{
  "resourceType" : "Parameters",
  "id" : "single-gaps-open-indv-report01",
  "language" : "en",
  "parameter" : [{
    "name" : "return",
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "single-gaps-open-indv-report01",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"]
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:77f43ef5-8c60-4222-ae58-36969063a093"
      },
      "type" : "document",
      "timestamp" : "2020-06-30T13:08:53+00:00",
      "entry" : [{
        "fullUrl" : "http://example.org/fhir/gaps/Composition/gaps-composition01",
        "resource" : {
          "resourceType" : "Composition",
          "id" : "gaps-composition01",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"]
          },
          "status" : "final",
          "type" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "96315-7",
              "display" : "Gaps in care report"
            }]
          },
          "subject" : {
            "reference" : "Patient/gaps-patient01"
          },
          "date" : "2020-06-30T13:08:53+00:00",
          "author" : [{
            "reference" : "Organization/gaps-organization-reportingvendor"
          }],
          "title" : "Care Gap Report for patient gaps-patient01",
          "section" : [{
            "title" : "Colorectal Cancer Screening",
            "focus" : {
              "reference" : "MeasureReport/gaps-indv-measurereport01"
            },
            "entry" : [{
              "reference" : "DetectedIssue/gaps-detectedissue01"
            }]
          },
          {
            "title" : "Cervical Cancer Screening",
            "focus" : {
              "reference" : "MeasureReport/gaps-indv-measurereport02"
            },
            "entry" : [{
              "reference" : "DetectedIssue/gaps-detectedissue02"
            }]
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01",
        "resource" : {
          "resourceType" : "MeasureReport",
          "id" : "gaps-indv-measurereport01",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"]
          },
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "proportion"
              }]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier" : {
              "system" : "urn:oid:2.16.840.1.113883.3.2074.1",
              "value" : "0015HQN9BD3304E"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference" : {
              "reference" : "Organization/gaps-organization-reportingvendor"
            }
          }],
          "status" : "complete",
          "type" : "individual",
          "measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000",
          "subject" : {
            "reference" : "Patient/gaps-patient01"
          },
          "date" : "2020-06-30T13:08:52+00:00",
          "reporter" : {
            "reference" : "Organization/gaps-organization-reportingvendor"
          },
          "period" : {
            "start" : "2020-01-01",
            "end" : "2020-12-31"
          },
          "improvementNotation" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase"
            }]
          },
          "group" : [{
            "id" : "group-exm130",
            "extension" : [{
              "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
              "valueString" : "group-exm130"
            }],
            "population" : [{
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "initial-population"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "initial-population",
                  "display" : "Initial Population"
                }]
              },
              "count" : 1
            },
            {
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "numerator"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "numerator",
                  "display" : "Numerator"
                }]
              },
              "count" : 0
            },
            {
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "denominator"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "denominator",
                  "display" : "Denominator"
                }]
              },
              "count" : 1
            },
            {
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "denominator-exclusion"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "denominator-exclusion",
                  "display" : "Denominator Exclusion"
                }]
              },
              "count" : 0
            }],
            "measureScore" : {
              "value" : 0
            }
          }],
          "evaluatedResource" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "initial-population"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "denominator"
            }],
            "reference" : "Encounter/gaps-encounter01"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "initial-population"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "denominator"
            }],
            "reference" : "Patient/gaps-patient01"
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02",
        "resource" : {
          "resourceType" : "MeasureReport",
          "id" : "gaps-indv-measurereport02",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"]
          },
          "extension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "proportion"
              }]
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier",
            "valueIdentifier" : {
              "system" : "urn:oid:2.16.840.1.113883.3.2074.1",
              "value" : "0015HQN9BD3304E"
            }
          },
          {
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor",
            "valueReference" : {
              "reference" : "Organization/gaps-organization-reportingvendor"
            }
          }],
          "status" : "complete",
          "type" : "individual",
          "measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM124-FHIR|9.0.000",
          "subject" : {
            "reference" : "Patient/gaps-patient01"
          },
          "date" : "2020-07-02T13:08:52+00:00",
          "reporter" : {
            "reference" : "Organization/gaps-organization-reportingvendor"
          },
          "period" : {
            "start" : "2020-01-01",
            "end" : "2020-12-31"
          },
          "improvementNotation" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase"
            }]
          },
          "group" : [{
            "id" : "group-exm124",
            "extension" : [{
              "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
              "valueString" : "group-exm124"
            }],
            "population" : [{
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "initial-population"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "initial-population",
                  "display" : "Initial Population"
                }]
              },
              "count" : 1
            },
            {
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "numerator"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "numerator",
                  "display" : "Numerator"
                }]
              },
              "count" : 0
            },
            {
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "denominator"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "denominator",
                  "display" : "Denominator"
                }]
              },
              "count" : 1
            },
            {
              "extension" : [{
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
                "valueString" : "denominator-exclusion"
              }],
              "code" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                  "code" : "denominator-exclusion",
                  "display" : "Denominator Exclusion"
                }]
              },
              "count" : 0
            }],
            "measureScore" : {
              "value" : 0
            }
          }],
          "evaluatedResource" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "initial-population"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "denominator"
            }],
            "reference" : "Encounter/gaps-encounter01"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "initial-population"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference",
              "valueString" : "denominator"
            }],
            "reference" : "Patient/gaps-patient01"
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01",
        "resource" : {
          "resourceType" : "DetectedIssue",
          "id" : "gaps-detectedissue01",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"]
          },
          "modifierExtension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status",
                "code" : "closed-gap"
              }]
            }
          }],
          "status" : "final",
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "CAREGAP",
              "display" : "Caregap"
            }]
          },
          "patient" : {
            "reference" : "Patient/gaps-patient01"
          },
          "evidence" : [{
            "detail" : [{
              "reference" : "MeasureReport/gaps-indv-measurereport01"
            }]
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02",
        "resource" : {
          "resourceType" : "DetectedIssue",
          "id" : "gaps-detectedissue02",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"]
          },
          "modifierExtension" : [{
            "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status",
                "code" : "closed-gap"
              }]
            }
          }],
          "status" : "final",
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "CAREGAP",
              "display" : "Caregap"
            }]
          },
          "patient" : {
            "reference" : "Patient/gaps-patient01"
          },
          "evidence" : [{
            "detail" : [{
              "reference" : "MeasureReport/gaps-indv-measurereport02"
            }]
          }]
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/Encounter/gaps-encounter01",
        "resource" : {
          "resourceType" : "Encounter",
          "id" : "gaps-encounter01",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]
          },
          "status" : "finished",
          "class" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "AMB",
            "display" : "ambulatory"
          },
          "type" : [{
            "coding" : [{
              "system" : "http://www.ama-assn.org/go/cpt",
              "code" : "99202",
              "display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."
            }]
          }],
          "subject" : {
            "reference" : "Patient/gaps-patient01"
          },
          "period" : {
            "start" : "2020-05-30T00:00:00-00:00",
            "end" : "2020-05-31T00:00:00-00:00"
          }
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/Patient/gaps-patient01",
        "resource" : {
          "resourceType" : "Patient",
          "id" : "gaps-patient01",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]
          },
          "extension" : [{
            "extension" : [{
              "url" : "ombCategory",
              "valueCoding" : {
                "system" : "urn:oid:2.16.840.1.113883.6.238",
                "code" : "2028-9",
                "display" : "Asian"
              }
            },
            {
              "url" : "text",
              "valueString" : "Asian"
            }],
            "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" : "2135-2",
                "display" : "Hispanic or Latino"
              }
            },
            {
              "url" : "text",
              "valueString" : "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.smarthealthit.org",
            "value" : "999995992"
          }],
          "name" : [{
            "family" : "Susan",
            "given" : ["Parker"]
          }],
          "gender" : "female",
          "birthDate" : "1965-01-01"
        }
      },
      {
        "fullUrl" : "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor",
        "resource" : {
          "resourceType" : "Organization",
          "id" : "gaps-organization-reportingvendor",
          "meta" : {
            "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"]
          },
          "identifier" : [{
            "use" : "official",
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "TAX",
                "display" : "Tax ID number"
              }]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.4",
            "value" : "123446789",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }],
          "active" : true,
          "type" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
              "code" : "pay",
              "display" : "Payer"
            }]
          }],
          "name" : "GapsReportingVendor01",
          "telecom" : [{
            "system" : "phone",
            "value" : "(+1) 401-545-1212"
          }],
          "address" : [{
            "line" : ["13 Drive Street"],
            "city" : "Cityplace",
            "state" : "MA",
            "postalCode" : "01101",
            "country" : "USA"
          }]
        }
      }]
    }
  }]
}