Bundle/null

Bundle null of type collection

Entry 1 - fullUrl = https://example.com/MeasureReport/datax-measurereport01

Resource MeasureReport:

Profile: DEQM Data Exchange MeasureReport Profile

CRMI Software System: Device: type = Tooling

DEQM Submit Data Update Type Extension: incremental

status: Complete

type: data-exchange

measure: MRP Measureversion: null5.0.0)

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

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

reporter: Organization DaVinciHospital01

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

evaluatedResource: Task Fulfill the focal request

Entry 2 - fullUrl = https://example.com/Patient/patient01

Resource Patient:

Jairo WEBSTER

Identifier	12345
Address	7496 Beaver Ridge Ave Thornton NJ USA
Date of birth	16 December 1946

Entry 3 - fullUrl = https://example.com/Task/Task01

Resource Task:

Profile: QICore Task

identifier: 19009

status: Completed

intent: Plan

priority: Routine

code: Fulfill the focal request

for: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))

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

executionPeriod: 2017-06-11 --> 2017-06-11

authoredOn: 2018-09-25 14:24:23+0000

owner: Practitioner Ronald Bone

Entry 4 - fullUrl = https://example.com/Practitioner/practitioner01

Resource Practitioner:

Profile: QICore Practitioner

identifier: Provider number/1234567893 (use: official, )

active: true

name: Cody Hale

gender: Male

Entry 5 - fullUrl = https://example.com/Encounter/encounter01

Resource Encounter:

Profile: QICore Encounter

status: completed

class: inpatient encounter

type: Drug rehabilitation and detoxification

subject: Jairo Webster

Entry 6 - fullUrl = https://example.com/Coverage/coverage01

Resource Coverage:

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 (use: usual, ))

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

subscriberId: A123456789

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

relationship: Self

Entry 7 - fullUrl = https://example.com/Location/location01

Resource Location:

Profile: QICore Location

identifier: http://exampleoflocation.com/DaVinciClinic01 (use: temp, )

name: DaVinciClinic01

address: 102 Heritage Dr. Somerset NJ 08873 USA

Entry 8 - fullUrl = https://example.com/Organization/organization01

Resource Organization:

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

Profile: QICore Organization

identifier: Tax ID number/123456789 (use: official, )

active: true

type: Healthcare Provider

name: DaVinciHospital01

Contacts

-	Telecom	Address
*	ph: (+1) 401-555-1212	73 Lakewood Street Warwick RI 02886 USA

Entry 9 - fullUrl = https://example.com/Organization/organization02

Resource Organization:

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

Profile: QICore Organization

identifier: Tax ID number/234567891 (use: official, )

active: true

type: Healthcare Provider

name: DaVinciHospital02

Contacts

-	Telecom	Address
*	ph: (+1) 551-555-1212	3 Sherwood St. Englewood NJ 07631 USA

Entry 10 - fullUrl = https://example.com/Organization/organization04

Resource Organization:

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

Profile: QICore Organization

identifier: Tax ID number/456789123 (use: official, )

active: true

type: Insurance Company

name: DVPayer04

Contacts

-	Telecom	Address
*	ph: (+1) 616-555-1212	160 Glen Eagles Road Grand Rapids MI 49503 USA