<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="col-submit-obs"/>
  <language value="en"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="https://example.com/MeasureReport/datax-measurereport03"/>
    <resource>
      <MeasureReport>
        <id value="datax-measurereport03"/>
        <meta>
          <profile value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/><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 (use: usual, ))</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>
        </text>
        <extension url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType">
          <valueCode value="incremental"/>
        </extension>
        <status value="complete"/>
        <type value="data-collection"/>
        <measure value="http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000"/>
        <subject>
          <reference value="Patient/patient03"/>
        </subject>
        <date value="2019-01-01T16:59:52.404Z"/>
        <reporter>
          <reference value="Organization/organization03"/>
        </reporter>
        <period>
          <start value="2018-01-01"/>
          <end value="2018-12-31"/>
        </period>
        <evaluatedResource>
          <reference value="Observation/DNA-occultblood"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="MeasureReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://example.com/Patient/patient03"/>
    <resource>
      <Patient>
        <id value="patient03"/>
        <meta>
          <versionId value="4"/>
          <lastUpdated value="2019-02-07T18:47:34.000+00:00"/>
          <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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>
        </text>
        <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2054-5"/>
              <display value="Black or African American"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Black or African American"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="34567"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Hartman"/>
          <given value="Virginia"/>
        </name>
        <gender value="female"/>
        <birthDate value="1983-09-12"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="213 Lilac Ave."/>
          <city value="Freehold"/>
          <state value="MI"/>
          <postalCode value="48099"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="U"/>
            <display value="unmarried"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (Region=United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
        <managingOrganization>
          <reference value="Organization/organization03"/>
        </managingOrganization>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://example.com/Observation/DNA-occultblood"/>
    <resource>
      <Observation>
        <id value="DNA-occultblood"/>
        <meta>
          <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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 (use: usual, ))</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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77353-1"/>
            <display value="Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient03"/>
        </subject>
        <effectiveDateTime value="2018-06-22"/>
        <performer>
          <reference value="Practitioner/practitioner01"/>
        </performer>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://example.com/Practitioner/practitioner01"/>
    <resource>
      <Practitioner>
        <id value="practitioner01"/>
        <meta>
          <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Cody Hale </p><p><b>gender</b>: Male</p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1234567893"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Hale"/>
          <given value="Cody"/>
          <suffix value="MD"/>
        </name>
        <gender value="male"/>
      </Practitioner>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Practitioner"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="https://example.com/Organization/organization03"/>
    <resource>
      <Organization>
        <id value="organization03"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2019-02-21T01:47:53.000+00:00"/>
          <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><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 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: 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>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1234567893"/>
          <assigner>
            <display value="www.cms.gov"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="DaVinciHospital03"/>
        <telecom>
          <system value="phone"/>
          <value value="(+1) 201-555-1212"/>
        </telecom>
        <address>
          <line value="94 Olive Ave."/>
          <city value="Union City"/>
          <state value="NJ"/>
          <postalCode value="07087"/>
          <country value="USA"/>
        </address>
      </Organization>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Organization"/>
    </request>
  </entry>
</Bundle>