Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot
Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot
Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="mrp-submit-task"/>
<language value="en"/>
<type value="transaction"/>
<entry>
<fullUrl value="https://example.com/MeasureReport/datax-measurereport01"/>
<resource>
<MeasureReport>
<id value="datax-measurereport01"/>
<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-measurereport01"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport datax-measurereport01</b></p><a name="datax-measurereport01"> </a><a name="hcdatax-measurereport01"> </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>CRMI Software System</b>: <a href="Device-deqm-software-system-example.html">Device: type = Tooling</a></p><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="Measure-measure-mrp-example.html">MRP Measure</a> version: 1.0.0-ballot</p><p><b>subject</b>: <a href="Patient-patient01.html">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-08-01 --> 2018-09-01</p><p><b>evaluatedResource</b>: <a href="Task-task01.html">Task Fulfill the focal request</a></p></div>
</text>
<extension
url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
<valueReference>🔗
<reference value="Device/deqm-software-system-example"/>
</valueReference>
</extension>
<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/deqm/Measure/measure-mrp-example|1.0.0-ballot"/>
<subject>🔗
<reference value="Patient/patient01"/>
</subject>
<date value="2018-09-05T16:59:52.404Z"/>
<reporter>🔗
<reference value="Organization/organization01"/>
</reporter>
<period>
<start value="2018-08-01"/>
<end value="2018-09-01"/>
</period>
<evaluatedResource>🔗
<reference value="Task/task01"/>
</evaluatedResource>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Patient/patient01"/>
<resource>
<Patient>
<id value="patient01"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2019-02-11T14:19:25.000+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_patient01"> </a>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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="M"/>
</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="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</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="12345"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Webster"/>
<given value="Jairo"/>
</name>
<gender value="male"/>
<birthDate value="1946-12-16"/>
<deceasedBoolean value="false"/>
<address>
<use value="home"/>
<line value="7496 Beaver Ridge Ave"/>
<city value="Thornton"/>
<state value="NJ"/>
<postalCode value="07003"/>
<country value="USA"/>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="M"/>
<display value="Married"/>
</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/organization01"/>
</managingOrganization>
</Patient>
</resource>
<request>
<method value="POST"/>
<url value="Patient"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Task/Task01"/>
<resource>
<Task>
<id value="Task01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-task"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Task_Task01"> </a><p class="res-header-id"><b>Generated Narrative: Task Task01</b></p><a name="Task01"> </a><a name="hcTask01"> </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-task.html">QICore Task</a></p></div><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>: <span title="Codes:{http://hl7.org/fhir/CodeSystem/task-code fulfill}">Fulfill the focal request</span></p><p><b>for</b>: <a href="Patient-patient01.html">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>encounter</b>: <a href="Encounter-encounter01.html">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</a></p><p><b>executionPeriod</b>: 2017-06-11 --> 2017-06-11</p><p><b>authoredOn</b>: 2018-09-25 14:24:23+0000</p><p><b>owner</b>: <a href="Practitioner-practitioner01.html">Practitioner Ronald Bone </a></p></div>
</text>
<identifier>
<value value="19009"/>
</identifier>
<status value="completed"/>
<intent value="plan"/>
<priority value="routine"/>
<code>
<coding>
<system value="http://hl7.org/fhir/CodeSystem/task-code"/>
<code value="fulfill"/>
<display value="Fulfill the focal request"/>
</coding>
</code>
<for>🔗
<reference value="Patient/patient01"/>
</for>
<encounter>🔗
<reference value="Encounter/encounter01"/>
</encounter>
<executionPeriod>
<start value="2017-06-11"/>
<end value="2017-06-11"/>
</executionPeriod>
<authoredOn value="2018-09-25T14:24:23.584Z"/>
<owner>🔗
<reference value="Practitioner/practitioner01"/>
</owner>
</Task>
</resource>
<request>
<method value="POST"/>
<url value="Task"/>
</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/Encounter/encounter01"/>
<resource>
<Encounter>
<id value="encounter01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_encounter01"> </a><p class="res-header-id"><b>Generated Narrative: Encounter encounter01</b></p><a name="encounter01"> </a><a name="hcencounter01"> </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-encounter.html">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 56876005}">Drug rehabilitation and detoxification</span></p><p><b>subject</b>: <a href="Patient-patient01.html">Jairo Webster</a></p><p><b>period</b>: 2018-05-29 11:00:00-0400 --> 2018-05-29 11:00:00-0400</p><h3>Hospitalizations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}">Home</span></td></tr></table></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="56876005"/>
<display value="Drug rehabilitation and detoxification"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/patient01"/>
<display value="Jairo Webster"/>
</subject>
<period>
<start value="2018-05-29T11:00:00-04:00"/>
<end value="2018-05-29T11:00:00-04:00"/>
</period>
<hospitalization>
<dischargeDisposition>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
<code value="home"/>
<display value="Home"/>
</coding>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
<request>
<method value="POST"/>
<url value="Encounter"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Coverage/coverage01"/>
<resource>
<Coverage>
<id value="coverage01"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2019-02-11T14:19:25.000+00:00"/>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage01"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage01</b></p><a name="coverage01"> </a><a name="hccoverage01"> </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: 2; Last updated: 2019-02-11 14:19:25+0000</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-coverage.html">QICore Coverage</a></p></div><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href="Patient-patient01.html">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>subscriber</b>: <a href="Patient-patient01.html">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href="Patient-patient01.html">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: <a href="Organization-organization04.html">Organization DVPayer04</a></p></div>
</text>
<status value="active"/>
<policyHolder>🔗
<reference value="Patient/patient01"/>
</policyHolder>
<subscriber>🔗
<reference value="Patient/patient01"/>
</subscriber>
<subscriberId value="A123456789"/>
<beneficiary>🔗
<reference value="Patient/patient01"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
</relationship>
<payor>🔗
<reference value="Organization/organization04"/>
</payor>
</Coverage>
</resource>
<request>
<method value="POST"/>
<url value="Coverage"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Location/location01"/>
<resource>
<Location>
<id value="location01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_location01"> </a><p class="res-header-id"><b>Generated Narrative: Location location01</b></p><a name="location01"> </a><a name="hclocation01"> </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-location.html">QICore Location</a></p></div><p><b>identifier</b>: <code>http://exampleoflocation.com</code>/DaVinciClinic01 (use: temp, )</p><p><b>name</b>: DaVinciClinic01</p><p><b>address</b>: 102 Heritage Dr. Somerset NJ 08873 USA </p></div>
</text>
<identifier>
<use value="temp"/>
<system value="http://exampleoflocation.com"/>
<value value="DaVinciClinic01"/>
</identifier>
<name value="DaVinciClinic01"/>
<address>
<line value="102 Heritage Dr."/>
<city value="Somerset"/>
<state value="NJ"/>
<postalCode value="08873"/>
<country value="USA"/>
</address>
</Location>
</resource>
<request>
<method value="POST"/>
<url value="Location"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Organization/organization01"/>
<resource>
<Organization>
<id value="organization01"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2019-02-21T01:47:54.000+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_organization01"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization01</b></p><a name="organization01"> </a><a name="hcorganization01"> </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: 4; Last updated: 2019-02-21 01:47:54+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>: Tax ID number/123456789 (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>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="123456789"/>
<assigner>
<display value="www.irs.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="DaVinciHospital01"/>
<telecom>
<system value="phone"/>
<value value="(+1) 401-555-1212"/>
</telecom>
<address>
<line value="73 Lakewood Street"/>
<city value="Warwick"/>
<state value="RI"/>
<postalCode value="02886"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Organization/organization02"/>
<resource>
<Organization>
<id value="organization02"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2019-03-06T19:03:03.000+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_organization02"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization02</b></p><a name="organization02"> </a><a name="hcorganization02"> </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: 2019-03-06 19:03:03+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>: Tax ID number/234567891 (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>: DaVinciHospital02</p><p><b>telecom</b>: ph: (+1) 551-555-1212</p><p><b>address</b>: 3 Sherwood St. Englewood NJ 07631 USA </p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="234567891"/>
<assigner>
<display value="www.irs.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="DaVinciHospital02"/>
<telecom>
<system value="phone"/>
<value value="(+1) 551-555-1212"/>
</telecom>
<address>
<line value="3 Sherwood St."/>
<city value="Englewood"/>
<state value="NJ"/>
<postalCode value="07631"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="https://example.com/Organization/organization04"/>
<resource>
<Organization>
<id value="organization04"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2019-03-06T19:03:03.000+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_organization04"> </a><p class="res-header-id"><b>Generated Narrative: Organization organization04</b></p><a name="organization04"> </a><a name="hcorganization04"> </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: 4; Last updated: 2019-03-06 19:03:03+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>: Tax ID number/456789123 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}">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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="TAX"/>
<display value="Tax ID number"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.4.4"/>
<value value="456789123"/>
<assigner>
<display value="www.irs.gov"/>
</assigner>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
<display value="Insurance Company"/>
</coding>
</type>
<name value="DVPayer04"/>
<telecom>
<system value="phone"/>
<value value="(+1) 616-555-1212"/>
</telecom>
<address>
<line value="160 Glen Eagles Road"/>
<city value="Grand Rapids"/>
<state value="MI"/>
<postalCode value="49503"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
</Bundle>
IG © 2020+ HL7 International / Clinical Quality Information.
Package hl7.fhir.uv.deqm#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-06-23
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