },
  "group": [
    {
      "code": {
        "coding": [
          {
            "system": "http://example.org",
            "code": "112",
            "display": "112"
          }
        ]
      },
      "population": [
        {
          "code": {
            "coding": [
              {
                "system": "http://example.org",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "count": 100
        }
      ],
      "measureScore": {
        "value": 100
      },
      "stratifier": [
        {
          "code": [
            {
              "coding": [
                {
                  "system": "http://example.org",
                  "code": "4456",
                  "display": "4456"
                }
              ]
            }
          ],
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/administrative-gender",
                    "code": "male",
                    "display": "Male"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://example.org",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 50
                }
              ],
              "measureScore": {
                "value": 100
              }
            }
          ]
        }
      ]
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

  1. Changes to QI Core and US Core Organization profiles are being proposed based on the DEQM Organization profile that may lead to this profiles being replaced by the QI Core profile.  2