{
  "resourceType" : "Bundle",
  "id" : "col-submit-obs",
  "language" : "en",
  "type" : "transaction",
  "entry" : [{
    "fullUrl" : "https://example.com/MeasureReport/datax-measurereport03",
    "resource" : {
      "resourceType" : "MeasureReport",
      "id" : "datax-measurereport03",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport"]
      },
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_datax-measurereport03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport datax-measurereport03</b></p><a name=\"datax-measurereport03\"> </a><a name=\"hcdatax-measurereport03\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-deqm-dataexchangemeasurereport.html\">DEQM Data Exchange MeasureReport Profile</a></p></div><p><b>DEQM Submit Data Update Type Extension</b>: incremental</p><p><b>status</b>: Complete</p><p><b>type</b>: Data Collection</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/uv/cqm/2026May/Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a> version: 8.0.000</p><p><b>subject</b>: <a href=\"Patient-patient03.html\">Virginia Hartman (official) Female, DoB: 1983-09-12 ( Medical record number: 34567\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2019-01-01 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization03.html\">Organization DaVinciHospital03</a></p><p><b>period</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>evaluatedResource</b>: <a href=\"Observation-DNA-occultblood.html\">Observation Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</a></p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType",
        "valueCode" : "incremental"
      }],
      "status" : "complete",
      "type" : "data-collection",
      "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000",
      "subject" : {
        "reference" : "Patient/patient03"
      },
      "date" : "2019-01-01T16:59:52.404Z",
      "reporter" : {
        "reference" : "Organization/organization03"
      },
      "period" : {
        "start" : "2018-01-01",
        "end" : "2018-12-31"
      },
      "evaluatedResource" : [{
        "reference" : "Observation/DNA-occultblood"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "MeasureReport"
    }
  },
  {
    "fullUrl" : "https://example.com/Patient/patient03",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "patient03",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2019-02-07T18:47:34.000+00:00",
        "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\"><a name=\"Patient_patient03\"> </a>Virginia <b>HARTMAN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>34567</td></tr><tr><td>Address</td><td><span>213 Lilac Ave. </span><br/><span>Freehold </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>12 September 1983</span></td></tr></tbody></table></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode" : "F"
      },
      {
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "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"
      }],
      "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" : "34567"
      }],
      "active" : true,
      "name" : [{
        "use" : "official",
        "family" : "Hartman",
        "given" : ["Virginia"]
      }],
      "gender" : "female",
      "birthDate" : "1983-09-12",
      "deceasedBoolean" : false,
      "address" : [{
        "use" : "home",
        "line" : ["213 Lilac Ave."],
        "city" : "Freehold",
        "state" : "MI",
        "postalCode" : "48099",
        "country" : "USA"
      }],
      "maritalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
          "code" : "U",
          "display" : "unmarried"
        }]
      },
      "communication" : [{
        "language" : {
          "coding" : [{
            "system" : "urn:ietf:bcp:47",
            "code" : "en-US",
            "display" : "English (Region=United States)"
          }]
        },
        "preferred" : true
      }],
      "managingOrganization" : {
        "reference" : "Organization/organization03"
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Patient"
    }
  },
  {
    "fullUrl" : "https://example.com/Observation/DNA-occultblood",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "DNA-occultblood",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DNA-occultblood\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DNA-occultblood</b></p><a name=\"DNA-occultblood\"> </a><a name=\"hcDNA-occultblood\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-simple-observation.html\">QICore Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 77353-1}\">Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</span></p><p><b>subject</b>: <a href=\"Patient-patient03.html\">Virginia Hartman (official) Female, DoB: 1983-09-12 ( Medical record number: 34567\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p></div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "77353-1",
          "display" : "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient03"
      },
      "effectiveDateTime" : "2018-06-22",
      "performer" : [{
        "reference" : "Practitioner/practitioner01"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Observation"
    }
  },
  {
    "fullUrl" : "https://example.com/Practitioner/practitioner01",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "practitioner01",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_practitioner01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner practitioner01</b></p><a name=\"practitioner01\"> </a><a name=\"hcpractitioner01\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number/1234567893\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: Cody Hale </p><p><b>gender</b>: Male</p></div>"
      },
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PRN",
            "display" : "Provider number"
          }]
        },
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1234567893"
      }],
      "active" : true,
      "name" : [{
        "family" : "Hale",
        "given" : ["Cody"],
        "suffix" : ["MD"]
      }],
      "gender" : "male"
    },
    "request" : {
      "method" : "POST",
      "url" : "Practitioner"
    }
  },
  {
    "fullUrl" : "https://example.com/Organization/organization03",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "organization03",
      "meta" : {
        "versionId" : "3",
        "lastUpdated" : "2019-02-21T01:47:53.000+00:00",
        "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization03</b></p><a name=\"organization03\"> </a><a name=\"hcorganization03\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 3; Last updated: 2019-02-21 01:47:53+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Provider number/1234567893\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital03</p><p><b>telecom</b>: ph: (+1) 201-555-1212</p><p><b>address</b>: 94 Olive Ave. Union City NJ 07087 USA </p></div>"
      },
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PRN",
            "display" : "Provider number"
          }]
        },
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1234567893",
        "assigner" : {
          "display" : "www.cms.gov"
        }
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "prov",
          "display" : "Healthcare Provider"
        }]
      }],
      "name" : "DaVinciHospital03",
      "telecom" : [{
        "system" : "phone",
        "value" : "(+1) 201-555-1212"
      }],
      "address" : [{
        "line" : ["94 Olive Ave."],
        "city" : "Union City",
        "state" : "NJ",
        "postalCode" : "07087",
        "country" : "USA"
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Organization"
    }
  }]
}