{ "resourceType" : "Bundle", "id" : "mrp-submit-obs", "language" : "en", "type" : "transaction", "entry" : [{ "fullUrl" : "https://example.com/MeasureReport/datax-measurereport01", "resource" : { "resourceType" : "MeasureReport", "id" : "datax-measurereport01", "meta" : { "versionId" : "1", "lastUpdated" : "2018-09-05T16:59:53.000+00:00", "profile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-dataexchangemeasurereport"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport datax-measurereport01

version: 1; Last updated: 2018-09-05 16:59:53+0000

Profile: DEQM Data Exchange MeasureReport Profile

DEQM Submit Data Update Type Extension: incremental

status: Complete

type: Data Collection

measure: MRP Measure version: 1.0.0-ballot

subject: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))

date: 2018-09-05 16:59:52+0000

reporter: Organization DaVinciHospital01

period: 2018-08-01 --> 2018-09-01

evaluatedResource: Observation Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-submitDataUpdateType", "valueCode" : "incremental" }], "status" : "complete", "type" : "data-collection", "measure" : "http://hl7.org/fhir/uv/deqm/Measure/measure-mrp-example|1.0.0-ballot", "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" : "Observation/observation01" }] }, "request" : { "method" : "POST", "url" : "MeasureReport" } }, { "fullUrl" : "https://example.com/Patient/patient01", "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"] }, "language" : "en", "text" : { "status" : "generated", "div" : "
Jairo WEBSTER
Identifier12345
Address7496 Beaver Ridge Ave
Thornton NJ USA
Date of birth16 December 1946
" }, "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" } }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "https://example.com/Observation/observation01", "resource" : { "resourceType" : "Observation", "id" : "observation01", "meta" : { "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation observation01

Profile: QICore Simple Observation

status: Final

category: Exam

code: Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)

subject: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Encounter for problem (procedure); period = 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400

effective: 2018-09-29 14:15:04+0000

issued: 2018-09-29 14:15:04+0000

performer: Practitioner Ronald Bone

value: true

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "exam", "display" : "Exam" }] }], "code" : { "coding" : [{ "system" : "http://www.ama-assn.org/go/cpt", "code" : "1111F", "display" : "Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)" }] }, "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 }, "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" : "

Generated Narrative: Practitioner practitioner01

Profile: QICore Practitioner

identifier: Provider number/1234567893\u00a0(use:\u00a0official,\u00a0)

active: true

name: Cody Hale

gender: Male

" }, "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/Encounter/encounter01", "resource" : { "resourceType" : "Encounter", "id" : "encounter01", "meta" : { "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter encounter01

Profile: QICore Encounter

status: Finished

class: ActCode: IMP (inpatient encounter)

type: Drug rehabilitation and detoxification

subject: Jairo Webster

period: 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400

Hospitalizations

-DischargeDisposition
*Home
" }, "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" }] } } }, "request" : { "method" : "POST", "url" : "Encounter" } }, { "fullUrl" : "https://example.com/Coverage/coverage01", "resource" : { "resourceType" : "Coverage", "id" : "coverage01", "meta" : { "versionId" : "2", "lastUpdated" : "2019-02-11T14:19:25.000+00:00", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage01

version: 2; Last updated: 2019-02-11 14:19:25+0000

Profile: QICore Coverage

status: Active

policyHolder: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))

subscriber: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))

subscriberId: A123456789

beneficiary: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))

relationship: Self

payor: Organization DVPayer04

" }, "status" : "active", "policyHolder" : { "reference" : "Patient/patient01" }, "subscriber" : { "reference" : "Patient/patient01" }, "subscriberId" : "A123456789", "beneficiary" : { "reference" : "Patient/patient01" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "self" }] }, "payor" : [{ "reference" : "Organization/organization04" }] }, "request" : { "method" : "POST", "url" : "Coverage" } }, { "fullUrl" : "https://example.com/Location/location01", "resource" : { "resourceType" : "Location", "id" : "location01", "meta" : { "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Location location01

Profile: QICore Location

identifier: http://exampleoflocation.com/DaVinciClinic01\u00a0(use:\u00a0temp,\u00a0)

name: DaVinciClinic01

address: 102 Heritage Dr. Somerset NJ 08873 USA

" }, "identifier" : [{ "use" : "temp", "system" : "http://exampleoflocation.com", "value" : "DaVinciClinic01" }], "name" : "DaVinciClinic01", "address" : { "line" : ["102 Heritage Dr."], "city" : "Somerset", "state" : "NJ", "postalCode" : "08873", "country" : "USA" } }, "request" : { "method" : "POST", "url" : "Location" } }, { "fullUrl" : "https://example.com/Organization/organization01", "resource" : { "resourceType" : "Organization", "id" : "organization01", "meta" : { "versionId" : "4", "lastUpdated" : "2019-02-21T01:47:54.000+00:00", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization organization01

version: 4; Last updated: 2019-02-21 01:47:54+0000

Profile: QICore Organization

identifier: Tax ID number/123456789\u00a0(use:\u00a0official,\u00a0)

active: true

type: Healthcare Provider

name: DaVinciHospital01

telecom: ph: (+1) 401-555-1212

address: 73 Lakewood Street Warwick RI 02886 USA

" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "TAX", "display" : "Tax ID number" }] }, "system" : "urn:oid:2.16.840.1.113883.4.4", "value" : "123456789", "assigner" : { "display" : "www.irs.gov" } }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "DaVinciHospital01", "telecom" : [{ "system" : "phone", "value" : "(+1) 401-555-1212" }], "address" : [{ "line" : ["73 Lakewood Street"], "city" : "Warwick", "state" : "RI", "postalCode" : "02886", "country" : "USA" }] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "https://example.com/Organization/organization02", "resource" : { "resourceType" : "Organization", "id" : "organization02", "meta" : { "versionId" : "3", "lastUpdated" : "2019-03-06T19:03:03.000+00:00", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization organization02

version: 3; Last updated: 2019-03-06 19:03:03+0000

Profile: QICore Organization

identifier: Tax ID number/234567891\u00a0(use:\u00a0official,\u00a0)

active: true

type: Healthcare Provider

name: DaVinciHospital02

telecom: ph: (+1) 551-555-1212

address: 3 Sherwood St. Englewood NJ 07631 USA

" }, "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" : "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" }] }, "request" : { "method" : "POST", "url" : "Organization" } }, { "fullUrl" : "https://example.com/Organization/organization04", "resource" : { "resourceType" : "Organization", "id" : "organization04", "meta" : { "versionId" : "4", "lastUpdated" : "2019-03-06T19:03:03.000+00:00", "profile" : ["http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization organization04

version: 4; Last updated: 2019-03-06 19:03:03+0000

Profile: QICore Organization

identifier: Tax ID number/456789123\u00a0(use:\u00a0official,\u00a0)

active: true

type: Insurance Company

name: DVPayer04

telecom: ph: (+1) 616-555-1212

address: 160 Glen Eagles Road Grand Rapids MI 49503 USA

" }, "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" : "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" }] }, "request" : { "method" : "POST", "url" : "Organization" } }] }