diff --git a/resources/us_quality_core_bundle_patient.json b/resources/us_quality_core_bundle_patient.json
new file mode 100644
index 0000000..8a49432
--- /dev/null
+++ b/resources/us_quality_core_bundle_patient.json
@@ -0,0 +1,8571 @@
+{
+ "type": "transaction",
+ "resourceType": "Bundle",
+ "entry": [
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Endpoint/usqualitycore-r4-endpoint"
+ },
+ "resource": {
+ "resourceType": "Endpoint",
+ "id": "usqualitycore-r4-endpoint",
+ "status": "active",
+ "connectionType": {
+ "system": "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
+ "code": "direct-project",
+ "display": "Direct Project"
+ },
+ "payloadType": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/endpoint-payload-type",
+ "code": "any",
+ "display": "Any"
+ }
+ ],
+ "text": "Any"
+ }
+ ],
+ "address": "mailto:Willena258.Oberbrunner298@example.com",
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-r4-endpoint
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Media/usqualitycore-r4-media"
+ },
+ "resource": {
+ "resourceType": "Media",
+ "id": "usqualitycore-r4-media",
+ "status": "completed",
+ "content": {
+ "contentType": "application/dicom",
+ "link": "http://imaging.acme.com/wado/server?requestType=WADO&contentType=application%2Fdicom&studyUid=1.2.840.113619.2.21.848.34082.0.538976288.3&seriesUid=1.2.840.113619.2.21.3408.700.0.757923840.3.0&objectUid=1.2.840.11361907579238403408700.3.1.04.19970327150033"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-r4-media
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Specimen/usqualitycore-specimen"
+ },
+ "resource": {
+ "resourceType": "Specimen",
+ "id": "usqualitycore-specimen",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|6.1.0"
+ ]
+ },
+ "type": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "version": "http://snomed.info/sct/731000124108",
+ "code": "119364003",
+ "display": "Serum sample"
+ },
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0487",
+ "code": "SER",
+ "display": "Serum"
+ }
+ ]
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "collection": {
+ "collectedDateTime": "2022-09-27T18:07:12Z"
+ },
+ "container": [
+ {
+ "type": {
+ "text": "Serum Separator Tube"
+ }
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-specimen
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "DocumentReference/usqualitycore-document-reference"
+ },
+ "resource": {
+ "resourceType": "DocumentReference",
+ "id": "usqualitycore-document-reference",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|6.1.0"
+ ]
+ },
+ "identifier": [
+ {
+ "system": "https://github.com/inferno-framework/us-quality-core-test-kit/document-reference",
+ "value": "usqualitycore-document-reference"
+ }
+ ],
+ "status": "current",
+ "type": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "34117-2",
+ "display": "History and physical note"
+ }
+ ],
+ "text": "History and physical note"
+ },
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
+ "code": "clinical-note",
+ "display": "Clinical Note"
+ }
+ ],
+ "text": "Clinical Note"
+ }
+ ],
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "date": "2015-02-15T16:30:00Z",
+ "author": [
+ {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ ],
+ "custodian": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "description": "History and physical note for the US Quality Core test kit encounter.",
+ "content": [
+ {
+ "attachment": {
+ "contentType": "text/plain",
+ "data": "VVMgUXVhbGl0eSBDb3JlIHRlc3Qga2l0IERvY3VtZW50UmVmZXJlbmNlIGNsaW5pY2FsIG5vdGUu",
+ "url": "https://www.w3.org/WAI/ER/tests/xhtml/testfiles/resources/pdf/dummy.pdf",
+ "title": "US Quality Core test kit clinical note",
+ "creation": "2015-02-15T16:30:00Z"
+ },
+ "format": {
+ "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
+ "code": "urn:hl7-org:sdwg:ccda-structuredBody:2.1",
+ "display": "For documents following C-CDA 2.1 constraints using a structured body."
+ }
+ }
+ ],
+ "context": {
+ "encounter": [
+ {
+ "reference": "Encounter/usqualitycore-encounter"
+ }
+ ],
+ "period": {
+ "start": "2015-02-15T14:30:00+01:00",
+ "end": "2015-02-15T16:30:00+01:00"
+ }
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-document-reference
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-observation-pregnancyintent"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-observation-pregnancyintent",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "social-history",
+ "display": "Social History"
+ }
+ ],
+ "text": "Social History"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "86645-9",
+ "display": "Pregnancy intention in the next year - Reported"
+ }
+ ],
+ "text": "Pregnancy intention in the next year - Reported"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "2022-09-23T22:39:43Z",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "version": "http://snomed.info/sct/731000124108",
+ "code": "454381000124105",
+ "display": "Not sure of desire to become pregnant (finding)"
+ }
+ ],
+ "text": "Not sure of desire to become pregnant (finding)"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-observation-pregnancyintent
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-observation-pregnancystatus"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-observation-pregnancystatus",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancystatus|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "social-history",
+ "display": "Social History"
+ }
+ ],
+ "text": "Social History"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "82810-3",
+ "display": "Pregnancy status"
+ }
+ ],
+ "text": "Pregnancy status"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "2022-08-24T10:39:52Z",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "77386006",
+ "display": "Pregnant"
+ }
+ ],
+ "text": "Pregnant"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-observation-pregnancystatus
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-smokingstatus"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-smokingstatus",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "social-history",
+ "display": "Social History"
+ }
+ ],
+ "text": "Social History"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "72166-2",
+ "display": "Tobacco smoking status"
+ }
+ ],
+ "text": "Tobacco smoking status"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "2016-03-18T05:27:04Z",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "428041000124106",
+ "display": "Occasional tobacco smoker"
+ }
+ ],
+ "text": "Occasional tobacco smoker"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-smokingstatus
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-observation-occupation"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-observation-occupation",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "social-history",
+ "display": "Social History"
+ }
+ ],
+ "text": "Social History"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "11341-5",
+ "display": "History of Occupation"
+ }
+ ],
+ "text": "History of Occupation"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectivePeriod": {
+ "start": "2015-04-24"
+ },
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH",
+ "code": "31-1014.00.007136",
+ "display": "Certified Nursing Assistant (CNA) [Nursing Assistants]"
+ }
+ ],
+ "text": "Certified Nursing Assistant (CNA) [Nursing Assistants]"
+ },
+ "component": [
+ {
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "86188-0",
+ "display": "History of Occupation Industry"
+ }
+ ],
+ "text": "History of Occupation Industry"
+ },
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH",
+ "code": "621610.008495",
+ "display": "Home nursing services"
+ }
+ ],
+ "text": "Home nursing services"
+ }
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-observation-occupation
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-blood-pressure"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-blood-pressure",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "vital-signs",
+ "display": "Vital Signs"
+ }
+ ],
+ "text": "Vital Signs"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "85354-9",
+ "display": "Blood pressure panel with all children optional"
+ }
+ ],
+ "text": "Blood pressure panel with all children optional"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "1999-07-02",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "component": [
+ {
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "8480-6",
+ "display": "Systolic blood pressure"
+ }
+ ],
+ "text": "Systolic blood pressure"
+ },
+ "valueQuantity": {
+ "value": 109,
+ "unit": "mmHg",
+ "system": "http://unitsofmeasure.org",
+ "code": "mm[Hg]"
+ }
+ },
+ {
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "8462-4",
+ "display": "Diastolic blood pressure"
+ }
+ ],
+ "text": "Diastolic blood pressure"
+ },
+ "valueQuantity": {
+ "value": 44,
+ "unit": "mmHg",
+ "system": "http://unitsofmeasure.org",
+ "code": "mm[Hg]"
+ }
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-blood-pressure
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-bp-data-absent-reason"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-bp-data-absent-reason",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "vital-signs",
+ "display": "Vital Signs"
+ }
+ ],
+ "text": "Vital Signs"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "85354-9",
+ "display": "Blood pressure panel with all children optional"
+ }
+ ],
+ "text": "Blood pressure panel with all children optional"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "1999-07-03",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "component": [
+ {
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "8480-6",
+ "display": "Systolic blood pressure"
+ }
+ ],
+ "text": "Systolic blood pressure"
+ },
+ "dataAbsentReason": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
+ "code": "unknown",
+ "display": "Unknown"
+ }
+ ],
+ "text": "Unknown"
+ }
+ },
+ {
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "8462-4",
+ "display": "Diastolic blood pressure"
+ }
+ ],
+ "text": "Diastolic blood pressure"
+ },
+ "dataAbsentReason": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
+ "code": "unknown",
+ "display": "Unknown"
+ }
+ ],
+ "text": "Unknown"
+ }
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-bp-data-absent-reason
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-bmi"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-bmi",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "vital-signs",
+ "display": "Vital Signs"
+ }
+ ],
+ "text": "Vital Signs"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "39156-5",
+ "display": "Body mass index (BMI) [Ratio]"
+ }
+ ],
+ "text": "Body mass index (BMI) [Ratio]"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "1999-07-02",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueQuantity": {
+ "value": 16.2,
+ "unit": "kg/m2",
+ "system": "http://unitsofmeasure.org",
+ "code": "kg/m2"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-bmi
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-pediatric-bmi-for-age"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-pediatric-bmi-for-age",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "vital-signs",
+ "display": "Vital Signs"
+ }
+ ],
+ "text": "Vital Signs"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "59576-9",
+ "display": "Body mass index (BMI) [Percentile] Per age and sex"
+ }
+ ],
+ "text": "Body mass index (BMI) [Percentile] Per age and sex"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "2019-05-04T12:12:29-07:00",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueQuantity": {
+ "value": 65,
+ "unit": "%",
+ "system": "http://unitsofmeasure.org",
+ "code": "%"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-pediatric-bmi-for-age
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-body-height"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-body-height",
+ "meta": {
+ "profile": [
+ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height|6.1.0"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "vital-signs",
+ "display": "Vital Signs"
+ }
+ ],
+ "text": "Vital Signs"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "8302-2",
+ "display": "Body height"
+ }
+ ],
+ "text": "Body height"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "1999-07-02",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization"
+ }
+ ],
+ "valueQuantity": {
+ "value": 111.506,
+ "unit": "cm",
+ "system": "http://unitsofmeasure.org",
+ "code": "cm"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-us-core-body-height
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-us-core-body-temperature"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-us-core-body-temperature",
+ "meta": {
+ "profile": [
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+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
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+ "reference": "Encounter/usqualitycore-encounter"
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+ {
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+ "display": "Possible"
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+ ],
+ "text": {
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+ }
+ }
+ },
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activity
Details
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+ "hospitalization": {
+ "dischargeDisposition": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
+ "code": "home",
+ "display": "Home"
+ }
+ ]
+ }
+ },
+ "location": [
+ {
+ "location": {
+ "reference": "Location/usqualitycore-location"
+ },
+ "period": {
+ "start": "2015-02-15T14:30:00+01:00",
+ "end": "2015-02-15T16:30:00+01:00"
+ }
+ }
+ ],
+ "serviceProvider": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "diagnosis": [
+ {
+ "extension": [
+ {
+ "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission",
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
+ "code": "Y"
+ }
+ ]
+ }
+ }
+ ],
+ "condition": {
+ "reference": "Condition/usqualitycore-condition-problems-health-concerns"
+ },
+ "use": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
+ "code": "DD",
+ "display": "Discharge diagnosis"
+ }
+ ]
+ },
+ "rank": 1
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-encounter
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "FamilyMemberHistory/usqualitycore-family-member-history"
+ },
+ "resource": {
+ "resourceType": "FamilyMemberHistory",
+ "id": "usqualitycore-family-member-history",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-familymemberhistory"
+ ]
+ },
+ "status": "completed",
+ "patient": {
+ "reference": "Patient/usqualitycore-patient",
+ "display": "Peter Patient"
+ },
+ "date": "2011-03-18T17:49:10+00:00",
+ "relationship": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
+ "code": "FTH",
+ "display": "FATHER"
+ }
+ ]
+ },
+ "condition": [
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity",
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "399166001",
+ "display": "Fatal"
+ }
+ ]
+ }
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "122003",
+ "display": "Choroidal hemorrhage"
+ }
+ ],
+ "text": "Choroidal hemorrhage"
+ },
+ "outcome": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "520004",
+ "display": "Congenital bent nose"
+ }
+ ]
+ },
+ "onsetAge": {
+ "value": 74,
+ "unit": "yr",
+ "system": "http://unitsofmeasure.org",
+ "code": "a"
+ },
+ "note": [
+ {
+ "text": "Was fishing at the time. At least he went doing something he loved."
+ }
+ ]
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-family-member-history
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Goal/usqualitycore-goal"
+ },
+ "resource": {
+ "resourceType": "Goal",
+ "id": "usqualitycore-goal",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal"
+ ]
+ },
+ "identifier": [
+ {
+ "value": "123"
+ }
+ ],
+ "lifecycleStatus": "on-hold",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/goal-category",
+ "code": "dietary"
+ }
+ ]
+ }
+ ],
+ "priority": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/goal-priority",
+ "code": "high-priority",
+ "display": "High Priority"
+ }
+ ],
+ "text": "high"
+ },
+ "description": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "50064-5",
+ "display": "Ideal body weight"
+ }
+ ],
+ "text": "Target body weight is 160 to 180 lbs."
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient",
+ "display": "Peter James Chalmers"
+ },
+ "startDate": "2015-04-05",
+ "target": [
+ {
+ "measure": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "3141-9",
+ "display": "Weight Measured"
+ }
+ ]
+ },
+ "detailRange": {
+ "low": {
+ "value": 160,
+ "unit": "lbs",
+ "system": "http://unitsofmeasure.org",
+ "code": "[lb_av]"
+ },
+ "high": {
+ "value": 180,
+ "unit": "lbs",
+ "system": "http://unitsofmeasure.org",
+ "code": "[lb_av]"
+ }
+ },
+ "dueDate": "2016-04-05"
+ }
+ ],
+ "statusDate": "2016-02-14",
+ "statusReason": "Patient wants to defer weight loss until after honeymoon.",
+ "expressedBy": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ },
+ "addresses": [
+ {
+ "display": "obesity condition"
+ }
+ ],
+ "outcomeReference": [
+ {
+ "reference": "Observation/usqualitycore-observation-lab",
+ "display": "Body Weight Measured"
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-goal
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Group/usqualitycore-group"
+ },
+ "resource": {
+ "resourceType": "Group",
+ "id": "usqualitycore-group",
+ "active": true,
+ "type": "person",
+ "actual": true,
+ "name": "US Quality Core Test Patient Group",
+ "quantity": 1,
+ "member": [
+ {
+ "entity": {
+ "reference": "Patient/usqualitycore-patient"
+ }
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-group
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Immunization/usqualitycore-immunization"
+ },
+ "resource": {
+ "resourceType": "Immunization",
+ "id": "usqualitycore-immunization",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunization"
+ ]
+ },
+ "identifier": [
+ {
+ "system": "urn:ietf:rfc:3986",
+ "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
+ }
+ ],
+ "status": "completed",
+ "statusReason": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
+ "code": "IMMUNE",
+ "display": "immunity"
+ }
+ ]
+ },
+ "vaccineCode": {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/sid/cvx",
+ "code": "197",
+ "display": "Influenza, high-dose, quadrivalent, PF"
+ },
+ {
+ "system": "http://hl7.org/fhir/sid/ndc",
+ "code": "49281012165",
+ "display": "FLUZONE High-Dose Quadrivalent Northern Hemisphere, 10 SYRINGE, GLASS in 1 PACKAGE (49281-121-65) > .7 mL in 1 SYRINGE, GLASS (49281-121-88) (package)"
+ }
+ ],
+ "text": "Influenza, high-dose, quadrivalent, PF"
+ },
+ "patient": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "occurrenceDateTime": "2013-01-01",
+ "recorded": "2013-01-10",
+ "primarySource": true,
+ "location": {
+ "reference": "Location/usqualitycore-location"
+ },
+ "manufacturer": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "lotNumber": "AAJN11K",
+ "expirationDate": "2015-02-15",
+ "site": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
+ "code": "LA",
+ "display": "left arm"
+ }
+ ]
+ },
+ "route": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
+ "code": "IM",
+ "display": "Injection, intramuscular"
+ }
+ ]
+ },
+ "doseQuantity": {
+ "value": 5,
+ "system": "http://unitsofmeasure.org",
+ "code": "mg"
+ },
+ "performer": [
+ {
+ "function": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
+ "code": "OP"
+ }
+ ]
+ },
+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ },
+ {
+ "function": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
+ "code": "AP"
+ }
+ ]
+ },
+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ }
+ ],
+ "note": [
+ {
+ "text": "Notes on adminstration of vaccine"
+ }
+ ],
+ "reasonCode": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "429060002"
+ }
+ ]
+ }
+ ],
+ "reaction": [
+ {
+ "date": "2013-01-10",
+ "detail": {
+ "reference": "Observation/usqualitycore-observation-lab"
+ },
+ "reported": true
+ }
+ ],
+ "protocolApplied": [
+ {
+ "series": "Vaccination Series 1",
+ "authority": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "targetDisease": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "1857005"
+ }
+ ]
+ }
+ ],
+ "doseNumberPositiveInt": 1,
+ "seriesDosesPositiveInt": 2
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-immunization
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Immunization/usqualitycore-immunizationnotdone"
+ },
+ "resource": {
+ "resourceType": "Immunization",
+ "id": "usqualitycore-immunizationnotdone",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone"
+ ]
+ },
+ "identifier": [
+ {
+ "system": "urn:ietf:rfc:3986",
+ "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
+ }
+ ],
+ "status": "not-done",
+ "statusReason": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
+ "code": "MEDPREC",
+ "display": "medical precaution"
+ }
+ ]
+ },
+ "vaccineCode": {
+ "extension": [
+ {
+ "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
+ "valueCanonical": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1254"
+ }
+ ],
+ "text": "Not Done Value Set: Influenza vaccine"
+ },
+ "patient": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "occurrenceDateTime": "2013-01-01",
+ "recorded": "2013-01-10",
+ "primarySource": true,
+ "location": {
+ "reference": "Location/usqualitycore-location"
+ },
+ "manufacturer": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "lotNumber": "AAJN11K",
+ "expirationDate": "2015-02-15",
+ "site": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
+ "code": "LA",
+ "display": "left arm"
+ }
+ ]
+ },
+ "route": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
+ "code": "IM",
+ "display": "Injection, intramuscular"
+ }
+ ]
+ },
+ "doseQuantity": {
+ "value": 5,
+ "system": "http://unitsofmeasure.org",
+ "code": "mg"
+ },
+ "performer": [
+ {
+ "function": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
+ "code": "OP"
+ }
+ ]
+ },
+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ },
+ {
+ "function": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
+ "code": "AP"
+ }
+ ]
+ },
+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ }
+ ],
+ "note": [
+ {
+ "text": "Notes on adminstration of vaccine"
+ }
+ ],
+ "reasonCode": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "429060002"
+ }
+ ]
+ }
+ ],
+ "reaction": [
+ {
+ "date": "2013-01-10",
+ "detail": {
+ "reference": "Observation/usqualitycore-observation-lab"
+ },
+ "reported": true
+ }
+ ],
+ "protocolApplied": [
+ {
+ "series": "Vaccination Series 1",
+ "authority": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "targetDisease": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "1857005"
+ }
+ ]
+ }
+ ],
+ "doseNumberPositiveInt": 1,
+ "seriesDosesPositiveInt": 2
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-immunizationnotdone
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Immunization/usqualitycore-immunizationnotdone-2"
+ },
+ "resource": {
+ "resourceType": "Immunization",
+ "id": "usqualitycore-immunizationnotdone-2",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone"
+ ]
+ },
+ "identifier": [
+ {
+ "system": "urn:ietf:rfc:3986",
+ "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
+ }
+ ],
+ "status": "not-done",
+ "statusReason": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
+ "code": "MEDPREC",
+ "display": "medical precaution"
+ }
+ ]
+ },
+ "vaccineCode": {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/sid/cvx",
+ "code": "197",
+ "display": "Influenza, high-dose, quadrivalent, PF"
+ },
+ {
+ "system": "http://hl7.org/fhir/sid/ndc",
+ "code": "49281012165",
+ "display": "FLUZONE High-Dose Quadrivalent Northern Hemisphere, 10 SYRINGE, GLASS in 1 PACKAGE (49281-121-65) > .7 mL in 1 SYRINGE, GLASS (49281-121-88) (package)"
+ }
+ ],
+ "text": "Influenza, high-dose, quadrivalent, PF"
+ },
+ "patient": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "occurrenceDateTime": "2013-01-01",
+ "recorded": "2013-01-10",
+ "primarySource": true,
+ "location": {
+ "reference": "Location/usqualitycore-location"
+ },
+ "manufacturer": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "lotNumber": "AAJN11K",
+ "expirationDate": "2015-02-15",
+ "site": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
+ "code": "LA",
+ "display": "left arm"
+ }
+ ]
+ },
+ "route": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
+ "code": "IM",
+ "display": "Injection, intramuscular"
+ }
+ ]
+ },
+ "doseQuantity": {
+ "value": 5,
+ "system": "http://unitsofmeasure.org",
+ "code": "mg"
+ },
+ "performer": [
+ {
+ "function": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
+ "code": "OP"
+ }
+ ]
+ },
+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ },
+ {
+ "function": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
+ "code": "AP"
+ }
+ ]
+ },
+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ }
+ }
+ ],
+ "note": [
+ {
+ "text": "Notes on adminstration of vaccine"
+ }
+ ],
+ "reasonCode": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "429060002"
+ }
+ ]
+ }
+ ],
+ "reaction": [
+ {
+ "date": "2013-01-10",
+ "detail": {
+ "reference": "Observation/usqualitycore-observation-lab"
+ },
+ "reported": true
+ }
+ ],
+ "protocolApplied": [
+ {
+ "series": "Vaccination Series 1",
+ "authority": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "targetDisease": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "1857005"
+ }
+ ]
+ }
+ ],
+ "doseNumberPositiveInt": 1,
+ "seriesDosesPositiveInt": 2
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-immunizationnotdone-2
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Location/usqualitycore-location"
+ },
+ "resource": {
+ "resourceType": "Location",
+ "id": "usqualitycore-location",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-location"
+ ]
+ },
+ "identifier": [
+ {
+ "use": "temp",
+ "system": "http://exampleoflocation.com",
+ "value": "B1-S.F2"
+ }
+ ],
+ "status": "active",
+ "name": "South Wing, second floor",
+ "alias": [
+ "Mean Joe Greene University Medical Center, South Wing, second floor",
+ "BU MC, SW, F2"
+ ],
+ "description": "Second floor of the Old South Wing, formerly in use by Psychiatry",
+ "mode": "instance",
+ "type": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
+ "code": "HOSP",
+ "display": "Hospital"
+ }
+ ]
+ }
+ ],
+ "telecom": [
+ {
+ "system": "phone",
+ "value": "2328",
+ "use": "work"
+ },
+ {
+ "system": "fax",
+ "value": "2329",
+ "use": "work"
+ },
+ {
+ "system": "email",
+ "value": "secondwing@meanjoegreeneuniversitymedicalcenter.com"
+ },
+ {
+ "system": "url",
+ "value": "http://sampleorg.com/southwing",
+ "use": "work"
+ }
+ ],
+ "address": {
+ "use": "work",
+ "line": [
+ "Iron Curtain 75, Building A"
+ ],
+ "city": "Pittsburgh",
+ "state": "PA",
+ "postalCode": "15016",
+ "country": "US"
+ },
+ "physicalType": {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
+ "code": "wi",
+ "display": "Wing"
+ }
+ ]
+ },
+ "position": {
+ "longitude": -83.6945691,
+ "latitude": 42.25475478,
+ "altitude": 0
+ },
+ "managingOrganization": {
+ "reference": "Organization/usqualitycore-organization"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-location
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Medication/usqualitycore-medication"
+ },
+ "resource": {
+ "resourceType": "Medication",
+ "id": "usqualitycore-medication",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medication"
+ ]
+ },
+ "contained": [
+ {
+ "resourceType": "Organization",
+ "id": "org6",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization"
+ ]
+ },
+ "identifier": [
+ {
+ "use": "temp",
+ "system": "http://hl7.org/fhir/sid/us-npi",
+ "value": "8635143786"
+ }
+ ],
+ "active": true,
+ "name": "Example Org",
+ "telecom": [
+ {
+ "system": "url",
+ "value": "https://example.com/",
+ "use": "work"
+ }
+ ],
+ "address": [
+ {
+ "use": "work",
+ "city": "Cambridge",
+ "state": "MA",
+ "country": "USA"
+ }
+ ]
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
+ "code": "1594660",
+ "display": "alemtuzumab 10 MG/ML [Lemtrada]"
+ }
+ ]
+ },
+ "manufacturer": {
+ "reference": "#org6"
+ },
+ "form": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "385219001",
+ "display": "Conventional release solution for injection (dose form)"
+ }
+ ]
+ },
+ "ingredient": [
+ {
+ "itemCodeableConcept": {
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+ "system": "fax",
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+ "system": "email",
+ "value": "hq@HL7.org"
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+ ],
+ "address": [
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+ "city": "Ann Arbor",
+ "state": "MI",
+ "postalCode": "48104",
+ "country": "USA"
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+ ],
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+ "code": "2106-3",
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+ "code": "2028-9",
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+ "url": "detailed",
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+ "system": "urn:oid:2.16.840.1.113883.6.238",
+ "code": "1586-7",
+ "display": "Shoshone"
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+ {
+ "url": "detailed",
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+ "system": "urn:oid:2.16.840.1.113883.6.238",
+ "code": "2036-2",
+ "display": "Filipino"
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+ },
+ {
+ "url": "text",
+ "valueString": "Mixed"
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+ ],
+ "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race|6.1.0"
+ },
+ {
+ "extension": [
+ {
+ "url": "ombCategory",
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+ "system": "urn:oid:2.16.840.1.113883.6.238",
+ "code": "2135-2",
+ "display": "Hispanic or Latino"
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+ "url": "text",
+ "valueString": "Hispanic or Latino"
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+ ],
+ "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity|6.1.0"
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+ {
+ "extension": [
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+ "url": "tribalAffiliation",
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+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
+ "code": "187",
+ "display": "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"
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+ ],
+ "text": "Shoshone"
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+ },
+ {
+ "url": "isEnrolled",
+ "valueBoolean": false
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+ ],
+ "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation|6.1.0"
+ },
+ {
+ "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex",
+ "valueCode": "248152002"
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+ {
+ "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
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+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "446141000124107",
+ "display": "Identifies as female gender (finding)"
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+ "assigner": {
+ "display": "Acme Healthcare"
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+ ],
+ "active": true,
+ "name": [
+ {
+ "use": "official",
+ "family": "Chalmers",
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+ "Jr"
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+ "given": [
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+ "James"
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+ },
+ {
+ "use": "usual",
+ "family": "Chalmers",
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+ "Jim"
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+ "use": "maiden",
+ "family": "Windsor",
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+ "James"
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+ "telecom": [
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+ "rank": 1
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+ {
+ "system": "phone",
+ "value": "(03) 3410 5613",
+ "use": "mobile",
+ "rank": 2
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+ {
+ "system": "phone",
+ "value": "(03) 5555 8834",
+ "use": "old",
+ "period": {
+ "end": "2014"
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+ ],
+ "gender": "male",
+ "birthDate": "1974-12-25",
+ "_birthDate": {
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+ "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
+ "valueDateTime": "1974-12-25T14:35:45-05:00"
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+ "deceasedBoolean": false,
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+ {
+ "use": "home",
+ "type": "both",
+ "text": "534 Erewhon St PeasantVille, Utah 84414",
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+ "534 Erewhon St"
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+ "system": "urn:ietf:bcp:47",
+ "code": "es",
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+ "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
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+ "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
+ "valueString": "VV"
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+ "value": "+33 (237) 998327"
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+ "gender": "female",
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+ "start": "2012"
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+ "managingOrganization": {
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+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-patient
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+ },
+ {
+ "request": {
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+ "url": "Practitioner/usqualitycore-practitioner"
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+ "id": "usqualitycore-practitioner",
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+ "value": "9941339100"
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+ "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
+ "valueBoolean": true
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+ "system": "email",
+ "value": "adam.careful@example.com",
+ "use": "work"
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+ ],
+ "address": [
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+ "534 Erewhon St"
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+ "city": "PleasantVille",
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+ "system": "http://terminology.hl7.org/CodeSystem/v2-0360|2.0.0",
+ "code": "BS",
+ "display": "Bachelor of Science"
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+ ],
+ "text": "Bachelor of Science"
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+ "period": {
+ "start": "1995"
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+ "issuer": {
+ "display": "Example University"
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+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-practitioner
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+ }
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+ },
+ {
+ "request": {
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+ "url": "PractitionerRole/usqualitycore-practitioner-role"
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+ "resource": {
+ "resourceType": "PractitionerRole",
+ "id": "usqualitycore-practitioner-role",
+ "meta": {
+ "profile": [
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+ },
+ "identifier": [
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+ "use": "temp",
+ "system": "https://github.com/inferno-framework/practitionerroles",
+ "value": "31"
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+ "display": "Dr Adam Careful"
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+ "organization": {
+ "reference": "Organization/usqualitycore-organization"
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+ "code": "106289002",
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+ "system": "http://nucc.org/provider-taxonomy",
+ "code": "122300000X",
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+ "system": "phone",
+ "value": "801-123-4567"
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+ ],
+ "endpoint": [
+ {
+ "reference": "Endpoint/usqualitycore-r4-endpoint"
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+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-practitioner-role
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+ }
+ }
+ },
+ {
+ "request": {
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+ "url": "Procedure/usqualitycore-procedure"
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+ "resource": {
+ "resourceType": "Procedure",
+ "id": "usqualitycore-procedure",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure"
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+ },
+ "extension": [
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+ "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded",
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+ "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
+ "code": "MEDPREC",
+ "display": "medical precaution"
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+ "system": "http://snomed.info/sct",
+ "code": "80146002",
+ "display": "Excision of appendix (procedure)"
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+ "reference": "Patient/usqualitycore-patient"
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+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
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+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner",
+ "display": "Dr Cecil Surgeon"
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+ "coding": [
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+ "system": "http://snomed.info/sct",
+ "code": "21522001",
+ "display": "Abdominal pain (finding)"
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+ "reasonReference": [
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+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
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+ "bodySite": [
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+ "code": "66754008",
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+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab"
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+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-procedure
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+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Procedure/usqualitycore-procedurenotdone"
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+ "resourceType": "Procedure",
+ "id": "usqualitycore-procedurenotdone",
+ "meta": {
+ "profile": [
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+ "valueDateTime": "2013-04-05T09:35:00-04:00"
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+ "status": "not-done",
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+ "system": "http://snomed.info/sct",
+ "code": "183932001",
+ "display": "Procedure contraindicated"
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+ "code": {
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+ {
+ "system": "http://snomed.info/sct",
+ "code": "80146002",
+ "display": "Excision of appendix (procedure)"
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+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
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+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
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+ "performedDateTime": "2013-04-05T09:20:00-04:00",
+ "performer": [
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+ "actor": {
+ "reference": "Practitioner/usqualitycore-practitioner",
+ "display": "Dr Cecil Surgeon"
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+ "coding": [
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+ "system": "http://snomed.info/sct",
+ "code": "21522001",
+ "display": "Abdominal pain (finding)"
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+ "reasonReference": [
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+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
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+ "report": [
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+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab"
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+ "text": {
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+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "QuestionnaireResponse/usqualitycore-questionnaire-response"
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+ "resource": {
+ "resourceType": "QuestionnaireResponse",
+ "id": "usqualitycore-questionnaire-response",
+ "meta": {
+ "profile": [
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+ },
+ "questionnaire": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9",
+ "status": "completed",
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
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+ "authored": "2022-07-31T22:14:07.387Z",
+ "author": {
+ "reference": "Practitioner/usqualitycore-practitioner"
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+ "item": [
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+ "linkId": "H1/T1",
+ "text": "Over the last two weeks, how often have you been bothered by any of the following problems?",
+ "item": [
+ {
+ "linkId": "H1/T1/Q1",
+ "text": "Little interest or pleasure in doing things?",
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+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Not-at-all",
+ "display": "Not at all"
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+ },
+ {
+ "linkId": "H1/T1/Q2",
+ "text": "Feeling down, depressed, or hopeless?",
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+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Not-at-all",
+ "display": "Not at all"
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+ }
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+ },
+ {
+ "linkId": "H1/T1/Q3",
+ "text": "Trouble falling or staying asleep, or sleeping too much?",
+ "answer": [
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+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Not-at-all",
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+ },
+ {
+ "linkId": "H1/T1/Q4",
+ "text": "Feeling tired or having little energy?",
+ "answer": [
+ {
+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Several-days",
+ "display": "Several days"
+ }
+ }
+ ]
+ },
+ {
+ "linkId": "H1/T1/Q5",
+ "text": "Poor appetite or overeating?",
+ "answer": [
+ {
+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "More than half the days",
+ "display": "More than half the days"
+ }
+ }
+ ]
+ },
+ {
+ "linkId": "H1/T1/Q6",
+ "text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down?",
+ "answer": [
+ {
+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Several-days",
+ "display": "Several days"
+ }
+ }
+ ]
+ },
+ {
+ "linkId": "H1/T1/Q7",
+ "text": "Trouble concentrating on things, such as reading the newspaper or watching television?",
+ "answer": [
+ {
+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Nearly every day",
+ "display": "Nearly every day"
+ }
+ }
+ ]
+ },
+ {
+ "linkId": "H1/T1/Q8",
+ "text": "Moving or speaking so slowly that other people could gave noticed? Or so fidgety or restless that you have been moving a lot more than usual?",
+ "answer": [
+ {
+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "More than half the days",
+ "display": "More than half the days"
+ }
+ }
+ ]
+ },
+ {
+ "linkId": "H1/T1/Q9",
+ "text": "Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?",
+ "answer": [
+ {
+ "valueCoding": {
+ "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
+ "code": "Several-days",
+ "display": "Several days"
+ }
+ }
+ ]
+ },
+ {
+ "linkId": "H1/TS",
+ "text": "Patient health questionnaire 9 item total score",
+ "answer": [
+ {
+ "valueQuantity": {
+ "value": 13,
+ "unit": "{score}"
+ }
+ }
+ ]
+ }
+ ]
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-questionnaire-response
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "RelatedPerson/usqualitycore-related-person"
+ },
+ "resource": {
+ "resourceType": "RelatedPerson",
+ "id": "usqualitycore-related-person",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-relatedperson"
+ ]
+ },
+ "active": true,
+ "patient": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "relationship": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
+ "code": "C"
+ }
+ ]
+ }
+ ],
+ "name": [
+ {
+ "use": "official",
+ "family": "Chalmers",
+ "given": [
+ "Peter",
+ "James"
+ ]
+ }
+ ],
+ "telecom": [
+ {
+ "system": "phone",
+ "value": "(03) 5555 6473",
+ "use": "work"
+ }
+ ],
+ "gender": "male",
+ "address": [
+ {
+ "use": "home",
+ "line": [
+ "534 Erewhon St"
+ ],
+ "city": "PleasantVille",
+ "state": "UT",
+ "postalCode": "84414"
+ }
+ ],
+ "photo": [
+ {
+ "contentType": "image/jpeg",
+ "url": "Binary/f012"
+ }
+ ],
+ "period": {
+ "start": "2012-03-11"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-related-person
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "ServiceRequest/usqualitycore-servicenotrequested"
+ },
+ "resource": {
+ "resourceType": "ServiceRequest",
+ "id": "usqualitycore-servicenotrequested",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested"
+ ]
+ },
+ "extension": [
+ {
+ "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason",
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "416406003",
+ "display": "Procedure discontinued (situation)"
+ }
+ ]
+ }
+ }
+ ],
+ "status": "completed",
+ "intent": "order",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "387713003",
+ "display": "Surgical Procedure"
+ }
+ ]
+ },
+ {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
+ "code": "functional-status",
+ "display": "Functional Status"
+ }
+ ],
+ "text": "Functional Status"
+ }
+ ],
+ "priority": "urgent",
+ "doNotPerform": true,
+ "code": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "80146002",
+ "display": "Excision of appendix (procedure)"
+ }
+ ],
+ "text": "Excision of appendix (procedure)"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "occurrencePeriod": {
+ "start": "2013-04-05",
+ "end": "2013-04-05"
+ },
+ "asNeededBoolean": true,
+ "authoredOn": "2013-04-04",
+ "requester": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ },
+ "reasonCode": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "21522001",
+ "display": "Abdominal pain (finding)"
+ }
+ ]
+ }
+ ],
+ "reasonReference": [
+ {
+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
+ }
+ ],
+ "bodySite": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "66754008",
+ "display": "Appendix structure"
+ }
+ ]
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-servicerequest
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "ServiceRequest/usqualitycore-servicerequest"
+ },
+ "resource": {
+ "resourceType": "ServiceRequest",
+ "id": "usqualitycore-servicerequest",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest"
+ ]
+ },
+ "status": "completed",
+ "intent": "order",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "387713003",
+ "display": "Surgical Procedure"
+ }
+ ]
+ },
+ {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
+ "code": "functional-status",
+ "display": "Functional Status"
+ }
+ ],
+ "text": "Functional Status"
+ }
+ ],
+ "priority": "urgent",
+ "doNotPerform": false,
+ "code": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "80146002",
+ "display": "Excision of appendix (procedure)"
+ }
+ ],
+ "text": "Excision of appendix (procedure)"
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "occurrencePeriod": {
+ "start": "2013-04-05",
+ "end": "2013-04-05"
+ },
+ "asNeededBoolean": true,
+ "authoredOn": "2013-04-04",
+ "requester": {
+ "reference": "Practitioner/usqualitycore-practitioner"
+ },
+ "reasonCode": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "21522001",
+ "display": "Abdominal pain (finding)"
+ }
+ ]
+ }
+ ],
+ "reasonReference": [
+ {
+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
+ }
+ ],
+ "bodySite": [
+ {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "66754008",
+ "display": "Appendix structure"
+ }
+ ]
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-servicerequest
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-simple-observation"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-simple-observation",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "activity",
+ "display": "Activity"
+ }
+ ],
+ "text": "Activity"
+ },
+ {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
+ "code": "functional-status",
+ "display": "Functional Status"
+ }
+ ],
+ "text": "Functional Status"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "99354-3",
+ "display": "Mobility device or aid is regularly used"
+ }
+ ]
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectivePeriod": {
+ "start": "2013-04-02T10:30:10+01:00",
+ "end": "2013-04-05T10:30:10+01:00"
+ },
+ "issued": "2013-04-03T15:30:10+01:00",
+ "performer": [
+ {
+ "reference": "Practitioner/usqualitycore-practitioner",
+ "display": "Practitioner"
+ }
+ ],
+ "valueCodeableConcept": {
+ "coding": [
+ {
+ "system": "http://snomed.info/sct",
+ "code": "105503008",
+ "display": "Dependence on wheelchair (finding)"
+ }
+ ]
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-simple-observation
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-simple-observation-2"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-simple-observation-2",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "activity",
+ "display": "Activity"
+ }
+ ],
+ "text": "Activity"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "99354-3",
+ "display": "Mobility device or aid is regularly used"
+ }
+ ]
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectivePeriod": {
+ "start": "2013-04-02T10:30:10+01:00",
+ "end": "2013-04-05T10:30:10+01:00"
+ },
+ "issued": "2013-04-03T15:30:10+01:00",
+ "performer": [
+ {
+ "reference": "PractitionerRole/usqualitycore-practitioner-role",
+ "display": "Practitioner Role"
+ }
+ ],
+ "interpretation": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
+ "code": "A",
+ "display": "Abnormal"
+ }
+ ]
+ }
+ ],
+ "valueBoolean": true,
+ "derivedFrom": [
+ {
+ "reference": "Observation/usqualitycore-simple-observation"
+ }
+ ],
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-simple-observation-2
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-simple-observation-3"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-simple-observation-3",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "activity",
+ "display": "Activity"
+ }
+ ],
+ "text": "Activity"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "99354-3",
+ "display": "Mobility device or aid is regularly used"
+ }
+ ]
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "2013-04-03T10:30:10+01:00",
+ "issued": "2013-04-03T15:30:10+01:00",
+ "performer": [
+ {
+ "reference": "Organization/usqualitycore-organization",
+ "display": "Hendricks Country Hospital"
+ }
+ ],
+ "valueQuantity": {
+ "value": 1,
+ "unit": "score",
+ "system": "http://unitsofmeasure.org",
+ "code": "{score}"
+ },
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-simple-observation-3
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Observation/usqualitycore-simple-observation-4"
+ },
+ "resource": {
+ "resourceType": "Observation",
+ "id": "usqualitycore-simple-observation-4",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation"
+ ]
+ },
+ "status": "final",
+ "category": [
+ {
+ "coding": [
+ {
+ "system": "http://terminology.hl7.org/CodeSystem/observation-category",
+ "code": "activity",
+ "display": "Activity"
+ }
+ ],
+ "text": "Activity"
+ }
+ ],
+ "code": {
+ "coding": [
+ {
+ "system": "http://loinc.org",
+ "code": "99354-3",
+ "display": "Mobility device or aid is regularly used"
+ }
+ ]
+ },
+ "subject": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "encounter": {
+ "reference": "Encounter/usqualitycore-encounter"
+ },
+ "effectiveDateTime": "2013-04-04T10:30:10+01:00",
+ "issued": "2013-04-04T15:30:10+01:00",
+ "performer": [
+ {
+ "reference": "Practitioner/usqualitycore-practitioner",
+ "display": "Practitioner"
+ }
+ ],
+ "valueString": "Uses a mobility device daily",
+ "text": {
+ "status": "generated",
+ "div": "Generated Narrative: usqualitycore-simple-observation-4
"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Task/usqualitycore-task"
+ },
+ "resource": {
+ "resourceType": "Task",
+ "id": "usqualitycore-task",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-task"
+ ]
+ },
+ "text": {
+ "status": "generated",
+ "div": ""
+ },
+ "identifier": [
+ {
+ "system": "https://github.com/inferno-framework/ids/tasks",
+ "value": "19009"
+ }
+ ],
+ "status": "accepted",
+ "statusReason": {
+ "text": "Missing"
+ },
+ "reasonCode": {
+ "text": "Cancellation"
+ },
+ "intent": "proposal",
+ "priority": "routine",
+ "code": {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/CodeSystem/task-code",
+ "code": "approve",
+ "display": "Activate/approve the focal resource"
+ }
+ ]
+ },
+ "for": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "basedOn": [
+ {
+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
+ }
+ ],
+ "focus": {
+ "reference": "Immunization/usqualitycore-immunization"
+ },
+ "executionPeriod": {
+ "start": "2018-06-11",
+ "end": "2018-06-11"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Task/usqualitycore-taskrejected"
+ },
+ "resource": {
+ "resourceType": "Task",
+ "id": "usqualitycore-taskrejected",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected"
+ ]
+ },
+ "text": {
+ "status": "generated",
+ "div": ""
+ },
+ "identifier": [
+ {
+ "system": "https://github.com/inferno-framework/ids/tasks",
+ "value": "19009"
+ }
+ ],
+ "status": "rejected",
+ "statusReason": {
+ "text": "Missing"
+ },
+ "reasonCode": {
+ "text": "Cancellation"
+ },
+ "intent": "proposal",
+ "priority": "routine",
+ "code": {
+ "coding": [
+ {
+ "system": "http://hl7.org/fhir/CodeSystem/task-code",
+ "code": "approve",
+ "display": "Activate/approve the focal resource"
+ }
+ ]
+ },
+ "for": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "basedOn": [
+ {
+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
+ }
+ ],
+ "focus": {
+ "reference": "Immunization/usqualitycore-immunization"
+ },
+ "executionPeriod": {
+ "start": "2018-06-11",
+ "end": "2018-06-11"
+ }
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "Task/usqualitycore-taskrejected-2"
+ },
+ "resource": {
+ "resourceType": "Task",
+ "id": "usqualitycore-taskrejected-2",
+ "meta": {
+ "profile": [
+ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected"
+ ]
+ },
+ "text": {
+ "status": "generated",
+ "div": ""
+ },
+ "identifier": [
+ {
+ "system": "https://github.com/inferno-framework/ids/tasks",
+ "value": "19009"
+ }
+ ],
+ "status": "rejected",
+ "statusReason": {
+ "text": "Missing"
+ },
+ "reasonCode": {
+ "text": "Cancellation"
+ },
+ "intent": "proposal",
+ "priority": "routine",
+ "code": {
+ "extension": [
+ {
+ "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet",
+ "valueCanonical": "http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.117.1.7.1.214"
+ }
+ ]
+ },
+ "for": {
+ "reference": "Patient/usqualitycore-patient"
+ },
+ "basedOn": [
+ {
+ "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note"
+ }
+ ],
+ "focus": {
+ "reference": "Immunization/usqualitycore-immunization"
+ },
+ "executionPeriod": {
+ "start": "2018-06-11",
+ "end": "2018-06-11"
+ }
+ }
+ }
+ ]
+}
diff --git a/resources/us_quality_core_bundle_search_parameters.json b/resources/us_quality_core_bundle_search_parameters.json
new file mode 100644
index 0000000..c1ab518
--- /dev/null
+++ b/resources/us_quality_core_bundle_search_parameters.json
@@ -0,0 +1,299 @@
+{
+ "resourceType": "Bundle",
+ "type": "transaction",
+ "entry": [
+ {
+ "request": {
+ "method": "PUT",
+ "url": "SearchParameter/us-quality-core-adverseevent-recorded-date"
+ },
+ "resource": {
+ "resourceType": "SearchParameter",
+ "id": "us-quality-core-adverseevent-recorded-date",
+ "text": {
+ "status": "generated",
+ "div": " UsQualityCoreAdverseeventRecordedDate
Parameter recorded-date:date
US Quality Core AdverseEvent recorded-date Search Parameter
\n
| Resource | AdverseEvent |
| Expression | AdverseEvent.recordedDate |
| Processing Mode | Normal |
| Multiples | - multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
- multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
|
| Comparators | Allowed: eq, ne, gt, ge, lt, le, sa, eb, ap |
"
+ },
+ "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-adverseevent-recorded-date",
+ "version": "0.5.0",
+ "name": "UsQualityCoreAdverseeventRecordedDate",
+ "status": "active",
+ "date": "2026-05-15",
+ "publisher": "ONC",
+ "contact": [
+ {
+ "telecom": [
+ {
+ "system": "url",
+ "value": "https://www.healthit.gov/"
+ }
+ ]
+ }
+ ],
+ "description": "US Quality Core AdverseEvent recorded-date Search Parameter",
+ "jurisdiction": [
+ {
+ "coding": [
+ {
+ "system": "urn:iso:std:iso:3166",
+ "code": "US",
+ "display": "United States of America"
+ }
+ ],
+ "text": "USA"
+ }
+ ],
+ "code": "recorded-date",
+ "base": [
+ "AdverseEvent"
+ ],
+ "type": "date",
+ "expression": "AdverseEvent.recordedDate",
+ "xpathUsage": "normal",
+ "multipleOr": true,
+ "multipleAnd": true,
+ "comparator": [
+ "eq",
+ "ne",
+ "gt",
+ "ge",
+ "lt",
+ "le",
+ "sa",
+ "eb",
+ "ap"
+ ],
+ "_comparator": [
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "MAY"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "MAY"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "SHALL"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "SHALL"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "SHALL"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "SHALL"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "MAY"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "MAY"
+ }
+ ]
+ },
+ {
+ "extension": [
+ {
+ "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
+ "valueCode": "MAY"
+ }
+ ]
+ }
+ ]
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "SearchParameter/us-quality-core-devicerequest-do-not-perform"
+ },
+ "resource": {
+ "resourceType": "SearchParameter",
+ "id": "us-quality-core-devicerequest-do-not-perform",
+ "text": {
+ "status": "generated",
+ "div": " UsQualityCoreDevicerequestDoNotPerform
Parameter do-not-perform:token
US Quality Core DeviceRequest do-not-perform Search Parameter
\n
| Resource | DeviceRequest |
| Expression | DeviceRequest.modifierExtension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform').value |
| Processing Mode | Normal |
| Multiples | - multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
- multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
|
"
+ },
+ "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-devicerequest-do-not-perform",
+ "version": "0.5.0",
+ "name": "UsQualityCoreDevicerequestDoNotPerform",
+ "status": "active",
+ "date": "2026-05-15",
+ "publisher": "ONC",
+ "contact": [
+ {
+ "telecom": [
+ {
+ "system": "url",
+ "value": "https://www.healthit.gov/"
+ }
+ ]
+ }
+ ],
+ "description": "US Quality Core DeviceRequest do-not-perform Search Parameter",
+ "jurisdiction": [
+ {
+ "coding": [
+ {
+ "system": "urn:iso:std:iso:3166",
+ "code": "US",
+ "display": "United States of America"
+ }
+ ],
+ "text": "USA"
+ }
+ ],
+ "code": "do-not-perform",
+ "base": [
+ "DeviceRequest"
+ ],
+ "type": "token",
+ "expression": "DeviceRequest.modifierExtension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform').value",
+ "xpathUsage": "normal",
+ "multipleOr": true,
+ "multipleAnd": true
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "SearchParameter/us-quality-core-medicationrequest-do-not-perform"
+ },
+ "resource": {
+ "resourceType": "SearchParameter",
+ "id": "us-quality-core-medicationrequest-do-not-perform",
+ "text": {
+ "status": "generated",
+ "div": " UsQualityCoreMedicationrequestDoNotPerform
Parameter do-not-perform:token
US Quality Core MedicationRequest do-not-perform Search Parameter
\n
| Resource | MedicationRequest |
| Expression | MedicationRequest.doNotPerform |
| Processing Mode | Normal |
| Multiples | - multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
- multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
|
"
+ },
+ "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-medicationrequest-do-not-perform",
+ "version": "0.5.0",
+ "name": "UsQualityCoreMedicationrequestDoNotPerform",
+ "status": "active",
+ "date": "2026-05-15",
+ "publisher": "ONC",
+ "contact": [
+ {
+ "telecom": [
+ {
+ "system": "url",
+ "value": "https://www.healthit.gov/"
+ }
+ ]
+ }
+ ],
+ "description": "US Quality Core MedicationRequest do-not-perform Search Parameter",
+ "jurisdiction": [
+ {
+ "coding": [
+ {
+ "system": "urn:iso:std:iso:3166",
+ "code": "US",
+ "display": "United States of America"
+ }
+ ],
+ "text": "USA"
+ }
+ ],
+ "code": "do-not-perform",
+ "base": [
+ "MedicationRequest"
+ ],
+ "type": "token",
+ "expression": "MedicationRequest.doNotPerform",
+ "xpathUsage": "normal",
+ "multipleOr": true,
+ "multipleAnd": true
+ }
+ },
+ {
+ "request": {
+ "method": "PUT",
+ "url": "SearchParameter/us-quality-core-servicerequest-do-not-perform"
+ },
+ "resource": {
+ "resourceType": "SearchParameter",
+ "id": "us-quality-core-servicerequest-do-not-perform",
+ "text": {
+ "status": "generated",
+ "div": " UsQualityCoreServicerequestDoNotPerform
Parameter do-not-perform:token
US Quality Core ServiceRequest do-not-perform Search Parameter
\n
| Resource | ServiceRequest |
| Expression | ServiceRequest.doNotPerform |
| Processing Mode | Normal |
| Multiples | - multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
- multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
|
"
+ },
+ "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-do-not-perform",
+ "version": "0.5.0",
+ "name": "UsQualityCoreServicerequestDoNotPerform",
+ "status": "active",
+ "date": "2026-05-15",
+ "publisher": "ONC",
+ "contact": [
+ {
+ "telecom": [
+ {
+ "system": "url",
+ "value": "https://www.healthit.gov/"
+ }
+ ]
+ }
+ ],
+ "description": "US Quality Core ServiceRequest do-not-perform Search Parameter",
+ "jurisdiction": [
+ {
+ "coding": [
+ {
+ "system": "urn:iso:std:iso:3166",
+ "code": "US",
+ "display": "United States of America"
+ }
+ ],
+ "text": "USA"
+ }
+ ],
+ "code": "do-not-perform",
+ "base": [
+ "ServiceRequest"
+ ],
+ "type": "token",
+ "expression": "ServiceRequest.doNotPerform",
+ "xpathUsage": "normal",
+ "multipleOr": true,
+ "multipleAnd": true
+ }
+ }
+ ]
+}